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American Economic Review Vol. 109 No. 8 2019

Paying for Kidneys? A Randomized Survey and Choice Experiment

Julio Elías1; Nicola Lacetera2; Mario Macis3

1 Universidad del CEMA, Av. Córdoba 374 (C1054AAP) Buenos Aires, Argentina (email: ) · 2 University of Toronto, Institute for Management and Innovation, 3359 Mississauga Road, Mississauga, ON, Canada, L5L 1C6 (email: ) · 3 Johns Hopkins University, Carey Business School, 100 International Drive, Baltimore, MD 21202 (email: )

open access

Abstract

We conducted a randomized survey with 2,666 US residents to study preferences for legalizing payments to kidney donors. We found strong polarization, with many participants supporting or opposing payments regardless of potential transplant gains. However, about 18 percent of respondents would switch to favoring payments for sufficiently large increases in transplants. Preferences for compensation have strong moral foundations; participants especially reject direct payments by patients, which they find would violate principles of fairness. We corroborate the interpretation of our findings with a choice experiment of a costly decision to donate money to a foundation that supports donor compensation.

DOI
10.1257/aer.20180568
Volume
109
Issue
8
Pages
2855-2888
Language
en
Sources
bibtex:phds-export.bib openalex crossref

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