Incentives for Organ Donations

There are now over 100,000 patients waiting for an organ transplant. Over 6,000 of them will die this year because they will not find a suitable organ in time. The problem, as discussed in Human Biology 5th ed. (pp. 368-369), is simply too few available organs for too many patients. Aside from the fact that finding a good match among unrelated donors is relatively rare, healthy people are often reluctant to donate an organ for emotional reasons and there is no financial incentive for organ donations. In fact, current federal law states that a person can go to jail and be fined $50,000 if “valuable consideration” is given to a donor. The law was meant to discourage commercial trafficking in human organs (considered to be exploitive of the poor), but it has also had a chilling effect on altruistic giving.

But that may soon change. Senator Arlen Specter of Pennsylvania will introduce a bill next year that would allow states to offer certain “incentives” to donors and their families, such as tax credits, contributions to 401K retirement plans, and tuition vouchers. The bill still would still prohibit the direct buying and selling of organs, however, so you won’t be able to buy a kidney on eBay any time soon.

One patient’s emotional odyssey as her kidneys began to fail is described in “Desperately Seeking a Kidney” published two days ago in the New York Times. It might make an interesting additional reading assignment for your students.