Consideration for a Donation Economic Aspects

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Consideration for a Donation Economic Aspects

• Dr. Samuel Jellinek LL.D
• Faculty of Law
• The Hebrew University of Jerusalem
• Presented at Maastricht Medicine Law Conference
  - 2002

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Content of consideration

• Arrangements by the National Insurance Institute
• Taxation arrangements
• Insurance arrangements
• Legal arrangements
• Health system arragements
• Social arrangements

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GUIDING PRINCIPLES

• Purchasing or buying organs only by official body
• Organs distribution will remain as today
• Receipt of organs will not be conditional upon
  any payment

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Fundamental Assumptions

• Life and Death
• 
  Right to Privacy
• Money

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Money Two Aspects

• Blood Donation
• Surrogate Motherhood
• I.V.F
• Adoption Proceedings
• Private Medicine
• Volunteers in dangerous units (police, army
  etc.)

• Financing for obtaining the organs will be
  covered totally by the vast saving in health
  budget and social resources.

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Payments for Dialysis Patients in NIS/US
Thousands
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Number of Dialyis PatientIn Israel
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Kidney PatientsDirect Medical Expenses

• Increase of Dialysis Patients is greater than the
  sum of all transplants.
• Kidney patients are 65-70 of those awating
  transplants.
• One third of them are suitable for transplants.

• Dialysis - 46,000.-
• Other exp. 4,000.-
• Total - 50,000.-

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General Costs

• Loss of family income 100,000 NIS
• Increased expences 25,000 NIS
• Raised Costs /Social Welfare 50,000 NIS
• Disability Pensions 48,000 NIS
• Other Benefits 60,000 NIS
• Total 283,000 NIS
• Aprox. 60,000

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Kidney Transplant Operation Treatment Following

• Operation
• Israel 32,000
• U.S.A(AV.) 100,000

• Treatment 1st / 2nd year
• 14,000 / 10,000
• 20,000 / 15,000

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Economic Equation

• Direct Medical exp. General Costs
• Kidney Transplant 1st year treatment
  45,000- 110,000
• The costs of treatment in the first year of
  transplantation were approx. the same as the
  average costs of dialysis.
• (Charro Th. De wit A.)

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Conclusions-A

• With each kidney transplant there will be a total
  saving for the economy starting from the 2nd
  year or from the 3rd year, if the consideration
  basket would be the total value of the savings
  for one year. This will finance the consideration
  for the donation according to the model that have
  been presented!

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Conclusions-B

• If we encourage organ donations from deceased
  persons, all of those waiting for organ
  transplants of various types that could be made
  at the same opportunity would be bound to
  benefit by reduced costs because of the financial
  saving as a result (at least) of the kidney
  transplantations.

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• Thank you
• very much