title: Cash, rewards, and benefits in organ transplantation: an open letter to Senator Arlen Specter.
abstract: OBJECTIVE
  To consider proposals to use financial incentives for organ donors that have become a subject of intense controversy in both lay and medical press (in contradistinction to the removal of financial disincentives, which is essentially noncontroversial although typically not practiced).
  
  
  RESULTS
  In a concerned response to the shortage of organs the office of Senator Specter of Pennsylvania has been the source of a proposal to amend the 1984 United States National Organ Transplant Act, which has been interpreted to prohibit such incentives. The proposal would permit various forms of financial incentives for donation to no longer be prohibited.
  
  
  CONCLUSIONS
  The amendment would have unintentional negative consequences that could undermine, rather than strengthen, the national and international organ transplant endeavor. These concerns are considered in my personal correspondence to Senator Specter's office on which the text is based.
authors.affiliation: David Geffen School of Medicine at UCLA, Los Angeles, California 90096-1689, USA. gdanovitch@mednet.ucla.edu
authors.forename: Gabriel
authors.initials: G
authors.lastname: Danovitch
mesh_terms: D003132:Commerce / Q000191:economics* / Q000331:legislation & jurisprudence; D035881:Compensation and Redress / Q000331:legislation & jurisprudence*; D015709:Correspondence as Topic; D033161:Government Regulation; D006291:Health Policy; D006297:Health Services Accessibility / Q000191:economics / Q000331:legislation & jurisprudence; D006801:Humans; D019520:Living Donors / Q000331:legislation & jurisprudence* / Q000600:supply & distribution; D009042:Motivation; D016377:Organ Transplantation / Q000191:economics* / Q000331:legislation & jurisprudence; D028701:Patient Rights; D010565:Persuasive Communication; D012201:Reward; D012959:Socioeconomic Factors; D009927:Tissue and Organ Procurement / Q000191:economics* / Q000331:legislation & jurisprudence; D014481:United States