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http://tierneylab.blogs.nytimes.com/2008/12/17/new-hope-for-organ-transplants/?hpDecember 17, 2008, 1:59 PM
New Hope for Organ Transplants?By JOHN TIERNEY
For the first time, the number of Americans waiting for an organ transplant has surpassed 100,000, and if past experience is any guide, more than 6,000 can be expected to die next year. Meanwhile, the number of people donating organs has not been increasing — it actually declined slightly last year. But there may be some help on the way for people in need of a transplant, as the Wall Street Journal notes in an editorial.
The National Kidney Foundation, which has has been one of the chief opponents of proposals to offer incentives to donors, told the Journal that it will reconsider its position at a meeting next month. And a bill being introduced next session by Senator Arlen Specter, the Pennsylvania Republican, would ease a federal restriction on providing any “valuable consideration” to organ donors. His bill would still ban direct cash payments to donors, but it would allow states to experiment with incentives like tax credits, contributions to 401K plans and tuition vouchers. In Pennsylvania, as Sally Satel has noted, the law has prevented the state from paying burial or cremation expenses for organ donors, even though it is legal to do so for people who donate their bodies to science.
Dr. Satel, who wrote about her own search for a kidney transplant in the Times Magazine, has enlisted an array of experts to design a system offering new incentives to kidney donors. The results of their work will be published in a new book from American Enterprise Institute, “When Altruism Isn’t Enough: The Case for Compensating Kidney Donors.” It’s coming out next month, just in time for the National Kidney Foundation’s meeting to reconsider its position.
Do you have any advice for the foundation, or for the members of Congress who will be considering Mr. Specter’s bill next year? Should these new incentives be promoted? And should even more incentives be considered — like setting up a market so that people could sell their kidneys?