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The Goodman Institute Health Blog

Kidney Failure

Posted on June 23, 2024 by John C. Goodman

Right now, more than one hundred thousand Americans are on the organ transplant list. Last year, 5,600 people on that list died waiting for a kidney, liver, heart, or another life-saving body part.

However, 28,000 donor organs that could be used in transplants are not recovered each year, and 17,000 of those organs are kidneys. This is a deadly and incredibly expensive problem — the government spends over $36 billion annually on dialysis alone.

A report from The Economist estimated that, “If the bottom three-quarters of OPOs [regional organ procurement organizations] matched the top performers’ recovery rates in 2021, about 6,000 more organs would have been transplanted….. That same Economist report cited an OPO in Arkansas that just never picked up donor phone calls outside of the 9-5 workday.

OPOs are paid based on a cost-reimbursement basis, in part through Medicare. So OPO CEOs have spent money on Rose Bowl parade floats, private planes, and golf outings, and written it all off as a legitimate business expense funded by taxpayer money.

Source:  Matthew Yglesias

Missing: A failure to propose a market for kidneys.

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For many years, our health care blog was the only free enterprise health policy blog on the internet. Then, when the NCPA closed its doors, the health blog stopped as well.

During this five-year hiatus no one else has come forward to claim the space. So, my colleagues and I have decided to restart the blog in connection with the Goodman Institute. We invite you and others to use this forum to share your views.

John C. Goodman,

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