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Jonathan Tobin: Defending the Right to a Jewish State

Heather Hale: Compliment your kids without giving them big heads

Megan Shauri: 10 ways you are ruining your own happiness

Carolyn Bigda: 8 Best Dividend Stocks for 2015

Kiplinger's Personal Finance editors: 7 Things You Didn't Know About Paying Off Student Loans

Samantha Olson: The Crucial Mistake 55% Of Parents Are Making At Their Baby's Bedtime

Densie Well, Ph.D., R.D. Open your eyes to yellow vegetables

The Kosher Gourmet by Megan Gordon With its colorful cache of purples and oranges and reds, COLLARD GREEN SLAW is a marvelous mood booster --- not to mention just downright delish
April 18, 2014

Rabbi Yonason Goldson: Clarifying one of the greatest philosophical conundrums in theology

Caroline B. Glick: The disappearance of US will

Megan Wallgren: 10 things I've learned from my teenagers

Lizette Borreli: Green Tea Boosts Brain Power, May Help Treat Dementia

John Ericson: Trying hard to be 'positive' but never succeeding? Blame Your Brain

The Kosher Gourmet by Julie Rothman Almondy, flourless torta del re (Italian king's cake), has royal roots, is simple to make, . . . but devour it because it's simply delicious

April 14, 2014

Rabbi Dr Naftali Brawer: Passover frees us from the tyranny of time

Greg Crosby: Passing Over Religion

Eric Schulzke: First degree: How America really recovered from a murder epidemic

Georgia Lee: When love is not enough: Teaching your kids about the realities of adult relationships

Cameron Huddleston: Freebies for Your Lawn and Garden

Gordon Pape: How you can tell if your financial adviser is setting you up for potential ruin

Dana Dovey: Up to 500,000 people die each year from hepatitis C-related liver disease. New Treatment Has Over 90% Success Rate

Justin Caba: Eating Watermelon Can Help Control High Blood Pressure

The Kosher Gourmet by Joshua E. London and Lou Marmon Don't dare pass over these Pesach picks for Manischewitz!

April 11, 2014

Rabbi Hillel Goldberg: Silence is much more than golden

Caroline B. Glick: Forgetting freedom at Passover

Susan Swann: How to value a child for who he is, not just what he does

Cameron Huddleston: 7 Financial Tasks You Should Tackle Right Now

Sandra Block and Lisa Gerstner: How to Profit From Your Passion

Susan Scutti: A Simple Blood Test Might Soon Diagnose Cancer

Chris Weller: Have A Slow Metabolism? Let Science Speed It Up For You

The Kosher Gourmet by Diane Rossen Worthington Whitefish Terrine: A French take on gefilte fish

April 9, 2014

Jonathan Tobin: Why Did Kerry Lie About Israeli Blame?

Samuel G. Freedman: A resolution 70 years later for a father's unsettling legacy of ashes from Dachau

Jessica Ivins: A resolution 70 years later for a father's unsettling legacy of ashes from Dachau

Kim Giles: Asking for help is not weakness

Kathy Kristof and Barbara Hoch Marcus: 7 Great Growth Israeli Stocks

Matthew Mientka: How Beans, Peas, And Chickpeas Cleanse Bad Cholesterol and Lowers Risk of Heart Disease

Sabrina Bachai: 5 At-Home Treatments For Headaches

The Kosher Gourmet by Daniel Neman Have yourself a matzo ball: The secrets bubby never told you and recipes she could have never imagined

April 8, 2014

Lori Nawyn: At Your Wit's End and Back: Finding Peace

Susan B. Garland and Rachel L. Sheedy: Strategies Married Couples Can Use to Boost Benefits

David Muhlbaum: Smart Tax Deductions Non-Itemizers Can Claim

Jill Weisenberger, M.S., R.D.N., C.D.E : Before You Lose Your Mental Edge

Dana Dovey: Coffee Drinkers Rejoice! Your Cup Of Joe Can Prevent Death From Liver Disease

Chris Weller: Electric 'Thinking Cap' Puts Your Brain Power Into High Gear

The Kosher Gourmet by Marlene Parrish A gift of hazelnuts keeps giving --- for a variety of nutty recipes: Entree, side, soup, dessert

April 4, 2014

Rabbi David Gutterman: The Word for Nothing Means Everything

Charles Krauthammer: Kerry's folly, Chapter 3

Amy Peterson: A life of love: How to build lasting relationships with your children

John Ericson: Older Women: Save Your Heart, Prevent Stroke Don't Drink Diet

John Ericson: Why 50 million Americans will still have spring allergies after taking meds

Cameron Huddleston: Best and Worst Buys of April 2014

Stacy Rapacon: Great Mutual Funds for Young Investors

Sarah Boesveld: Teacher keeps promise to mail thousands of former students letters written by their past selves

The Kosher Gourmet by Sharon Thompson Anyone can make a salad, you say. But can they make a great salad? (SECRETS, TESTED TECHNIQUES + 4 RECIPES, INCLUDING DRESSINGS)

April 2, 2014

Paul Greenberg: Death and joy in the spring

Dan Barry: Should South Carolina Jews be forced to maintain this chimney built by Germans serving the Nazis?

