The national politics of deceased organ donation

 The U.S. transplant system is relatively open to foreign patients, and the NYT reports with some concern the number of foreign citizens receiving scarce organs from deceased donors, sometimes paying full list price to the hospitals involved.  One question I have that I haven't seen addressed in discussions of this type is how many foreign citizens who happen to die while visiting the US become deceased organ donors?

Here's the NYT:

Hospitals Cater to ‘Transplant Tourists’ as U.S. Patients Wait for Organs
International patients can bring a hospital as much as $2 million for a transplant. In recent years, they have typically gotten organs faster than U.S. patients. By Brian M. Rosenthal and Mark Hansen

  "In the past dozen years, more than 1,400 patients from abroad received a transplant in the United States after traveling specifically for the procedure. That was a small fraction of all U.S. transplants, and most transplant centers did not operate on international patients at all.

"But The Times found that a handful of hospitals are increasingly catering to overseas patients, who make up an ever-larger share of their organ recipients: 11 percent for hearts and lungs at the University of Chicago; 20 percent for lungs at Montefiore Medical Center in the Bronx; 16 percent for lungs at UC San Diego Health; 10 percent for intestines at MedStar Georgetown University Hospital in Washington; and 8 percent for livers at Memorial Hermann-Texas Medical Center in Houston.

"In many countries, this would be illegal. World leaders agreed in 2008 to fight so-called transplant tourism, and most nations do not provide organs to overseas patients. Yet the United States has long allowed it. The policy has drawn criticism in the past, such as when organs went to Saudi royals and a Japanese crime boss. 

...

"Dr. Mark Fox, a former chair of the transplant system’s ethics committee, said the findings were troubling, especially because overseas patients do not contribute to America’s pool of donated organs. “The unfortunate reality is that we don’t have enough organs,” he said. “When people jet in, get an organ and jet home, it’s a problem. It’s not fair.” 

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I'm reminded of this 2018 article which expressed a similar concern :

Delmonico, F. L., Gunderson, S., Iyer, K. R., Danovitch, G. M., Pruett, T. L., Reyes, J. D., & Ascher, N. L. (2018). Deceased donor organ transplantation performed in the United States for noncitizens and nonresidents. Transplantation, 102(7), 1124-1131. 

Abstract: "Since 2012, the Organ Procurement and Transplantation Network (OPTN)/United Network for Organ Sharing (UNOS) has required transplant centers to record the citizenship residency status of patients undergoing transplantation in the United States. This policy replaced the 5% threshold of the non–US citizen/nonresidents (NC/NR) undergoing organ transplantation that could result in an audit of transplant center activity. Since April 1, 2015, the country of residence for the NC/NR on the waitlist has also been recorded. We analyzed the frequency of NC/NR deceased donor organ transplants and waitlist registrations at all US transplant centers by data provided by UNOS for that purpose to the UNOS Ad Hoc International Relations Committee. During the period of 2013 to 2016, 1176 deceased donor transplants (of all organs) were performed in non–US citizen/non–US resident (NC/NR) candidates (0.54% of the total number of transplants). We focused on high-volume NC/NR transplant centers that performed more than 5% of the deceased donor kidney or liver transplants in NC/NR or whose waitlist registrants exceeded 5% NC/NR. This report was prepared to fulfill the transparency policy of UNOS to assure a public trust in the distribution of organs. When viewed with a public awareness of deceased donor organ shortages, it suggests the need for a more comprehensive understanding of current NC/NR activity in the United States. Patterns of organ specific NC/NR registrations and transplantations at high-volume centers should prompt a review of transplant center practices to determine whether the deceased donor and center resources may be compromised for their US patients." 

They note that " a noncitizen/nonresident could be a foreign student or businessperson traveling to the United States, whereas an undocumented individual living in the United States would also be a noncitizen/resident." 

The local politics of deceased organ donation

 "All politics is local" may not be entirely true, but local politics doesn't end at death.

MedPage Today has the story: 

Senators Urge More Localized Use of Donor Organs
— "Too many of our organs are leaving" the geographic area, says Sen. Roger Marshall, MD
by Joyce Frieden, 

"More needs to be done to make sure donated organs are transplanted to recipients within the local geographic area whenever possible, several senators said Thursday at a hearing on the future of the organ procurement and transplantation network.

"The Midwest, where I'm from ... is famous that we have a higher organ donor rate than the [East or West] coasts do typically," said Sen. Roger Marshall, MD (R-Kansas). "And you know, there's a concern that too many of our organs are leaving the Midwest." 

Australia's ban on social media use by teens under sixteen

 Australia has put into effect a ban on social media use by teenagers younger than 16.  My first thought is, good luck with that...

Here are some headlines that caught my eye:

From MSN: 

Australian leader defends social media ban as teens flaunt workarounds  by Byron Kaye 

"A day after the law took effect with bipartisan support from the major political parties and backing by some three-quarters of Australian parents, the country's social media feeds were flooded with comments from people claiming to be under 16, including one on the prime minister's TikTok account saying "I'm still here, wait until I can vote".

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And (more optimistically) from Nature:

Australia’s world-first social media ban is a ‘natural experiment’ for scientists
Researchers will study the effects of the policy on young people’s mental health, social interactions and political engagement.   By Rachel Fieldhouse & Mohana Basu 

" Many teenagers in the country are furious, but for social scientists, the policy offers a natural experiment to study the effects of social-media restrictions on young people." 

