A Cost-Benefit Analysis of Government Compensation of Kidney Donors
| Autor: | Philip J. Held, John P. Roberts, Akinlolu O. Ojo, Frank McCormick |
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| Rok vydání: | 2015 |
| Předmět: |
Male
medicine.medical_treatment Cost-Benefit Analysis 030232 urology & nephrology Economic shortage kidney transplantation/nephrology 030230 surgery Medical and Health Sciences Kidney Failure 0302 clinical medicine Living Donors Immunology and Allergy living donor [kidney transplantation] Pharmacology (medical) organ transplantation in general Chronic law Kidney transplantation health care economics and organizations Kidney Cost–benefit analysis Compensation (psychology) Health Policy Financing Organized Organized Health Care Costs Middle Aged Clinical Science practice medicine.anatomical_structure quality of life (QOL) Compensation and Redress Female Original Article Financing living [donors and donation] medicine.medical_specialty organ allocation Tissue and Organ Procurement law/legislation nephrology kidney transplantation legislation clinical research/practice kidney transplantation: living donor 03 medical and health sciences medicine Humans Intensive care medicine Health policy Dialysis Transplantation Government Health Services Needs and Demand business.industry urogenital system Original Articles medicine.disease health services and outcomes research Kidney Transplantation United States quality of life clinical research Government Regulation Kidney Failure Chronic dialysis Surgery donors and donation: living business Follow-Up Studies |
| Zdroj: | American Journal of Transplantation American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons, vol 16, iss 3 |
| ISSN: | 1600-6143 |
| Popis: | From 5000 to 10 000 kidney patients die prematurely in the United States each year, and about 100 000 more suffer the debilitating effects of dialysis, because of a shortage of transplant kidneys. To reduce this shortage, many advocate having the government compensate kidney donors. This paper presents a comprehensive cost‐benefit analysis of such a change. It considers not only the substantial savings to society because kidney recipients would no longer need expensive dialysis treatments—$1.45 million per kidney recipient—but also estimates the monetary value of the longer and healthier lives that kidney recipients enjoy—about $1.3 million per recipient. These numbers dwarf the proposed $45 000‐per‐kidney compensation that might be needed to end the kidney shortage and eliminate the kidney transplant waiting list. From the viewpoint of society, the net benefit from saving thousands of lives each year and reducing the suffering of 100 000 more receiving dialysis would be about $46 billion per year, with the benefits exceeding the costs by a factor of 3. In addition, it would save taxpayers about $12 billion each year. This analysis of a government program to compensate kidney donors indicates the monetary value of saving thousands of lives each year and reducing the suffering of a hundred thousand more on dialysis would be about $46 billion per year, and would save taxpayers about $12 billion a year. |
| Databáze: | OpenAIRE |
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