An overview of and a proposed reform for the organ procurement: System of the United States
PDF

How to Cite

RYAN, S. (2025). An overview of and a proposed reform for the organ procurement: System of the United States. Journal of Social and Administrative Sciences, 11(3-4), 27–46. Retrieved from https://journals.econsciences.com/index.php/JSAS/article/view/2499

Abstract

Over 107,000 Americans are currently awaiting a lifesaving organ transplant. The vast shortage of organs for transplant in the United States is commonly known, but few are aware that the capacity exists for an additional 28,000 organs to be procured each year. These viable organs are  not procured because of the limitations of the market and governance structure of the organizations primarily responsible for organ procurement across the United States, Organ Procurement Organizations (OPOs). In this paper, the author provides an overview of the current organ procurement system and its flaws, debates the newly revised organ procurement regulations to come into effect in 2022, and offers a sweeping, market-based reform proposal for the organ procurement system.

Keywords. Organ procurement, Organ procurement organizations (OPOs).

JEL. I10, I11, I18.

PDF

References

Diamond, D. (2019). Coming today: New organ donation rules. Politico, 17 Dec. 2019. [Retrieved from].

Doby, B.L., Boyarsky, B.J., Gentry, S., & Segev, D.L. (2019). Improving OPO performance through national data availability. American Journal of Transplantation, 19(10), 2675–2677. doi. 10.1111/ajt.15508

Doby, B.L., Ross-Driscoll, K., Shuck, M., Wadsworth, M., Durand, C.M., & Lynch, R.J. (2021). Public discourse and policy change: Absence of harm from increased oversight and transparency in OPO performance. American Journal of Transplantation, 21(8), 2646-2652. doi. 10.1111/ajt.16527

Doby, B.L., Hanner, K., Johnson,S., Purnell, T.S., Shah, M.B., & Lynch, R.J. (2021). Results of a data‐driven performance improvement initiative in organ donation. American Journal of Transplantation, 21(7), 2555-2562. doi. 10.1111/ajt.16442

Goldberg, D., et al. (2017). Changing metrics of organ procurement organization performance in order to increase organ donation rates in the United States. American Journal of Transplantation, 17(2), 3183–3192. doi. 10.1111/ajt.14391

Hanke, S. (2018). Let's fund the border wall and save up to 5,000 lives a year, too. Forbes, Forbes Magazine, 29 Dec. [Retrieved from].

Hanke, S. (2019). President Trump delivers lifesaving deregulation. Forbes Magazine, 11 July. [Retrieved from].

Held, R.J., Bragg-Gresham, J.L., Peters, T., Chertow, G.M., McCormick, F., & Roberts, J.P. (2019). The cost of procuring deceased donor kidneys: Evidence from OPO cost reports 2013‐2017. American Journal of Transplantation, 20(4), 1087-1094. doi. 10.1111/ajt.15669

Held, P.J., & Bragg-Gresham, J., Thomas G.P., McCormick, F., Chertow, G., Vaughan, W., & Roberts, J. (2021). Cost structures of US organ procurement organizations, Transplantation: doi. 10.1097/TP.0000000000003667

Kessler, J., & Roth, A.E. (2014). Getting more organs for transplantation. American Economic Review, 104(5), 425-430. doi. 10.1257/aer.104.5.425

Rosenberg, P. (2020). Transforming organ donation in America. Bridgespan.org, The Bridgespan Group, Nov. 2020. [Retrieved from].

Traino, H.M., Alolod, G.P., Shafer, T., & Siminoff, L.A. (2012). Interim results of a national test of the rapid assessment of hospital procurement barriers in donation (RAPiD). American Journal of Transplantation, 12(11), 3094-3103. doi. 10.1111%2Fj.1600-6143.2012.04220.x

United States, Congress, (1984). National Organ Transplant Act. 1984. 42 USC 273.

Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

Downloads

Download data is not yet available.