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Legal origins, religion and health outcomes: a cross-country comparison of organ donation laws

Published online by Cambridge University Press:  03 November 2020

Guillem Riambau Open the ORCID record for Guillem Riambau [Opens in a new window] ,
Clin Lai ,
Boyu Lu Zhao  and
Jean Liu
Guillem Riambau*
Affiliation:
Universitat de Barcelona and Institutions and Political Economy Research Group, Barcelona, Spain
Clin Lai
Affiliation:
Department of Social Sciences, Yale-NUS College, Singapore
Boyu Lu Zhao
Affiliation:
Department of Social Sciences, Yale-NUS College, Singapore
Jean Liu*
Affiliation:
Department of Social Sciences, Yale-NUS College, Singapore
*
*Corresponding authors. Guillem Riambau (email: [email protected]) and Jean Liu (email: [email protected])
*Corresponding authors. Guillem Riambau (email: [email protected]) and Jean Liu (email: [email protected])
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Abstract

This paper investigates what drives countries to legislate presumed consent – making citizens organ donors by default unless they opt out – instead of explicit consent. Results reveal the following: First, civil law predicts presumed consent, which uncovers a mechanism by which an institution that long pre-dates transplantation medicine has an impact on current health outcomes. This is in line with previous research that has found that civil law regimes tend to be more comfortable with a centralized and activist government than common law ones. Second, Catholicism predicts presumed consent. This is consistent with previous research that shows Catholicism generally relies on more hierarchical structures and is less likely to encourage social responsibility among its members. Last, higher pro-social behavior decreases the likelihood of presumed consent. This could be explained by policy-makers trying not to discourage donations where pro-social behavior is high by making it look a requirement rather than an altruistic act. The implications of the findings are discussed, with a particular focus on policy-switches in organ donations.

Keywords

Altruismlegal originspresumed consentregulationreligionorgan donation laws

JEL classification

H8: Miscellaneous Issues I18: Government Policy • Regulation • Public Health K32: Energy, Environmental, Health, and Safety Law
Type
Research Article
Information
Journal of Institutional Economics , Volume 17 , Issue 2 , April 2021 , pp. 217 - 226
Copyright
Copyright © Millennium Economics Ltd 2020

