publication . Article . 2010

Gaming the Liver Transplant Market

Jason A. Snyder;
Open Access
  • Published: 01 Apr 2010 Journal: Journal of Law, Economics, and Organization, volume 26, pages 546-568 (issn: 8756-6222, eissn: 1465-7341, Copyright policy)
  • Publisher: Oxford University Press (OUP)
The liver transplant waiting list is designed to allocate livers to the sickest patients first. Before March 1, 2002, livers were allocated to patients based on objective clinical indicators and subjective factors. In particular, a center placing a prospective transplant recipient in the intensive care unit (ICU) leads to a higher position on the liver transplant waiting list. After March 1, 2002, a policy reform mandated that priority on the liver transplant waiting list no longer be influenced by whether the patient was in the ICU. I show that after the reform, ICU usage declined most precipitously in areas with multiple transplant centers. I find no evidence ...
free text keywords: Economics and Econometrics, Organizational Behavior and Human Resource Management, Law, Medical emergency, medicine.disease, medicine, Intensive care unit, law.invention, Waiting list, business.industry, business, Transplant recipient, Prioritization, Transplant Waiting List
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