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Your Congress at Work
A new bill would give organ donors a medal. In other words, millions for medals but not a cent for compensation. If people weren't dying it would be funny.
Thanks to Dave Undis at LifeSharers for the link. Unlike Congress, Dave is really doing something to solve the organ shortage.
Posted by Alex Tabarrok on April 2, 2007 at 08:17 AM in Medicine | Permalink
Comments
"With this medal, the federal government will recognize the unselfish act of donation."
Most ironic sentence ever.
I can't believe the government values the satisfaction of unpaid donors who want to feel compassionate more than the lives of sick people.
Posted by: Dan at Apr 2, 2007 9:48:43 AM
So basicaly opponents of a market for organs are saying this:"We hate commerce to such an extreme degree that will gladly allow for the death of thousands as a result."
Posted by: John Pertz at Apr 2, 2007 10:29:26 AM
Wow, what a bill. Getting a person to accept a medal is like getting him to declare that he gladly views his person the property of the state.
Posted by: Daniel Klein at Apr 2, 2007 10:52:21 AM
I dunno. This could be a great bill with just a little tweaking. Let's consider a few minor amendments to the bill, like:
* The medals are made out of 99.99% pure platinum, or are encrusted with GIA certified precious gemstones
* There are no major restrictions on resale of the medals
* The weight/gem value of the medals are adjusted periodically in response to surplus/shortage of organs, and the weight/gem value of medals varies according to the demand, I mean, social benefit of the specific organs that are donated.
When issuing these medals, Congress should of course be receptive to petitions from the doctors, patients, and hospitals that receive donated organs, and it should be customary for the petitioners to enclose a check with their petitions. And of course medals must be awarded posthumously to the estates of donors that made the ultimate sacrifice.
Posted by: mobile at Apr 2, 2007 12:12:47 PM
Alex_Tabarrok, I think you're being unfair to ignore the efforts of individual states. Georgia, for
example, will refund $7 of your driver's license fee if you agree to be a donor.
Let's give credit where credit is due.
Posted by: Person at Apr 2, 2007 12:31:33 PM
Giving medals worked fabulously in the USSR, so why wouldn't it work here?
Posted by: J. at Apr 2, 2007 12:41:13 PM
@Mobile: Furthermore, if the medals are made of gold, this could be a transition step toward a gold standard of currency.
Posted by: Bastiat at Apr 2, 2007 12:53:33 PM
back @Bastiat: either that or a kidney standard of currency. The bright side of that is we will be really really close to equality of income and equality of opportunity!
Posted by: mobile at Apr 2, 2007 1:40:01 PM
Omigod, that sounds like a Purple Heart granted on consignment.
Posted by: Yan Li at Apr 2, 2007 1:44:19 PM
This looks like the answer to the rhetorical question, "What do they want, a medal?". I expect this from Dems, but you'd think the Republicans could have held out for a tax credit.
Posted by: Brad Hutchings at Apr 2, 2007 2:07:55 PM
The silver lining here is that this bill fights the view that any live donations among unrelated persons, even if unpaid, are illegitimate. There are actually doctors and hospitals who discourage altruistic live donations from unrelated parties. They think that anyone who gives an organ away is being "coerced" or is suffering from psych problems or should be required to give only to the next person on the list.
So lauding live donors with a medal, given the unbelievable policy disaster we now face, is actually an improvement on the margin.
Posted by: srp at Apr 2, 2007 5:19:15 PM
I don't think that a medal is the answer to this problem. How many of would care if we got a medal or not. It would be about like getting nothing in my opinion. Take the money that would be used to make these medals that would go to benefit some aspect of this problem. I know some people would appreciate something such as a medal for their donations but in my opinion more people would like to see the money go elsewhere instead of to them.
Posted by: kyle at Apr 2, 2007 9:18:50 PM
Maybe it's a case of "She Stoops To Conquer" -- whoever introduced this suffers ridicule but draws attention to the problem.