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References

Abadie, A. and Gay, S. (2006), ‘The Impact of Presumed Consent Legislation on Cadaveric Organ Donation: A Cross-Country Study’, Journal of Health Economics, 25(4): 599–620.Google ScholarPubMed
Anderson, S. (2018), ‘Legal Origins and Female HIV’, American Economic Review, 108(6): 1407–39.Google ScholarPubMed
Arruñada, B. (2010), ‘Protestants and Catholics: Similar Work Ethic, Different Social Ethic’, The Economic Journal, 120(547): 890–918.Google Scholar
Australian Bureau of Statistics. (2016), ‘Census data reveals ‘no religion’ is rising fast, 27 June 2017’, Available at http://www.abs.gov.auGoogle Scholar
Bagheri, A. (2005), ‘Organ Transplantation Laws in Asian Countries: A Comparative Study’, Transplantation Proceedings, 37(10): 4159–4162.CrossRefGoogle ScholarPubMed
Bekkers, R. and Schuyt, T. (2008), ‘And Who is Your Neighbor? Explaining Denominational Differences in Charitable Giving and Volunteering in the Netherlands’, Review of Religious Research, 50(1): 74–96.Google Scholar
Bendorf, A., Pussell, B. A., Kelly, P. J. and Kerridge, I. H. (2013), ‘Socioeconomic, Demographic and Policy Comparisons of Living and Deceased Kidney Transplantation Rates Across 53 Countries’, Nephrology, 18(9): 633–640.Google ScholarPubMed
Bilgel, F. (2012), ‘The Impact of Presumed Consent Laws and Institutions on Deceased Organ Donation’, The European Journal of Health Economics, 13(1): 29–38.Google ScholarPubMed
Botero, J. C., Djankov, S., La Porta, R., Lopez-de-Silanes, F. and Shleifer, A. (2004), ‘The Regulation of Labor’, The Quarterly Journal of Economics, 119(4): 1339–1382.CrossRefGoogle Scholar
Bratton, C., Chavin, K. and Baliga, P. (2011), ‘Racial Disparities in Organ Donation and Why’, Current Opinion in Organ Transplantation, 16(2): 243–249.Google Scholar
Bruzzone, P. (2008), ‘Religious Aspects of Organ Transplantation’, Transplantation Proceedings, 40(4): 1064–1067. Elsevier.CrossRefGoogle ScholarPubMed
Callison, K. and Levin, A. (2016), ‘Donor Registries, First-Person Consent Legislation, and the Supply of Deceased Organ Donors’, Journal of Health Economics, 49: 70–75.CrossRefGoogle ScholarPubMed
Central Intelligence Agency (USA). (2018), ‘The world factbook’, Available at https://www.cia.gov/library/publications/the-world-factbook/ (accessed May 2018).Google Scholar
Charities Aid Foundation. (2017), ‘CAF World Giving Index 2017’, https://www.cafonline.org/about-us/publications/2017-publications/caf-world-giving-index-2017 (accessed May 2018).Google Scholar
Dainow, J. (1966), ‘The Civil law and the Common law: Some Points of Comparison’, American Journal of Comparative Law, 15(3): 419–435.Google Scholar
D'Amico, D. J. and Williamson, C. (2015), ‘Do Legal Origins Affect Cross-Country Incarceration Rates?’, Journal of Comparative Economics, 43(3): 595–612.CrossRefGoogle Scholar
Davidai, S., Gilovich, T. and Ross, L. D.. (2012), ‘The Meaning of Default Options for Potential Organ Donors’, Proceedings of the National Academy of Sciences 109(38): 15201–15205.Google ScholarPubMed
Djankov, S., Glaeser, E., La Porta, R., Lopez-de-Silanes, F. and Shleifer, A. (2003), ‘The New Comparative Economics’, Journal of Comparative Economics, 31(4): 595–619.Google Scholar
Domínguez, J. and Rojas, J. L. (2013), ‘Presumed Consent Legislation Failed to Improve Organ Donation in Chile’, Transplantation Proceedings, 45(4): 1316–1317.Google ScholarPubMed
Dražanová. (2019) ‘Historical Index of Ethnic Fractionalization Dataset (HIEF), Harvard Dataverse, V1.0’, https://doi.org/10.7910/DVN/4JQRCL (accessed January 2020).CrossRefGoogle Scholar
Etheredge, H., Penn, C. and Watermeyer, J. (2018), ‘Optin or Optout to Increase Organ Donation in South Africa? Appraising Proposed Strategies Using an Empirical Ethics Analysis’, Developing World Bioethics, 18(2): 119–125.CrossRefGoogle Scholar
Gimbel, R. W., Strosberg, M. A., Lehrman, S. E., Gefenas, E. and Taft, F. (2003), ‘Presumed Consent and Other Predictors of Cadaveric Organ Donation in Europe’, Progress in Transplantation, 13(1): 17–23.Google ScholarPubMed