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And this:

Social Media Lab Appointed as Lead Academic Partner for Australian Legislation 

Nottingham's Centre for Decision Research and Experimental Economics celebrates its 25th anniversary

 In September, Nottingham's productive center for experimental economics celebrated a quarter century since it's founding: 

 CeDEx 25th Anniversary Workshop .

I just saw the announcement now, but maybe that's a sign of how successfully experimental economics has become established in the profession, over the last century and around the world.

 For some early history, see e.g. 

Roth, Alvin E. "The early history of experimental economics." Journal of the History of Economic Thought 15.2 (1993): 184-209.

 

Crypto has found a use, and it's money laundering

The NYT has the story:

How a Cryptocurrency Helps Criminals Launder Money and Evade Sanctions
Through layers of intermediaries, stablecoins can be moved, swapped and mixed into pools of other funds in ways that are difficult to trace, experts say.  By Aaron Krolik

"Smugglers, money launderers and people facing sanctions once relied on diamonds, gold and artwork to store illicit fortunes. The luxury goods could help hide wealth but were cumbersome to move and hard to spend.

"Now, criminals have a far more practical alternative: stablecoins, a cryptocurrency tied to the U.S. dollar that exists largely beyond traditional financial oversight.

"These digital tokens can be bought with a local currency and moved across borders almost instantly. Or they can be returned to the traditional banking system — including by converting funds into debit cards — often without detection, a New York Times review of corporate filings, online forum messages and blockchain data shows.

"A report released in February from Chainalysis, a blockchain analysis firm, estimated that up to $25 billion in illicit transactions involved stablecoins last year. And as more Russian oligarchs, Islamic State leaders and others have begun using the cryptocurrency, the rise of these dollar-linked tokens threatens to undermine one of America’s most potent foreign policy tools: cutting adversaries off from the dollar and the global banking system.
...

"To test just how easily crypto can slip between the cracks of banking controls, I found a crypto A.T.M. in Weehawken, N.J., to convert cash into stablecoins.

"Soon after I fed two $20 bills into the machine, I received a notification on my phone that crypto had arrived in my digital wallet. A Telegram bot then guided me through the next step: using the stablecoins to generate a Visa payment card number with a balance that I could spend anywhere.

"A payment card functions very much like a debit card, though it is not tied to any of my bank accounts. In this case, the card I was issued did not require me to provide an address or identity check of any kind — in effect creating a degree of anonymity for my spending. 

...

"Tether, which has over $180 billion worth of stablecoins in circulation, is based in El Salvador and would not be covered by the new rules. The company holds more than $112 billion in U.S. Treasuries, and any law enforcement action against Tether could potentially risk destabilizing important financial markets.

"The picture is further complicated by political and financial ties surrounding Tether. The company has close connections to the family of Commerce Secretary Howard Lutnick, who is responsible for restricting exports of sensitive U.S. technology — restrictions that people can try to sidestep by making transactions with stablecoins like Tether. 

"One of Mr. Lutnick’s sons, Brandon, is the chairman of Cantor Fitzgerald, which provides services to Tether, placing the family in a position where the company behind the world’s largest offshore dollar token intersects with a key federal enforcement role. Another son, Kyle, is executive vice chairman of the firm.

"Cantor Fitzgerald and the Commerce Department declined to comment." 

The former governor of Indiana is pleasantly surprised by Harvard

 Eric Holcomb taught a seminar at Harvard after stepping down as governor of Indiana.  He reports that he expected to find a woke hell, but instead found a thriving university.  He attributes that in part to President Trump's war on American universities in general and on Harvard in particular.

I was a red state governor. What I saw at Harvard surprised me.
The spirit of association remains alive in unexpected places.   By Eric Holcomb
Eric Holcomb, a Republican, was the governor of Indiana from 2017 to 2025.

"In January, I completed two terms as governor of Indiana. This fall, I did what all red state Republicans do (right?): spent a semester teaching at Harvard University. As someone who believes that restoring our communities is among America’s greatest challenges, my goal was to see if the foundation of an open-minded, problem-solving community still existed in a place far removed from my own cultural comfort zone. It does.

...

"I found a community that didn’t always agree but could still talk with each other and work together toward the greater good, which in Harvard’s case includes education, discovery and the development of ideas and technologies.

...

"What I’ve experienced may be a natural return to Harvard’s more moderate bearings, following noisy displays of intolerance by campus agitators in recent years. Or it may be due to the Trump administration’s forceful executive orders and fiscal pressure. Either way (and it’s probably both), let’s take the win and learn the broader lesson." 

Kate Ho (1972-2025)

 Kate Ho has passed away, tragically early.  I met her when she was a grad student at Harvard, who worked with Ariel Pakes.

Here's the Econometric Society announcement:

In Memoriam: Kate Ho 

"We are deeply saddened by the passing of Kate Ho, the John L. Weinberg Professor of Economics and Business Policy at Princeton University and a Fellow of the Econometric Society. Kate was a brilliant IO economist and scholar whose impact on the profession will resonate for many years to come.

Among her numerous achievements, Kate delivered the 2021 Fisher-Schultz Lecture of the Econometric Society and received the 2020 Frisch Medal for the best applied paper published in Econometrica over the previous four years, recognizing her pathbreaking work on contracting and insurer competition in health care markets. She served as Co-Editor of Econometrica from 2021 to 2025, contributing with extraordinary dedication and insight. She was also an elected member of the Council of the Econometric Society from 2021 to 2024 and served on many other Society committees. Beyond her professional excellence, Kate was an exceptionally kind, thoughtful, and collaborative colleague. We will miss her deeply.

We extend our heartfelt condolences to Kate’s family, friends, colleagues, and all who were fortunate enough to know her."