Mayra Bitsko: Save me! An alien took over my child's personality

Frank Clayton: Get happy: 20 scientifically proven happiness activities

Susan Scutti: It's Genetic! Obesity and the 'Carb Breakdown' Gene

Lecia Bushak: Why Hand Sanitizer May Actually Harm Your Health

Stacy Rapacon: Great Funds You Can Own for $500 or Less

Cameron Huddleston: 7 Ways to Save on Home Decor

The Kosher Gourmet by Steve Petusevsky Exploring ingredients as edible-stuffed containers (TWO RECIPES + TIPS & TECHINQUES)

Jewish World Review March 5, 2010 / 19 Adar 5770

Allowing informed donors to sell organs will save thousands of lives each year

By Sally Satel and Mark J. Perry


http://www.JewishWorldReview.com | March is National Kidney Month — a good time to trumpet the bad news about the growing organ shortage.

Today, 83,000 people wait for a new kidney, a record high. Perhaps one in five will actually receive one this year.

Despite decades of urging people to sign donor cards and donate to loved ones, 12 people die daily, unable to survive a five or more years' wait for a kidney.

No wonder desperate people on the waiting list advertise on billboards and on the Internet (ineedakidney.com). Some even travel abroad to get a kidney on the black market. Awful? Yes, but you cannot blame sick people for trying to save their own lives.

We can save many of those lives by doing the responsible thing: increasing the supply of organs by rewarding healthy, well-informed donors.

Unfortunately, U.S. law deems pure altruism the sole legitimate motive for donating organs. Someone who accepts any material reward for sparing his fellow human being years of life-draining dialysis and premature death is — believe it or not—committing a felony.

Of course, brokers who traffic in kidneys and exploit illiterate and impoverished people should be thrown in jail, but we are not suggesting a free-for-all marketplace. What we propose is for Congress to allow donors to accept a carefully devised and regulated benefit, perhaps a tax credit, a contribution to a retirement plan, or early access to Medicare.

But compensation and organs don't mix, say some critics. Not so. The desire to help others — for enrichment — is as old as humankind. Think of firefighters, police officers, doctors and teachers. Their sacrifice and service are no less valuable because they are paid for it.

Letter from JWR publisher


Polls show that the majority of Americans are receptive to the idea of offering incentives to kidney donors. Still, some understandably worry that compensating donors, even if done legally, will encourage people to sell their kidneys out of desperation.

The answer is a well-designed plan that prevents donor exploitation. Providing in-kind rewards were offered to donors, such as a contribution to a retirement fund, an income tax credit, lifetime medical care — rather than lump-sum cash payments — would not attract desperate people who might otherwise rush to give a kidney for instant cash.

Such an incentive program would carefully screen would-be donors for physical and emotional health, as is currently done for volunteer living kidney donors.

A months-long waiting period would ensure that donors are not acting impulsively or with less than fully informed consent. Finally, all donors would be guaranteed follow-up medical care.

Notably, the donor incentives would be provided by an entity such as a governmental entity, charity or insurer; not by individual patients. Thus, organs procured would be distributed to the next needy patient in line — with no advantage to the financially well-off.

Who would fund the benefits? Possibilities include the federal or state government, private charities, or insurance companies. The cost savings would be impressive.

Dialysis costs about $72,000 per year whereas the anti-rejection medication that kidney recipients need costs between $12,000 and $15,000 annually.

We emphasize rewarding living donors to solve the kidney shortage because even if everyone signed his or her organ card — and we surely hope they do — it would not close the growing gap between supply and demand.

The reason is that not enough people die in a manner that allows their organs to be transplanted. Another major benefit of a safe and regulated incentive system is that it will help put black markets out of business.

Altruism is a beautiful virtue, but insisting that it remain the only legal way to donate an organ is exacting a deadly price. We must also compensate people who are willing to relinquish a life-saving kidney — so their act can encourage others to do the same.

Every weekday JewishWorldReview.com publishes what many in the media and Washington consider "must-reading". Sign up for the daily JWR update. It's free. Just click here.

Sally Satel is a resident scholar at the American Enterprise Institute and editor of "When Altruism Isn't Enough: The Case for Compensating Kidney Donors." Mark Perry is a professor of economics at the University of Michigan in Flint. Comment by clicking here.

© 2010, American Enterprise Institute Distributed by McClatchy-Tribune Information Services

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