Related Experiment Video
Updated: Jul 22, 2026

Functional Human Liver Preservation and Recovery by Means of Subnormothermic Machine Perfusion
Published on: April 27, 2015
The case for financial incentives to encourage organ donation
1Biomed Center, Brown University, Providence, Rhode Island 02912, USA.
Insights
The current organ donation system is failing, leading to preventable deaths. A reward-based system for organ procurement could significantly improve organ availability and patient outcomes.
Area of Science:
- Medical Ethics
- Transplantation Medicine
- Public Health Policy
Background:
- The current organ procurement system is insufficient to meet transplantation needs.
- This organ shortfall negatively impacts patient longevity and quality of life.
- Existing arguments against organ sales are outdated, especially considering financial incentives in reproductive medicine.
Purpose of the Study:
- To advocate for a reward-based organ donation system.
- To address the critical shortage of organs for transplantation.
- To propose improvements over the current organ procurement status quo.
Main Methods:
- Critical examination of existing arguments against organ sales.
- Analysis of financial incentives in analogous donation fields (e.g., reproductive medicine).
- Proposal for a phased introduction of a reward-based system.
Main Results:
- Existing objections to organ sales lack current validity.
- Financial incentives are accepted in related medical fields.
- A reward-based system offers a viable alternative to the current deficit.
Conclusions:
- The current organ procurement system is inadequate.
- A staged introduction of a reward-based system is recommended.
- This approach promises a substantial improvement in organ availability.
Abstract:
The existing system of organ procurement has failed in its mission of providing an adequate number of organs for transplantation. The organ shortfall results in diminished life expectancy and quality of life for dialysis patients and in increased mortality for patients with end-stage cardiac disease and liver failure who are unable to obtain transplants. Oft-repeated arguments against sale of human organs do not stand up to careful examination, and seem anachronistic in the context of widespread current acceptance of financial incentives for tissue donation in analogous fields, such as reproductive medicine. This essay advocates the staged introduction of a reward-based system of organ donation, initially for cadaveric harvesting and, possibly, later for living donation. Although imperfect, the proposed approach would represent a significant improvement over the status quo.
Related Concept Videos
Bone Marrow Sampling and Transplants
The transplant begins with high doses of chemotherapy and radiation treatment, which aim to destroy the...
Tissue Transplantation
The Biology of Tissue Transplantation
The biology of tissue transplantation hinges on the Major Histocompatibility Complex (MHC) molecules. These molecules...
Incentive Theory: Pull Theory of Motivation
The theory differentiates between intrinsic and...
Kidney Transplant I: Introduction
Kidney Transplant II: Surgical Procedure

