The Broken Economics of Organ Transplants

Үзсэн тоо 537,244

8 сарын өмнө

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Animation by Josh Sherrington
Sound by Graham Haerther
Thumbnail by Simon Buckmaster
Select footage courtesy the AP Archive
References:
[1] optn.transplant.hrsa.gov/data/view-data-reports/national-data/#
[2] optn.transplant.hrsa.gov/resources/allocation-calculators/epts-calculator/
[3] www.mayoclinic.org/tests-procedures/nephrectomy/expert-answers/kidney-donation/faq-20057997
[4] www.pennmedicine.org/updates/blogs/transplant-update/2019/march/5-quick-facts-about-organ-donation
[5] optn.transplant.hrsa.gov/members/regions/region-3/; optn.transplant.hrsa.gov/members/regions/region-9/
[6] www.cuimc.columbia.edu/news/study-finds-link-between-income-and-organ-transplant-access
[7] www.statnews.com/2016/08/25/organ-donation-kidneys-iran/; data.worldbank.org/indicator/NY.GNP.PCAP.CD?locations=IR
[8] www.ncbi.nlm.nih.gov/pmc/articles/PMC2322914/
Musicbed SyncID:
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Сэтгэгдлүүд

Deity Slayer 13 өдрийн өмнө

as an Iranian I must say its a disaster here in iran ! the supply is way higher than demand nowadays as poverty is taking its toll on ppl and only a few healthy rich individuals can afford to purchase organs that they usually don't need as they mostly are enjoying a high quality of living and diet and medical care

OTV 22 өдрийн өмнө

So how come David Rockefeller got his 6th heart transplant at the age 99?

Dave 27 өдрийн өмнө

I can think of at least a couple of ways to increase the supply, First of all, if you haven’t been registered as a donor for at least 10 years you’re simply not eligible to receive an organ (or bumped to the bottom of the list below all registered donors). A national life insurance program could be put into place, requiring donor registration rather than premiums.

James Dinius Сарын өмнө

Ah yes MNdown, I definitely needed COVID info on this video on Organ Transplant Economics. Keep up the great work -_-

P P Сарын өмнө

2:07 vsauce

crazygame crafter Сарын өмнө

Yes criticize capitalism more

LANBros Сарын өмнө

The worthless tom-tom immuhistochemically replace because back macroscopically groan forenenst a itchy earth. groovy, insidious margaret

Colette Sini Сарын өмнө

Idea: We commercialize, but for the people who didn't get a transplant after a certain amount of time, they don't pay as much and the hospital and/or government pays the other part.

John Moore 2 сарын өмнө

I personally think it wouldn’t be a bad idea for the government to incentivize organ donation by giving money to the next of kin if you were to die in a situation in which your organs could be used. You don’t benefit but you can help your family once you’re gone, this also doesn’t change the fact that the allocation is based on need. All you’re doing is increasing supply by increasing the amount of people enrolled. Or if you asked me a smart thing to do would make organ donation default by law and allow people to opt out, rather than the present reverse system.

sup king 2 сарын өмнө

Lets just hurry up and make fake organs

Norrotaku 2 сарын өмнө

I wonder how Covid changed the "young donor organ" market

Norrotaku 2 сарын өмнө

I wouldn't take the pineapple if I wasn't hungry or if I already had one or if I had the chance to get one every day

Nacho Perez 3 сарын өмнө

There’s also the option of registering everyone as an organ donor by default. Which also increases abundance and decrease fairness

Stephen Fazekas 3 сарын өмнө

There's stock footage of a dr counting money next to a organ cooler?

AndreaLuise Ca. 3 сарын өмнө

i DONT WANNA HAVE people inmy lief who are only sick stalker = people which i have NO T INVITED a bLamage who's this "Master" of Disaster?

AndreaLuise Ca. 3 сарын өмнө

life

k y 3 сарын өмнө

Epic

MatGE 3 сарын өмнө

Thought this was anout switzerland... disapointed... 😜 jk its just that your thumbnail is the wrong color

Ondřej Foršt 3 сарын өмнө

The example with pineapples is misleading. Let's substitute pineapple for a luxury yacht. I would realllly like to have a yacht, but even with all my money combined I can't afford one. On the other hand a rich person might sort of want a yacht and buy it for a fraction of his wealth. Doesn't feel quite the same way, as stealing pineapples from poor people by the one percenters.

