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Bioethics, Rent-Seeking, and Death: Examining the Opposition to Kidney Markets

Lemennicier Bertrand and Wenzel Nikolai G. ()
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Lemennicier Bertrand: Center for Research in Law and Economics (CRED), Université Panthéon-Assas, Paris, France
Wenzel Nikolai G.: Center for Research in Law and Economics (CRED), Université Panthéon-Assas, Paris, France

Journal des Economistes et des Etudes Humaines, 2021, vol. 27, issue 1, 51-74

Abstract: The market for kidneys offers a case study of Baptists and Bootleggers. In almost every country, sales are currently illegal and donated organs are allocated by a central planner. Thousands of people die every year, because of the shortage caused by the absence of markets. This paper starts by examining the free-market alternative, and shows that a market would solve the shortage (and thus unnecessary deaths). It then uses gains-from-trade analysis to explain why current vested interests oppose a move to a market, despite the immense potential for saved lives. In a shift to a market, gains from trade would be distributed away from lucky patients (who receive a zero-price kidney) and various industries that benefit from the shortage (dialysis, medical equipment, etc.); these “Bootleggers” form an alliance with “Baptists” (altruistic donors, large segments of the bioethics community, and organ allocation central planners).

Keywords: bioethics; kidney markets; organ markets; rent-seeking (search for similar items in EconPapers)
JEL-codes: D72 I11 I18 (search for similar items in EconPapers)
Date: 2021
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DOI: 10.1515/jeeh-2020-0005

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