Glaeser, E. L. and Shleifer, A. (2002), ‘Legal Origins’, The Quarterly Journal of Economics, 117(4): 1193–1229.Google Scholar
Global Observatory on Donation and Transplantation. (2015), ‘Organ Donation and Transplantation Activities, 2015 Report’, http://www.transplant-observatory.org (accessed May 2018).Google Scholar
Gómez, M. P., Pérez, B. and Manyalich, M.. (2014), ‘International Registry in Organ Donation and Transplantation – 2013’, Transplantation Proceedings, 46(4): 1044–1048. Elsevier.Google ScholarPubMed
Guiso, L., Sapienza, P. and Zingales, L. (2003), ‘People's Opium? Religion and Economic Attitudes’, Journal of Monetary Economics, 50(1): 225–282.Google Scholar
Halman, L. and Luijkx, R. (2006), ‘Social Capital in Contemporary Europe: Evidence From the European Social Survey’, Portuguese Journal of Social Science, 5(1): 65–90.CrossRefGoogle Scholar
Healy, K. (2005), ‘The political economy of presumed consent’, Available at https://escholarship.org/uc/item/33×4463s (accessed May 2018).Google Scholar
Howard, R. J., Cornell, D. L. and Cochran, L. (2012), ‘History of Deceased Organ Donation, Transplantation, and Organ Procurement Organizations’, Progress in Transplantation, 22(1): 6–17.CrossRefGoogle ScholarPubMed
International Registry in Organ Donation and Transplantation. (2017), ‘Final Numbers 2016’, Available at http://www.irodat.org/img/database/pdf/IRODaT (accessed May 2018).Google Scholar
International Registry in Organ Donation and Transplantation. (2020), ‘Preliminary Numbers 2019’, Available at http://www.irodat.org/img/database/pdf/IRODaT (accessed April 2020]).Google Scholar
Johnson, E. J. and Goldstein, D. (2003), ‘Do Defaults Save Lives?’, Science, 302: 1338–1339.CrossRefGoogle ScholarPubMed
Kaasa, A. (2013), ‘Religion and Social Capital: Evidence From European Countries’, International Review of Sociology, 23(3): 578–596.CrossRefGoogle Scholar
Kahl, S. (2005), ‘The Religious Roots of Modern Poverty Policy: Catholic, Lutheran, and Reformed Protestant Traditions Compared’, European Journal of Sociology, 46(1): 91–126.CrossRefGoogle Scholar
Lam, P.-Y. (2002), ‘As the Flocks Gather: How Religion Affects Voluntary Association Participation’, Journal for the Scientific Study of Religion, 41(3): 405–422.CrossRefGoogle Scholar
Lam, P.-Y. (2006), ‘Religion and Civic Culture: A Crossnational Study of Voluntary Association membership’, Journal for the Scientific Study of Religion, 45(2): 177–193.CrossRefGoogle Scholar
La Porta, R., Lopez-de-Silanes, F. and Shleifer, A. (2002), ‘Government Ownership of Banks’, The Journal of Finance, 57(1): 265–301.CrossRefGoogle Scholar
La Porta, R., Lopez-de-Silanes, F. and Shleifer, A. (2008), ‘The Economic Consequences of Legal Origins’, Journal of Economic Literature, 46(2): 285–332.CrossRefGoogle Scholar
Li, D., Hawley, Z. and Schnier, K. (2013), ‘Increasing Organ Donation via Changes in the Default Choice or Allocation Rule’, Journal of Health Economics, 32(6): 1117–1129.CrossRefGoogle ScholarPubMed
Lipset, S. M. (2013), Continental Divide: The Values and Institutions of the United States and Canada, New York: Routledge.CrossRefGoogle Scholar
Mahoney, P. G. (2001), ‘The Common Law and Economic Growth: Hayek Might be Right’, The Journal of Legal Studies, 30(2): 503–525.CrossRefGoogle Scholar
McKenzie, C. R., Liersch, M. J. and Finkelstein, S. R. (2006), ‘Recommendations Implicit in Policy Defaults’, Psychological Science, 17(5): 414–420.CrossRefGoogle ScholarPubMed
Miller, J., Currie, S. and OCarroll, R. E. (2019), ‘If I Donate My Organs It's A Gift, if You Take Them It's Theft: A Qualitative Study of Planned Donor Decisions Under Opt-Out Legislation’, BMC Public Health, 19(1): 1463.Google Scholar
Mocan, N. and Tekin, E. (2007), ‘The Determinants of the Willingness to Donate an Organ among Young Adults: Evidence From the United States and the European Union’, Social Science & Medicine, 65(12): 2527–2538.Google ScholarPubMed
Montalvo, J. and Reynal-Querol, M. (2005), ‘Ethnic Polarization, Potential Conflict, and Civil Wars’, American Economic Review, 95(3): 796–816.CrossRefGoogle Scholar