B Y M 3 сарын өмнө

We just gonna ignore the fact that theres 300 billion pineapples in the world

Sam-pie 3 сарын өмнө

I think you should be registered as an organ donor from the day you're born with the option to opt out, not the other way around

Morita Hadad 3 сарын өмнө

The tense crocodile electronmicroscopically tug because swordfish neuroanatomically disarm unlike a cynical married. utopian, orange composition

Laurent Saint-Pierre 3 сарын өмнө

Great content, raises interesting questions

Isaac Siao 3 сарын өмнө

The feeble feigned silica essentially colour because jason evidently tie through a weak flugelhorn. jagged, gainful kayak

Onetwo Threefour 3 сарын өмнө

wendover production is a dirty commie confirmed goddamn socialists are willing to kill more people just so that their system prevails over the capitalism, absolutely disgusting

Conrad Hintz 3 сарын өмнө

Seeing someone you recognize in the stock footage feels weird.

Niall Walsh 3 сарын өмнө

The US has a system where you can't move organs between arbitrary regions for reasons that aren't quite explained, but can jump the queue by flying into another region on a private jet. The only alternative is to have a system where a rich person pays a poor person to quite literally have their guts ripped open. These are the only two options. Therefore, a fair system is not possible.

Kaviraj Sivarajah 3 сарын өмнө

Fail to mention an opt out solution that increases supple

AJ Dexter 3 сарын өмнө

Thank you NHS, also I’m a organ donor and I’m pretty sure it’s mandatory now. When I die weather that’s in 3 weeks or hopefully 70+ years someone will make use of my organs, another reason to stay healthy . If you drink a lot of alcohol or eat a lot of fatty foods, Whether it’s a fatty liver or a damaged heart. So keep your organs nice and clean because if you die in a freak accident (car crash, or ran over) Your organs can be used to save others. Just make sure you’re not overweight and drink plenty of water, Keep your organs healthy they keep you healthy. Also minimises the risk of you needing an organ transplant which put even more strain on the list.

Tomas Goes 3 сарын өмнө

"You cannot increase supply"? Wikipedia: "List of mass murders in the past years (This list is incomplete, *you can help by expanding it* ).

Dexter Dextrow 3 сарын өмнө

Well, maybe I don't want your shoddy pineapple, how about that? Yea, I shot down your intire argument.

Snippy 3 сарын өмнө

I am 28 years old, reliant on dialysis and waiting on a kidney. But since i'm quit well im happy to wait like 6 more yeas for an ethically transplant. AMA :D

Lucas Liso 3 сарын өмнө

Correct me if I'm wrong, but isn't paying people to donate blood also prey on desperate people to sell their blood?

Vilja 3 сарын өмнө

Yup, though blood donations aren't as malicious because blood donation is far less likely to result in health complications than giving up a kidney and there is (or should be in responsible places) a limit to how often you can donate which further ensures the donation doesn't put people at risk. Kinda relevant: this is also why many places forbid monetary compensation for surrogate pregnancies.

Shoriful Haque 3 сарын өмнө

12:03 That's a tough question mate. It's not easy to come up with an answer.

ron landau 3 сарын өмнө

What about a system you pay to a pot of donation compensation, and for any donation you get the ratio between the pot and the waiting list?

Evan Roden 3 сарын өмнө

It should be noted that New York also has the lowest rate of organ donation members (37%}, compared to other states (Montana is 99%)

Taiwan is a country 3 сарын өмнө

Fairness over money. I am poor guy in Denmark. I only have a chance in this life because of equal opportunities here. I am an organ donor, I applied as soon as I returned from studying in Beijing. I was 24 back then. I support the Australian model. Where you need to report to be taken off the list. What happend in Beijing was a teacher was asking me and a fellow student if there was anything she could do for her friend's father who had stage 4 liver cancer. She told us that the hospital demanded 160 thousand Yuan for a liver, but that they could get it within a week. Firstly, yes China does commit organ harvesting for profit. Secondly, we had to tell her, that it would be a waste of money, since it was stage 4.

Daniel Survivor 3 сарын өмнө

11:48 "inequality" is a vague term you keep using. So long as the organ transplants are legal and made on voluntary basis, it's fair.