Posted by: Seth Roberts at Apr 2, 2007 11:13:52 PM
I think the idea of receiving a medal for organ donation is rediculous. A
medal does not even come close to matching the value of a life saved through
organ donation. I think this demonstrates the lack of compassion and greed
by the government. There are so many other ways to get people envolved in
organ donation. A medal is not going to get anyone involved.
Posted by: Kelly at Apr 2, 2007 11:26:08 PM
I agree with Mobile. The bill COULD set the stage for the market based solution libertarians are dreaming of, in spite of the legislature's intentions. Lots of bickering has gone on about what a market in organs might look like, and many have mentioned that encouraging donations is an efficient way to save lives and we should expect non-profits with the goal of saving lives at the lowest possible cost to step in.
Sure, the medals will probably be of low quality, and we don't live in the Soviet Union, so social norms aren't the same and you’d look like a naïve dork to wear one while shopping for groceries. But look at what the medal does - even if it looks like it came out of a Cheerios box, it still shows that the transaction took place. A gave B a pancreas or whatever, and the government says so. Government can’t do much, but they can handle binaries. Social Security is far more complex and the process (though certainly not the structure!) is effective. Counterfeiting military medals is a federal crime, and the over punishment has a deterrent effect. Make counterfeiting the new medals a crime as well (Add your favorite stock law and econ torture scenario here. Make it unconstitutional, just for kicks!).
An added benefit is that a market in medals would make the situation seem less icky by making it more abstract. Think of the casino gambler who is (in their mind) not playing with money, but chips. One wouldn’t be paying for organs, they’d be paying for compassion, peace, love, and puppies :).
Libertarians should focus on pragmatic, piecemeal reforms. Perhaps not by encouraging the medal over alternatives, but if they bill is getting serious debate it only makes sense to support it and gently try to push for drastic punishment for counterfeiting and against any last minute bio-ethicist inspired prohibition on resale. Then work with foundations that have expressed interest in increasing organ donation and convince one of them to offer a cash bounty. Outsource marketing to a firm full of MBA’s that have never heard of Mises or Hayek and have them come up with a silly, effusive advertising campaign that would never work on people like us. “Money for Medalists” or something.
Posted by: Daniel Lurker at Apr 3, 2007 12:50:02 AM
To Save Lives, Legalize Trade in Organs
by David Holcberg (March 16, 2007)
If you were sick and needed a kidney transplant, you would soon find out that there is a waiting line--and that there are 70,000 people ahead of you, 4,000 of whom will die within a year. If you couldn't find a willing and compatible donor among your friends and family, you could try to find a stranger willing to give you his kidney--but you would not be allowed to pay him. In fact, the law would not permit you to give him any value in exchange for his kidney. As far as the law is concerned, no one can profit from donating an organ--even if it cost you your life.
This deplorable state of affairs led to the emergence of "paired" donations, arrangements whereby two individuals--who can't donate their organs to their loves ones because of medical incompatibility--agree that each will donate a kidney to a friend or family member of the other. But this exchange of value for value is precisely what the law forbids. Thus, under pressure to allow this type of exchange, the House passed last week the "Charlie W. Norwood Living Organ Donation Act," which exempts "paired" donations from prosecution under current law.
But if our politicians' goal is to eliminate the irrational laws leading to innocent people's deaths, they should legalize not only "paired" exchanges but all voluntary trades in organs.
According to the New England Journal of Medicine, the risk to the life of a kidney donor, for instance, is just 0.03 percent--not negligible, but not overwhelming either. Moreover, kidney donors usually live normal lives with no reduction of life expectancy.
A person may reasonably decide, after considering all the relevant facts (including the pain, risk and inconvenience of surgery), that selling an organ is actually in his own best interest. This may seem like a radical idea, but it need not be an irrational one. A father, for example, may decide that one of his kidneys is worth selling to pay for the best medical treatment available for his sick child.
Those who object to a free market in organs would deny this father the right to act on his judgment. Poor people, they imply, are incapable of making rational choices and must be protected from themselves. The fact is, however, that human beings (poor or rich) have the capacity to reason, and should be free to exercise it.
