Incentives for organ donation?

Ethics, organ donation and tax: a proposal

“…First, at least some studies suggest that the offer of a fairly modest cash payment would increase the number of people willing to donate 24. Second, the no-effect objection gives us no reason not to trial a tax credit scheme and assesses its effects.…”

Altruism, Incentives, and Organ Donation

“…The incentives included 1) priority on the waiting list ("preferred status") should a member of the donor family ever need a transplant, 2) a $1500 contribution to a favorite charity, 3) a $1500 payment toward the donor's funeral expenses, 4) $1500 in cash, 5) a $1500 rebate or premium reduction on health insurance, and 6) donor recognition such as the donor's name on a plaque or memorial. A value of $1500 was selected for the monetary incentives because it is in the middle range of payments proposed by others 11,15,38,44 and seems large enough to act as an incentive but small enough not to be coercive. The respondent was asked to 1) rate the moral appropriateness of each alternative policy on a scale ranging from 1, completely inappropriate, to 7, completely appropriate, with 4 being neutral; 2) judge whether families would be more or less likely to agree to donate under this policy than under the current policy on a scale ranging from 1, a lot less likely, to 7, a lot more likely, with 4 being neither more nor less likely; and 3) decide whether this policy should be put into effect (yes/no).…”

“…13,19,21,26,29,36 -43 Financial incentives differ in amount as well as in type; for example, payments of $300, $1000, $2000, and $3000 toward funeral expenses have been proposed. 11,15,38,44 Important ethical and psychologic distinctions can be drawn between incentives of different types and amounts. 19,37,38,43 For example, nonmonetary or indirect monetary payments of modest value seem to reflect an expression of society's gratitude for the act of organ donation, whereas larger monetary payments seem like bribes or organ sales.…”

“…20 -26 Empiric evidence to support either of these opposing positions, however, is scant. Few studies have examined the attitudes of either the public 10,11,[27][28][29][30][31][32][33] or healthcare professionals 20,34,35 toward incentives for organ donation. These studies typically focus on the general category "financial incentives" rather than on specific incentives and thus their results are difficult to interpret.…”

Organhandel versus Reziprozitätsmodell

“…Das "Reziprozitätsmodell" (auch "Club-Lösung" genannt) basiert auf dem Grundgedanken, dass diejenigen, die sich zu Lebzeiten für die postmortale Organspende bereit finden, bei der Organzuteilung im Bedarfsfall einen höheren Rangplatz auf der Warteliste erzielen (20,16). Die Zeit zwischen der Spendeerklärung und dem Bedarfsfall kann als ergänzendes Kriterium für den Rangplatz berücksichtigt werden.…”