Removing financial barriers to organ and bone marrow donation: The effect of leave and tax legislation in the U.S.

Nicola Lacetera, Mario Macis, Sarah S. Stith

Research output: Contribution to journalArticle

Abstract

Many U.S. states passed legislation providing leave to organ and bone marrow donors and/or tax benefits for live and deceased organ and bone marrow donations and to employers of donors. We exploit cross-state variation in the timing of such legislation to analyze its impact on organ donations by living and deceased persons, on measures of the quality of the transplants, and on the number of bone marrow donations. We find that these provisions do not have a significant impact on the quantity of organs donated. The leave laws, however, do have a positive impact on bone marrow donations, and the effect increases with the size of the population of beneficiaries and with the generosity of the legislative provisions. Our results suggest that this legislation works for moderately invasive procedures such as bone marrow donation, but these incentives may be too low for organ donation, which is riskier and more burdensome.

Original languageEnglish (US)
Pages (from-to)43-56
Number of pages14
JournalJournal of Health Economics
Volume33
Issue number1
DOIs
StatePublished - Jan 2014

Fingerprint

Taxes
Legislation
Bone Marrow
Tissue and Organ Procurement
Population Density
Motivation
Transplants

Keywords

  • Bone marrow donation
  • Leave and tax legislation
  • Organ donation
  • Policy evaluation

ASJC Scopus subject areas

  • Health Policy
  • Public Health, Environmental and Occupational Health
  • Medicine(all)

Cite this

Removing financial barriers to organ and bone marrow donation : The effect of leave and tax legislation in the U.S. / Lacetera, Nicola; Macis, Mario; Stith, Sarah S.

In: Journal of Health Economics, Vol. 33, No. 1, 01.2014, p. 43-56.

Research output: Contribution to journalArticle

@article{224f88f0e3da4b3ebc9dafabf1f0557a,
title = "Removing financial barriers to organ and bone marrow donation: The effect of leave and tax legislation in the U.S.",
abstract = "Many U.S. states passed legislation providing leave to organ and bone marrow donors and/or tax benefits for live and deceased organ and bone marrow donations and to employers of donors. We exploit cross-state variation in the timing of such legislation to analyze its impact on organ donations by living and deceased persons, on measures of the quality of the transplants, and on the number of bone marrow donations. We find that these provisions do not have a significant impact on the quantity of organs donated. The leave laws, however, do have a positive impact on bone marrow donations, and the effect increases with the size of the population of beneficiaries and with the generosity of the legislative provisions. Our results suggest that this legislation works for moderately invasive procedures such as bone marrow donation, but these incentives may be too low for organ donation, which is riskier and more burdensome.",
keywords = "Bone marrow donation, Leave and tax legislation, Organ donation, Policy evaluation",
author = "Nicola Lacetera and Mario Macis and Stith, {Sarah S.}",
year = "2014",
month = "1",
doi = "10.1016/j.jhealeco.2013.10.006",
language = "English (US)",
volume = "33",
pages = "43--56",
journal = "Journal of Health Economics",
issn = "0167-6296",
publisher = "Elsevier",
number = "1",

}

TY - JOUR

T1 - Removing financial barriers to organ and bone marrow donation

T2 - The effect of leave and tax legislation in the U.S.

AU - Lacetera, Nicola

AU - Macis, Mario

AU - Stith, Sarah S.

PY - 2014/1

Y1 - 2014/1

N2 - Many U.S. states passed legislation providing leave to organ and bone marrow donors and/or tax benefits for live and deceased organ and bone marrow donations and to employers of donors. We exploit cross-state variation in the timing of such legislation to analyze its impact on organ donations by living and deceased persons, on measures of the quality of the transplants, and on the number of bone marrow donations. We find that these provisions do not have a significant impact on the quantity of organs donated. The leave laws, however, do have a positive impact on bone marrow donations, and the effect increases with the size of the population of beneficiaries and with the generosity of the legislative provisions. Our results suggest that this legislation works for moderately invasive procedures such as bone marrow donation, but these incentives may be too low for organ donation, which is riskier and more burdensome.

AB - Many U.S. states passed legislation providing leave to organ and bone marrow donors and/or tax benefits for live and deceased organ and bone marrow donations and to employers of donors. We exploit cross-state variation in the timing of such legislation to analyze its impact on organ donations by living and deceased persons, on measures of the quality of the transplants, and on the number of bone marrow donations. We find that these provisions do not have a significant impact on the quantity of organs donated. The leave laws, however, do have a positive impact on bone marrow donations, and the effect increases with the size of the population of beneficiaries and with the generosity of the legislative provisions. Our results suggest that this legislation works for moderately invasive procedures such as bone marrow donation, but these incentives may be too low for organ donation, which is riskier and more burdensome.

KW - Bone marrow donation

KW - Leave and tax legislation

KW - Organ donation

KW - Policy evaluation

UR - http://www.scopus.com/inward/record.url?scp=84887590754&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84887590754&partnerID=8YFLogxK

U2 - 10.1016/j.jhealeco.2013.10.006

DO - 10.1016/j.jhealeco.2013.10.006

M3 - Article

C2 - 24240145

AN - SCOPUS:84887590754

VL - 33

SP - 43

EP - 56

JO - Journal of Health Economics

JF - Journal of Health Economics

SN - 0167-6296

IS - 1

ER -