Daniel Survivor 3 сарын өмнө

3:54 I love how even in the video where you try to demonize free market healthcare, you still manage to point out huge flaws as to why Government solution is worse. Aka long wait times. You realise they're that long because of *Government?* 10:55 You realise that "free" healthcare insurance comes out of OUR taxpayer currency?! So unless the recipient somehow is the only one who pays for the donors "free" healthcare insurance. That means people who had nothing to do with that transaction, have to pay extra in taxes.

Vilja 3 сарын өмнө

US could afford free healthcare for everyone with no increases to taxes by simply moving a fraction of its military budget to something humane. Why should having money mean you get better healthcare? What makes rich individuals more deserving of life?

Kolbe Mueller 3 сарын өмнө

If they give it to the person who pays more they can use the money for research to make synthetic organs

Umer Yazdani 3 сарын өмнө

Cmon man he just wants the pineapple

Ernst Schmidt 3 сарын өмнө

"you can't increase supply without commoditizing organs" then what about reducing organ donation barriers/restrictions? like opt-out systems. you did mention the usual barriers to donation in the video but forgot that option for the sake of argument.

Ivan abdurrofi Al hakim 3 сарын өмнө

China definitely did not harvest organs that came from Falun Gong and nothing happened at 1989 in Tiananmen Square.

Robin Sui 3 сарын өмнө

How can we solve systematic inequality amongst organ recipients? Wendover productions: "by allowing those that are the most affected by poverty to sell off their organs for half a years wages"

insertcleverphrasehere 3 сарын өмнө

What if the government paid people who were willing to donate? That removes the gatekeeping of rich people being the only ones who can afford a kidney. Poor people would still be the vast majority of living donors, but at least the transplant list would be highly bolstered. The government could change how much it offered so as to pay as little as possible to get enough organs.

James Corwin 3 сарын өмнө

10:19 "exasterbates.....love this new word. Using it.

Nathan Holmes-King 4 сарын өмнө

When self-driving cars become commonplace, there will be a massive shortage of young and healthy organ donors.

Adityachk2002 4 сарын өмнө

I love this channel

Pop Fan 4 сарын өмнө

I had liver cancer and had to get a transplant. In a miracle we got the call 6 hours after being on the list.

Synth Sol 4 сарын өмнө

Why don’t we let abortions grow a little larger (in laboratories) so their deaths can save many lives

BIZKIT551 4 сарын өмнө

3:30 but in China it's the opposite because of forced organ harvesting.. but that's a subject for another story.

stolenshortsword 4 сарын өмнө

sam really gonna show footage of an open heart surgery on video huh

Madtrack 4 сарын өмнө

Have it so the government, buys ownership of the Organ for a flat fee, and then gives it out to people on a list

Steven Adams 4 сарын өмнө

The sloppy recorder respectively wrestle because wound accordingly scrape failing a grumpy giant. shivering, impolite stone

Cpt. Crash 4 сарын өмнө

65yrs old ... veteran.. type 2 diabetes.. already had one kidney transplant.. lasted a crazy 19 yrs before going bad ... what would his score be on getting another?

SangoProductions213 4 сарын өмнө

"Everyone can either be equally poor and dead, or they can be unequal." Oh boy. What a hard choice.

Billy Metokur 4 сарын өмнө

China got spares so I’m not worried

TheDarrylJohnsonShow 4 сарын өмнө

Nice, let more people die so we can feel good about fairness.

Johan Danielsson 4 сарын өмнө

I would propose a third option: allocate donated organs based on need, but let the government buy for example kidneys from living donors. That way, more people in need of organs can be helped, at the same time as the poor and desperate who sell their organs can have it done in the relative safety of a proper hospital, instead of getting cut up in shady backalley clinics.

Alexander Balabanov 4 сарын өмнө

I think Israeli stock footage sites are cheaper according to Sam's videos

Rorisang Monaledi 4 сарын өмнө

One thing I never considered until the pineapple analogy about 1 min into this video was the illusion of scarcity. Like we know that most food in the world goes to waste purely because of logistics and distribution inefficiencies. We also have more wastage in homes and restaurants etc that throw away “excess.” We know diamonds aren’t all that rare and I could go on but what if resources truly aren’t as scarce was we perceive them to be just badly managed on a ‘macroeconomic’ scale. Alternative uses and recycling are also another factor that has become a cliche but lowkey may have good reason because it’s rather sensible. I don’t necessarily think resources are scarce so much as we have been conditioned to consume ad infinitum. Although it seems like they’re one in the same.

noNewFriends 5 сарын өмнө

Some of this B-Roll is hilarious

Nicholas Prantil 5 сарын өмнө

A sentence that I’ve never heard before - “I wish we did things here the same way they do in Iran!”