Mulligan, C. B. and Shleifer, A. (2005), ‘Conscription as Regulation’, American Law and Economics Review, 7(1): 85–111.Google Scholar
Oliver, M., Woywodt, A., Ahmed, A. and Saif, I.. (2011), ‘Organ Donation, Transplantation and Religion’, Nephrol Dial Transplant, 26(2): 437–444.Google ScholarPubMed
Oz, M. C., Kherani, A. R., Rowe, A., Roels, L., Crandall, C., Tomatis, L. and Young, J. B. (2003), ‘How to Improve Organ Donation: Results of the ISHLT/FACT Poll’, The Journal of Heart and Lung Transplantation, 22(4): 389–410.CrossRefGoogle ScholarPubMed
Park, H. S., Smith, S. W. and Yun, D. (2009), ‘Ethnic Differences in Intention to Enroll in A State Organ Donor Registry and Intention to Talk with Family About Organ Donation’, Health Communication, 24(7): 647–659.Google Scholar
Rithalia, A., McDaid, C., Suekarran, S., Myers, L. and Sowden, A. (2009), ‘Impact of Presumed Consent for Organ Donation on Donation Rates: A Systematic Review’, BMJ, 338: a3162.CrossRefGoogle ScholarPubMed
Rose, A. M. (1954), Theory and Method in the Social Sciences, Minneapolis: University of Minnesota Press.Google Scholar
Rumsey, S., Hurford, D. P. and Cole, A. K.. (2003), ‘Influence of Knowledge and Religiousness on Attitudes Toward Organ Donation’, Transplantation Proceedings, 35(8): 2845–2850. Elsevier.CrossRefGoogle ScholarPubMed
Salim, A., Berry, C., Ley, E. J., Schulman, D., Desai, C., Navarro, S. and Malinoski, D. (2010), ‘The Impact of Race on Organ Donation Rates in Southern California’, Journal of the American College of Surgeons, 211(5): 596–600.Google ScholarPubMed
Scanlon, C. (2016), ‘Health Consequences of Legal Origin’, Unpublished manuscript. available at https://stanfordcomparativeadvantage.files.wordpress.com/2016/12/scanlon-health-and-legal-origin.pdf (accessed April 2020).Google Scholar
Shepherd, L., O'Carroll, R. E. and Ferguson, E. (2014), ‘An International Comparison of Deceased and Living Organ Donation/Transplant Rates in Opt-in and Opt-out Systems: A Panel study’, BMC Medicine, 12(1): 131.CrossRefGoogle ScholarPubMed
Shum, E. and Chern, A. (2006), ‘Amendment of the Human Organ Transplant Act’, Annals-Academy of Medicine Singapore, 35(6): 428.Google ScholarPubMed
Spamann, H. (2015), ‘Empirical Comparative Law’, Annual Review of Law and Social Science, 11(1): 131–153.CrossRefGoogle Scholar
Ugur, Z. B. (2015), ‘Does Presumed Consent Save Lives? Evidence From Europe’, Health Economics, 24(12): 1560–1572.CrossRefGoogle ScholarPubMed
US Department of Health and Human Services. (2018), https://organdonor.gov/statistics-stories.Google Scholar
US Department of State. (2016), ‘Bureau of Democracy, Human Rights, and Labor: Australia 2016 international religious freedom report’, Available at https://www.state.gov (accessed May 2018).Google Scholar
van Dalen, H. P. and Henkens, K. (2014), ‘Comparing the Effects of Defaults in Organ Donation Systems’, Social Science & Medicine, 106: 137–142.Google ScholarPubMed
Wakefield, C. E., Watts, K. J., Homewood, J., Meiser, B. and Siminoff, L. A. (2010), ‘Attitudes Toward Organ Donation and Donor Behavior: A Review of the International Literature’, Progress in Transplantation, 20(4): 380–391.Google ScholarPubMed
Watson, C. J. E. and Dark, J. H.. (2012),‘Organ Transplantation: Historical Perspective and Current Practice’, British Journal of Anaesthesia, 08(suppl_1): i29–i42.Google Scholar
Wong, L. P. (2010), ‘Factors Limiting Deceased Organ Donation: Focus Groups’ Perspective From Culturally Diverse Community’, Transplantation Proceedings, 42(5): 1439–1444. Elsevier.Google ScholarPubMed
World Health Organization. (2020a) ‘Study of Global Ageing and Adult Health’, Available here: https://www.who.int/healthinfo/survey/SAGESurveyManualFinal.pdf (accessed April 2020).Google Scholar
World Health Organization. (2020b) ‘WHO Task Force on Donation and Transplantation of Human Organs and Tissues’, Available here: https://www.who.int/transplantation/donation/taskforce-transplantation/en/ (accessed April 2020).Google Scholar
Zúñiga-Fajuri, A. (2015), ‘Increasing Organ Donation by Presumed Consent and Allocation Priority: Chile’, Bulletin of the World Health Organization, 93(3): 199–202.CrossRefGoogle ScholarPubMed