Altruism Exchanges and the Kidney Shortage
Stephen J. Choi
New York University School of Law
G. Mitu Gulati
Duke University School of Law
Eric A. Posner
University of Chicago - Law School
January 16, 2013
University of Chicago Institute for Law & Economics Olin Research Paper No. 630
NYU Law and Economics Research Paper No. 13-03
Not enough kidneys are donated each year to satisfy the demand from patients who need them. Strong moral and legal norms interfere with market-based solutions. To improve the supply of kidneys without violating these norms, we propose legal reforms that would strengthen the incentive to donate based on altruistic motives. We propose that donors be permitted to donate kidneys in exchange for commitments by recipients or their benefactors to engage in charitable activity or to donate funds to charities chosen by donors. And we propose that charities be permitted to create Altruism Exchanges, which would permit large numbers of altruists to make charitable exchanges with each other, including but not limited to kidney donations. Altruism Exchanges would solve two significant problems with the current system of voluntary kidney donations: the risk of default and the lack of liquidity.
Number of Pages in PDF File: 35
Date posted: January 17, 2013 ; Last revised: December 25, 2014
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