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Comment & Response
December 2015

Organ Donation and New Policies: Do We Need to Act Less Generally and More Locally?

Author Affiliations
  • 1Private Family Practice Unit in Heraklion, Crete, Greece
  • 2Primary Health Care Centre of Kissamos, Chania, Crete, Greece
  • 3Department of Primary Care and Public Health Sciences, King's College London, London, England
JAMA Intern Med. 2015;175(12):1999. doi:10.1001/jamainternmed.2015.6520

To the Editor We read with particular interest the study by Chatterjee et al1 reporting the limited effect of a variety of state policies on organ donations and transplantations in the United States. Interestingly, policies such as first person consent laws, donor registries, public education programs, paid leaves, and tax incentives presented no significant association with either donation rates or number of transplants during the last 2 decades.1 Establishment of a state-based revenue pool was the only policy that has been associated with an increase in the absolute number of transplants, specifically among deceased donors. This fact, therefore, underlines the need for new policies to increase donation rates.1

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