Of course, the decision to sell an organ is a very serious one, and should not be taken lightly. That some people might make irrational choices, however, is no reason to violate the rights of everyone. If the law recognizes our right to give away an organ, it should also recognize our right to sell an organ.
The objection that people would murder to sell their victims' organs should be dismissed as the scaremongering that it is. Indeed, the financial lure of such difficult-to-execute criminal action is today far greater than it would be if patients could legally and openly buy the organs they need.
Opponents of a free market in organs also argue that it would benefit only those who could afford to pay--not necessarily those in most desperate need. But one person's need does not give him the right to damage the lives of others, by prohibiting either sellers from getting the best price for their organs or buyers from purchasing organs to further their lives. Those who can afford to buy organs would benefit at no one's expense but their own. Those unable to pay would still be able to rely on charity, as they do today. And a free market would enhance the ability of charitable organizations to procure organs for them.
Ask yourself: if your life depended on getting an organ, say a kidney or a liver, wouldn't you be willing to pay for one? And if you could find a willing seller, shouldn't you have the right to buy it from him?
The right to buy an organ is part of your right to life. The right to life is the right to take all actions a rational being requires to sustain and enhance his life. Your right to life becomes meaningless when the law forbids you to buy an organ that would preserve your life.
If the government upheld the rights of potential buyers and sellers of organs, many of the tens of thousands of people now waiting for organs would be spared hideous suffering and an early death. How many?
Let's find out.
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The views expressed here are those of the author and do not necessarily represent the views of Capitalism Magazine. Excerpts are limited to 200 words, so long as the source and link are provided to the original article. Reproduction in whole or in part is prohibited. See our terms of use for details.
Required Reading:
Physics By Induction: The Genius of Learning Science The Proper Way
About the Author
David Holcberg, a former civil engineer and businessman, is now a writer living in Southern California. He is also a writer for the Ayn Rand Institute in Irvine, Calif. The Institute promotes the philosophy of Ayn Rand, author of Atlas Shrugged and The Fountainhead.
Author Archives
Related Articles on Medicine:
To Save Lives, Legalize Trade in Organs
Take a Stand for the Rights of Physicians
Do We Want Socialized Medicine?
One Step Forward, Ten Steps Back: How California Will Make Health Care Much More Expensive
Defending the rights of John Q -- Dr. John Q
The Conservatives' War on Birth Control
Human Organs for Sale?
California's Socialized Medicine Rising
Human Organs for Sale?
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The "Cost" of Medical Care
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Cancer Cluster Bluster
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More Articles on Medicine
To Save Lives, Legalize Trade in Organs
by David Holcberg (March 16, 2007)
If you were sick and needed a kidney transplant, you would soon find out that there is a waiting line--and that there are 70,000 people ahead of you, 4,000 of whom will die within a year. If you couldn't find a willing and compatible donor among your friends and family, you could try to find a stranger willing to give you his kidney--but you would not be allowed to pay him. In fact, the law would not permit you to give him any value in exchange for his kidney. As far as the law is concerned, no one can profit from donating an organ--even if it cost you your life.
This deplorable state of affairs led to the emergence of "paired" donations, arrangements whereby two individuals--who can't donate their organs to their loves ones because of medical incompatibility--agree that each will donate a kidney to a friend or family member of the other. But this exchange of value for value is precisely what the law forbids. Thus, under pressure to allow this type of exchange, the House passed last week the "Charlie W. Norwood Living Organ Donation Act," which exempts "paired" donations from prosecution under current law.
But if our politicians' goal is to eliminate the irrational laws leading to innocent people's deaths, they should legalize not only "paired" exchanges but all voluntary trades in organs.
According to the New England Journal of Medicine, the risk to the life of a kidney donor, for instance, is just 0.03 percent--not negligible, but not overwhelming either. Moreover, kidney donors usually live normal lives with no reduction of life expectancy.
A person may reasonably decide, after considering all the relevant facts (including the pain, risk and inconvenience of surgery), that selling an organ is actually in his own best interest. This may seem like a radical idea, but it need not be an irrational one. A father, for example, may decide that one of his kidneys is worth selling to pay for the best medical treatment available for his sick child.
