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01 major issue for the health care community is the high demand for organ transplant specifically.
For kidneys the list of those in need is growing but the number of -- is not.
But it apostles contributing editor at the Atlantic monthly and she wrote an article in this -- issue giving details.
On what is being proposed to solve this issue Virginia one of my favorite authors and welcome thanks for coming on the program -- appreciated.
And you've lived through this -- mean you've given a kidney correct.
I guess in March 2006 -- donate a kidney to a friend all right so you're just not a reporter that's talking about this you've actually gone through this now whatever you say or suggest -- economic.
And organ transplant all kinds of images come to people's minds you're not talking about.
Jumping lines are having people with money getting more or faster -- -- simply trying to outline a case.
To encourage more people living donors.
To give up a -- to those in need.
Right the first thing we have to realize that -- 80000 people waiting for kidneys.
-- and that number gets larger every year and they're probably that many again who would be good transplant.
I've candidates who aren't actually on the list so this is huge number.
The tax payers pay for dialysis there's an an entitlement is the only disease.
That have an absolute federal entitlement Medicare pays billions of dollars for dialysis.
And if you get a kidney from a living donor.
You can get off of dialysis at last much longer than a kidney from a deceased daughter and also they're just are not teeing off.
Kidneys from deceased donors to me than me even if every single person who.
Died in the right circumstances became a donor there would not be enough.
Yeah here's something from your article eliminating the wait -- would save taxpayers eight million or four million if each living donor received a lump sum payment.
A 50000 dollars now there are people I'm sure listen it's a controversial topic because people say well are you.
Giving those people may be the wrong incentive.
Rather than just being altruistic and helping somebody.
Is it going to create maybe a -- or the wrong kind of incentive to do something that is ultimately good or does it matter I mean that's an ethical question.
First of all I'm all for altruistic living donors I -- as I go through in the article which is on the Atlantic dot com.
If ever the southern Baptist church and every United Methodist Church produce one additional -- The list would disappear but somehow we're short Belcher.
And I also go through some innovative programs.
For getting more out of the -- if there are.
But when it comes right down to it there's an athlete -- Taxpayers already covering.
This cost of dialysis through Medicare there's been a very careful.
Economic testament looking -- The survivability.
With living down -- how long do -- kidneys last taken all the factors into consideration.
And it fines that.
There's a net present value savings.
Of -- 100000 dollars per patient when you get a non related to living donor.
So what I say is well -- -- insurers Medicare private insurers.
The -- the transplant senators.
What a price standard fee I used 50000 I don't think it would need to beat -- high -- use that because that even if it were 50000.
That there would be this huge Medicare savings.
-- people could qualify.
Through the transplant centers.
The the kidneys would be allocated to the best.
Best match on on the list it would not be.
The rich getting -- and the -- not gain would be treated just like everything else that in the transplant system.
And in fact might accomplish the -- right right because we've talked a lot about that -- president has been on fairness.
And there's a lot of controversy around this with a Steve Jobs liver transplant issue and some people speculated on how to begin its so quickly news in Memphis.
If you're wealthy enough to get somewhere quickly you could theoretically put your name on -- anywhere in the country right and if you live and where you live in LA at.
You know you can be on the list in Portland Maine worse people who don't have been writing this right are gonna have to be it if geographically -- and have less chance.
That's right and what people often don't realize is that kidney patients.
They are wildly disproportionately African Americans about third of the people on the waiting list -- African American.
Are only 10% of them are able to work even part time out most of them -- on disability of some sort.
So actually anything.
That helps people on the kidney list.
-- helps essentially the lower income Americans and helps them.
The live healthier lives but also to perhaps get jobs speech -- contribute to the economy and so forth.
It is it thought provoking an interesting idea Virginia posture a contributing editor at the Atlantic Virginia always a pleasure thank you very much.
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