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Comment & Response |

Organ Donation and New Policies Do We Need to Act Less Generally and More Locally?

Emmanouil K. Symvoulakis, MD, PhD1; Dimitrios Anyfantakis, MD, PhD2; Myfanwy Morgan, MA, PhD3
[+] Author Affiliations
1Private Family Practice Unit in Heraklion, Crete, Greece
2Primary Health Care Centre of Kissamos, Chania, Crete, Greece
3Department of Primary Care and Public Health Sciences, King's College London, London, England
JAMA Intern Med. 2015;175(12):1999. doi:10.1001/jamainternmed.2015.6520.
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To the Editor We read with particular interest the study by Chatterjee et al1 reporting the limited effect of a variety of state policies on organ donations and transplantations in the United States. Interestingly, policies such as first person consent laws, donor registries, public education programs, paid leaves, and tax incentives presented no significant association with either donation rates or number of transplants during the last 2 decades.1 Establishment of a state-based revenue pool was the only policy that has been associated with an increase in the absolute number of transplants, specifically among deceased donors. This fact, therefore, underlines the need for new policies to increase donation rates.1

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December 1, 2015
Firat Bilgel, PhD; Brian Galle, JD, LLM
1Department of Economics, Okan University, Istanbul, Turkey
2Law Center, Georgetown University, Washington, DC
JAMA Intern Med. 2015;175(12):1999-2000. doi:10.1001/jamainternmed.2015.6540.
December 1, 2015
Paula Chatterjee, MD, MPH; Atheendar S. Venkataramani, MD, PhD; Erika G. Martin, PhD, MPH
1Department of Medicine, Brigham and Women’s Hospital, Boston, Massachusetts2Harvard Medical School, Boston, Massachusetts
2Harvard Medical School, Boston, Massachusetts3Division of General Internal Medicine, Massachusetts General Hospital, Boston
4Nelson A. Rockefeller Institute of Government, State University of New York, Albany5Rockefeller College of Public Affairs and Policy, Department of Public Administration and Policy, University at Albany—State University of New York, Albany
JAMA Intern Med. 2015;175(12):2000. doi:10.1001/jamainternmed.2015.6553.
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