Those who object to a free market in organs would deny this father the right to act on his judgment. Poor people, they imply, are incapable of making rational choices and must be protected from themselves. The fact is, however, that human beings (poor or rich) have the capacity to reason, and should be free to exercise it.
Of course, the decision to sell an organ is a very serious one, and should not be taken lightly. That some people might make irrational choices, however, is no reason to violate the rights of everyone. If the law recognizes our right to give away an organ, it should also recognize our right to sell an organ.
The objection that people would murder to sell their victims' organs should be dismissed as the scaremongering that it is. Indeed, the financial lure of such difficult-to-execute criminal action is today far greater than it would be if patients could legally and openly buy the organs they need.
Opponents of a free market in organs also argue that it would benefit only those who could afford to pay--not necessarily those in most desperate need. But one person's need does not give him the right to damage the lives of others, by prohibiting either sellers from getting the best price for their organs or buyers from purchasing organs to further their lives. Those who can afford to buy organs would benefit at no one's expense but their own. Those unable to pay would still be able to rely on charity, as they do today. And a free market would enhance the ability of charitable organizations to procure organs for them.
Ask yourself: if your life depended on getting an organ, say a kidney or a liver, wouldn't you be willing to pay for one? And if you could find a willing seller, shouldn't you have the right to buy it from him?
The right to buy an organ is part of your right to life. The right to life is the right to take all actions a rational being requires to sustain and enhance his life. Your right to life becomes meaningless when the law forbids you to buy an organ that would preserve your life.
If the government upheld the rights of potential buyers and sellers of organs, many of the tens of thousands of people now waiting for organs would be spared hideous suffering and an early death. How many?
Let's find out.
Write Us / Printer-friendly / Email This / Discuss in Forum / Donations
The views expressed here are those of the author and do not necessarily represent the views of Capitalism Magazine. Excerpts are limited to 200 words, so long as the source and link are provided to the original article. Reproduction in whole or in part is prohibited. See our terms of use for details.
Required Reading:
Physics By Induction: The Genius of Learning Science The Proper Way
About the Author
David Holcberg, a former civil engineer and businessman, is now a writer living in Southern California. He is also a writer for the Ayn Rand Institute in Irvine, Calif. The Institute promotes the philosophy of Ayn Rand, author of Atlas Shrugged and The Fountainhead.
Author Archives
Related Articles on Medicine:
To Save Lives, Legalize Trade in Organs
Take a Stand for the Rights of Physicians
Do We Want Socialized Medicine?
One Step Forward, Ten Steps Back: How California Will Make Health Care Much More Expensive
Defending the rights of John Q -- Dr. John Q
The Conservatives' War on Birth Control
Human Organs for Sale?
California's Socialized Medicine Rising
Human Organs for Sale?
Free Health Care in Canada
The "Cost" of Medical Care
The Government Vs. Your Doctor: A True Story
Cancer Cluster Bluster
Take No Half-Measures in Protecting Doctors from Antitrust
Capitalism for Doctors
To Save Lives, Legalize Trade in Organs
by David Holcberg (March 16, 2007)
If you were sick and needed a kidney transplant, you would soon find out that there is a waiting line--and that there are 70,000 people ahead of you, 4,000 of whom will die within a year. If you couldn't find a willing and compatible donor among your friends and family, you could try to find a stranger willing to give you his kidney--but you would not be allowed to pay him. In fact, the law would not permit you to give him any value in exchange for his kidney. As far as the law is concerned, no one can profit from donating an organ--even if it cost you your life.
This deplorable state of affairs led to the emergence of "paired" donations, arrangements whereby two individuals--who can't donate their organs to their loves ones because of medical incompatibility--agree that each will donate a kidney to a friend or family member of the other. But this exchange of value for value is precisely what the law forbids. Thus, under pressure to allow this type of exchange, the House passed last week the "Charlie W. Norwood Living Organ Donation Act," which exempts "paired" donations from prosecution under current law.
