To the Editor: Dr Goyal and colleagues1 found that the fee paid to kidney donors in India
was insufficient to lift them out of poverty. This is not a surprising finding
and is certainly not unique to kidney donation. The financial impact of a
monetary reward will depend on its amount in relation to the extent of the
donor's debt and also on the donor's ability to manage his or her finances.
It is likely that members of any impoverished group would fail to improve
their financial condition if they were suddenly given a sum of money without
any guidance or assistance in managing it.
Zusman J. Consequences of Selling a Kidney in IndiaConsequences of Selling a Kidney in India. JAMA. 2003;289(6):697. doi:10.1001/jama.289.6.697-a
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