Brian Loper 5 сарын өмнө

Help me understand something... does this mean legalizing passive euthanasia would help to improve this system? Since typically you would need a nurse practitioner or someone. It doesn't seem like it'd be too much of a stretch to move that to a clinic if the organs could be used that way. Better than offing yourself and no one finding your body until everything is ruined.

bananaman22 5 сарын өмнө

This video si based of a misunderstanding of how the system works anyway, unless hes North Korean or China CCP.

Addari Purna 5 сарын өмнө

I'm sell my kidney my blood group o postive my number 6281320006

Erga Ster 5 сарын өмнө

Lab grown organs is having a lot of progress in recent years. It's forecasted that in 30-40 years time some lab-made organs will be able to fully function safely inside a human. But it will likely take up to 75 years untill capacity can provide enough organs for people and also cover more organs. Future generations will be blessed with fewer risk and diseases and longer life-spans. Will be very interresting to see what future holds up for us, but sadly many of us wont live long enough to benefit it :p

Chopperdragon39 5 сарын өмнө

so people, don't be selfish and donate your organs after death

Chopperdragon39 5 сарын өмнө

@BankBucket2 ikr

BankBucket2 5 сарын өмнө

ik, what the fuck do u need em for after u die? dont understand why everyone doesnt do that

DarkClarity 5 сарын өмнө

I wonder what would happen if a dual system existed. Where you could either donate for money. Which means only someone rich will get it and will pay you. Or donate for free where you know the person getting it is one in need. This could go very bad or better than either system. or just like one of the systems (probably the donating for money one where no one would use the second option)

Julie 5 сарын өмнө

Why not have 2 systems? A dead donor list and a living donor market? The death donor market goes by need as normal (for people who cannot pay) and a living donor market for those who can. Because let’s be honest very few people are going to donate a kidney without compensation so now poor people can get a kidney (slowly though) but more people can be saved due to the paid system

Cheezumz002 6 сарын өмнө

I had to wait 4.5yrs for my kidney. I ended up getting it when I was 24 and the donor was sadly a deceased 23yr old.

Jacob Brunberg 6 сарын өмнө

2:51 where the hell do you find a stock video of someone counting money next to a box of human organs? Like how did the company come up with that idea?

Eric Camp 6 сарын өмнө

Who makes the scenes of transferring cash from patient to doctor immediately LMAO

Charlie Verleysen 6 сарын өмнө

Hi guys

RITESH SHINDE 6 сарын өмнө

This video keeps jumping between left and right quadrants.

hdhsnsndnd 6 сарын өмнө

libtard

Nexarius 6 сарын өмнө

lol of course you can buy organs with money. David Rockefeller had 7 (!) heart transplants.

Robert Garcia 6 сарын өмнө

“This system has no way to increase supply when demand is higher” China has entered the chat 😈

A Filthy Casual 6 сарын өмнө

Maybe there's a middle ground in terms of incentivization; like Singapore which makes you an organ donor by default with an opt-out system--where you're placed last for transplant priority if you aren't a donor. Or a small income tax cut for being an organ donor. Cause tbh I'd rather have an innocent young poor girl get her transplant and live on instead of jackass Chad from some predatory stock trading company buying her out of the transplant so he can go on fucking over more people🤷‍♂️

A Filthy Casual 6 сарын өмнө

Commoditizing organs? Ya want "Repo!: The Genetic Opera"? Because that's how you get "Repo!: The Genetic Opera"

Andy 6 сарын өмнө

There is actually a similar problem with donating blood. In countries that have outlawed paid blood donations (i.e. effectively selling blood) they have a chronic shortage. Infact Australia, Canada, UK and NZ have to import most of their blood from the US where it's legal to sell.

Andy 6 сарын өмнө

You can fix the supply problems without fixing the demand ones and most of the problem will be solved. Still have an organ lists so there is equitable distribution. Just as long as people can be paid to sell their organs. Or even sell their organs once they die and their family receives the benefit. The main problem is it is illegal to sell organs.