But if our politicians' goal is to eliminate the irrational laws leading to innocent people's deaths, they should legalize not only "paired" exchanges but all voluntary trades in organs.
According to the New England Journal of Medicine, the risk to the life of a kidney donor, for instance, is just 0.03 percent--not negligible, but not overwhelming either. Moreover, kidney donors usually live normal lives with no reduction of life expectancy.
A person may reasonably decide, after considering all the relevant facts (including the pain, risk and inconvenience of surgery), that selling an organ is actually in his own best interest. This may seem like a radical idea, but it need not be an irrational one. A father, for example, may decide that one of his kidneys is worth selling to pay for the best medical treatment available for his sick child.
Those who object to a free market in organs would deny this father the right to act on his judgment. Poor people, they imply, are incapable of making rational choices and must be protected from themselves. The fact is, however, that human beings (poor or rich) have the capacity to reason, and should be free to exercise it.
Of course, the decision to sell an organ is a very serious one, and should not be taken lightly. That some people might make irrational choices, however, is no reason to violate the rights of everyone. If the law recognizes our right to give away an organ, it should also recognize our right to sell an organ.
The objection that people would murder to sell their victims' organs should be dismissed as the scaremongering that it is. Indeed, the financial lure of such difficult-to-execute criminal action is today far greater than it would be if patients could legally and openly buy the organs they need.
Opponents of a free market in organs also argue that it would benefit only those who could afford to pay--not necessarily those in most desperate need. But one person's need does not give him the right to damage the lives of others, by prohibiting either sellers from getting the best price for their organs or buyers from purchasing organs to further their lives. Those who can afford to buy organs would benefit at no one's expense but their own. Those unable to pay would still be able to rely on charity, as they do today. And a free market would enhance the ability of charitable organizations to procure organs for them.
Ask yourself: if your life depended on getting an organ, say a kidney or a liver, wouldn't you be willing to pay for one? And if you could find a willing seller, shouldn't you have the right to buy it from him?
The right to buy an organ is part of your right to life. The right to life is the right to take all actions a rational being requires to sustain and enhance his life. Your right to life becomes meaningless when the law forbids you to buy an organ that would preserve your life.
If the government upheld the rights of potential buyers and sellers of organs, many of the tens of thousands of people now waiting for organs would be spared hideous suffering and an early death. How many?
Let's find out.
Write Us / Printer-friendly / Email This / Discuss in Forum / Donations
The views expressed here are those of the author and do not necessarily represent the views of Capitalism Magazine. Excerpts are limited to 200 words, so long as the source and link are provided to the original article. Reproduction in whole or in part is prohibited. See our terms of use for details.
Required Reading:
Physics By Induction: The Genius of Learning Science The Proper Way
About the Author
David Holcberg, a former civil engineer and businessman, is now a writer living in Southern California. He is also a writer for the Ayn Rand Institute in Irvine, Calif. The Institute promotes the philosophy of Ayn Rand, author of Atlas Shrugged and The Fountainhead.
Author Archives
Related Articles on Medicine:
To Save Lives, Legalize Trade in Organs
Take a Stand for the Rights of Physicians
Do We Want Socialized Medicine?
One Step Forward, Ten Steps Back: How California Will Make Health Care Much More Expensive
Defending the rights of John Q -- Dr. John Q
The Conservatives' War on Birth Control
Human Organs for Sale?
California's Socialized Medicine Rising
Human Organs for Sale?
Free Health Care in Canada
The "Cost" of Medical Care
The Government Vs. Your Doctor: A True Story
Cancer Cluster Bluster
Take No Half-Measures in Protecting Doctors from Antitrust
Capitalism for Doctors
More Articles on Medicine
Posted by: Ed Culver at Apr 5, 2007 1:39:58 AM
Donors are not likely to care about a medal. People will be influenced by knowing others involved in the wait for an organ or by awareness of those that donated and helped others. The donor share program where donors or their family members get first choice over non-donors is a great idea!
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