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American Economic Review Vol. 99 No. 4 2009

One Chance in a Million: Altruism and the Bone Marrow Registry

Theodore C. Bergstrom1; Rodney Garratt1; Damien Sheehan-Connor2

1 Department of Economics, University of California Santa Barbara, Santa Barbara, CA 93106. · 2 Department of Economics, Wesleyan University, Middletown, CT 06459.

Abstract

Stem cell transplants save lives of many patients with blood diseases. Donation is painful, but rarely has lasting adverse effects. Patients can accept transplants only from donors with compatible immune systems. Those lacking a sibling match must seek donations from the general population. The probability that two unrelated persons are compatible is less than 1/10,000. Health authorities maintain a registry of several million genetically tested potential donors who agree to donate if asked. We find that the benefits of adding registrants of every race exceed costs. We also explore the peculiar structure of voluntary public good provision that faces potential donors.

DOI
10.1257/aer.99.4.1309
Volume
99
Issue
4
Pages
1309-1334
Language
en
Sources
openalex bibtex:phds-export.bib crossref

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