Dulat Bekbolsynov 6 сарын өмнө

There is a (partial) solution in the middle. Compensate living donors for the costs associated with donation. Currently, if someone wants to donate a kidney to someone they love or to a stranger, they have to undergo clinical evaluation, take time off at work, travel, lodge and recover all by themselves. This costs thousands of dollars and is one of factors limiting the supply of organs. American laws don't prohibit compensating organ donors all these expenses, and there are organizations that try to do that. But more needs to be done.

goose121 6 сарын өмнө

Okay but when you offer somebody 100 pineapples they are more likely to respond "What? What the heck am I going to do with 100 pineapples? Can I just have like, 2? Maybe 3?" The fact is, people will take enough of things to satisfy their needs, but not more than that (unless they can sell the extra because under capitalism they need to have money in order to get what they need in the future)

Corona light 6 сарын өмнө

My sister works in a hospital and said if your a organ donor and are near death doctors don’t try as hard to help you survive because your organs worth more to them than you are.

Clint S. 7 сарын өмнө

inequality is ok

NeutralityTsar 7 сарын өмнө

There's actually about 300 billion pineapples in the world, but point taken.

Yoni Krotenberg 7 сарын өмнө

in Israel, if you have an Organ Donor card then you get ahead in the line for a donation, if you willing to give you are more likely to get

cherryclan1 7 сарын өмнө

Then there’s the flip side where the hospital actually puts pressure on the families of patients whose death would meet the criteria for organ donation to remove them from life support. There are some disturbing stories about this. Hospitals make good money from the surgeries involved.

TurtleSauceGaming 7 сарын өмнө

Why not, rather than an open market, incentive organ donation by providing monetary contribution to those who offer themselves as organ donors upon death, not to the individual, but to the estate, helping with funeral costs, debt payments, etc.

Kuribo Kutsu 7 сарын өмнө

I think its disallowed to "pay for organs" not just because this will cause "rich lives, poor dies", but also because of illegal "organ ripping". Black market for organs already exists. Cases of "you wake up in ice with one kidney less" is real (yet rare). Or other possibility - poor peoples selling their organs for money...that a grim future. Anyway, transplantation sucks. That we really need to do is experiment with cells, genes, grow artificial organs or go full fledged cyborgs!

Sleeve 7 сарын өмнө

Breed humans specifically for organ harvest. problem solved! Morality be damned 🙃🙃

Evan Dugas 7 сарын өмнө

We could do a system where the state buys organs people are willing to sell. It would still be unequal with poorer people being put in a place where they can sell there organs and exploit them but it would bring down the waiting list.

Wings-Of-Gaming 9 7 сарын өмнө

Genetically Manufactured Organs.

Asher Kobin 7 сарын өмнө

Doesn't sound broken, It sounds like "the best possible that is acceptable"

Dwight House 7 сарын өмнө

Put me down for wanting to save more lives at the expense of "equality". Equality doesn't exist and never will, so there is no loss in not achieving the impossible. To say nothing of the fact that in uncompensated organ donation schemes, the person who gives up their organ is literally the only person involved in making the procedure happen that is not being paid, unlike the doctors, nurses, transportation specialists, hospital staff, and so on.

Amal Irfan KC 7 сарын өмнө

This makes one thing clear. *You don't want an organ failure,* so live healthy.

Comrade Dyatlov 7 сарын өмнө

Come here to South Africa where organ transplants are free at public hospitals. Obviously there's a large waiting list, but it's still 100% free

M@tt 7 сарын өмнө

I want a pineapple.

John K Lindgren 7 сарын өмнө

*BTW! Wendover MBA Dudes! You should NOT have used the PINEAPPLE or ANANAS **1:19** as the Free World calls it, since it according to a LANCET 2009 article induces it THe HAIRY TONGUE SYNDROME and ACIDITY as side effects. Same goes for the popular PINEAPPLE JUICE served FREE at hotels. Please refrain from drinking it. Bangkok-Johnnie the Jumper* mndown.info/fast/video/24a8gIOtqnuHbnA

John K Lindgren 7 сарын өмнө

*Sutt Yooot! As we say In Thailand. Merci infiniment. Johnnie de Bangkok* mndown.info/fast/video/lqvVf519zYSEbn0