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.
N1 - Funding Information:
We thank seminar participants at the University of Michigan and at the 8th Annual International Industrial Organization Conference, as well as Thomas Buchmueller, Ricard Gil, Brian Krauth, Stephen Leider, Robert Slonim and Jeffrey Smith for their feedback. Christina Davis provided valuable editorial services. This work was supported in part by Health Resources and Services Administration contract 231-00-0115. The content is the responsibility of the authors alone and does not necessarily reflect the views or policies of the Department of Health and Human Services, nor does mention of trade names, commercial products, or organizations imply endorsement by the U.S. Government. ( http://optn.transplant.hrsa.gov/data/citing.asp ). The data on kidney and liver transplants have been supplied by the United Network for Organ Sharing as the contractor for the Organ Procurement and Transplantation Network. The interpretation and reporting of these data are the responsibility of the authors and in no way should be seen as an official policy of or interpretation by the OPTN or the U.S. Government. ( http://optn.transplant.hrsa.gov/shareddownloadables/data_use_agreement.pdf ).
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
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U2 - 10.1016/j.jhealeco.2013.10.006
DO - 10.1016/j.jhealeco.2013.10.006
M3 - Article
C2 - 24240145
AN - SCOPUS:84887590754
SN - 0167-6296
VL - 33
SP - 43
EP - 56
JO - Journal of health economics
JF - Journal of health economics
IS - 1
ER -