The data graphic on hate crimes below is from the NYT editorial (and dates back to 2023).
Antisemitism Is an Urgent Problem. Too Many People Are Making Excuses.
June 14, 2025
I post market design related news and items about repugnant markets. See my Stanford profile. I have a forthcoming book : Moral Economics The subtitle is "From Prostitution to Organ Sales, What Controversial Transactions Reveal About How Markets Work."
The data graphic on hate crimes below is from the NYT editorial (and dates back to 2023).
Antisemitism Is an Urgent Problem. Too Many People Are Making Excuses.
June 14, 2025
Israel leads the world in per capita living kidney donation. A good part of that comes from the work of Matnat Chaim (gift of life), an organization of religious Jews, who donate kidneys to people they don't know. They are "semi-directed" rather than non-directed donors, in that the organization allows them to indicate some criteria they would like their recipients to have. Sometimes they want their recipients to be fellow Jews, and this has generated some controversy in Israel.
Below is a study of this phenomenon, and in an accompanying editorial, a criticism of it.
Nesher, Eviatar, Rachel Michowiz, and Hagai Boas. "Semidirected Living Donors in Israel: Sociodemographic Profile, Religiosity, and Social Tolerance." American Journal of Transplantation (in press).
Danovitch, Gabriel. "Living organ donation in polarized societies." American Journal of Transplantation, (Editorial, in press).
"Nesher et al are to be congratulated for reporting on a unique, effective, yet ethically problematic manifestation of living kidney donation in Israel. To summarize, living kidney donation has become “de riguer,” a “mitzvah” (a religiously motivated good deed) among a population of mainly orthodox Jewish men living in religiously homogenous settlements. According to the authors, the donors view themselves as donating altruistically within a larger family. The donations, over 1300 of them, 60% of all living donations in the country, have changed the face of Israeli transplantation, reduced the waiting time for all transplant candidates on the deceased donor waiting list,2 and minimized the temptation of Israeli transplant candidates to engage in “transplant tourism,” a phenomenon that was an unfortunate feature of Israeli transplantation before the passage of the Israeli Transplant Act of 2008 that criminalized organ trading.3
So, what’s the problem? Matnat Chaim (“life-giving”), the organization that facilitates the donations, permits the donors to pick and choose among a list of potential recipients using criteria that according to its own website,4 and as Nesher et al note,1 are not transparent. ... frequently the donors elect to donate to other Jews. ... " Israel is a country with an 80% Jewish majority; a decision to only donate to other Jews, thereby excluding non-Jews, is a practice that, were it reversed in a Jewish minority country, would likely be labeled antisemitic. Concern that the process encourages racist and nationalistic ideation has been raised in the past6 and only emphasized by the public pronouncement of some media-savvy kidney donors.7
"What lessons does the Israeli experience hold for the US and other countries, faced as all are, with a shortage of organs for transplant? Conditional living donation exists to a limited extent in the US: DOVE is an organization that works to direct living kidney donation to US army veterans9; Renewal is an organization that encourages and facilitates living donation from Jews to other Jews but also to non-Jews10; in the 1990s an organization called “Jesus Christians” made organ donation one of its precepts.11 But in each of these cases, it is a minority group whose interests are being promoted.
...
"What now for Matnat Chaim? Given its prominent impact on Israeli transplantation, its allocation policies must be transparent and subject to public comment. Criteria must be medical in nature and religious or political considerations excluded. Fears that as a result living kidney donation rates will plummet are likely exaggerated. "
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I can't help reading this discussion while being very aware that Dr. Danovitch is an ardent opponent of compensating kidney donors, for fear that inappropriate transplants would take place if that were allowed. In much of that discussion, inappropriateness of transplants focuses on possible harm to the (paid) donors, but the donors in the Israeli case are unpaid. Here his concern is that donor autonomy about to whom to give a kidney comes at the expense of physician autonomy in choosing who should receive a transplant, by "medical" criteria. But frequently those criteria have a big component based on waiting time, rather than any special medical considerations. So maybe in general he thinks that privileging the physician's role in this way is worth having fewer organs and consequently more deaths.
Still, I think he has a point about how we perceive what is repugnant. Having minority donors donate to fellow minority recipients seems much less repugnant than having majority donors specify that they aren't interested in donating to minority recipients.
But, speaking of donor autonomy, I'm not sure that there are practical ways around it, since semi-directed donors could always present as fully directed donors to a particular person that some organization had helped them find. So, we may just have to live with the increase in donations and lives saved that donor autonomy can support.
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Earlier posts:
" A new organization, Kidneys for Communities, plans to advocate for living kidney donation by seeking donors who identify with a particular community. Their come-on is "Put your kidney where your heart is. Share your spare with someone in your community"
Recently a three way kidney exchange was performed in Israel. This would have been unremarkable under most circumstances: Israel has an active kidney exchange system. But it caused a strong reaction in the Israeli press, because one of the donors, a well-known rightwing activist who wanted to donate a kidney so that his brother could receive one, announced that he wanted his kidney to go only to a Jew.
Here's the Ynet story (you can click to render it in English):
kidney in a transplant marathon: "The condition was - only for a Jew
Here's the Times of Israel (already in English):
Right-wing journalist causes stir by announcing his kidney would go only to a Jew
There were many more, but you get the idea. Some of the stories point out that the Israeli National Transplantation Center uses an algorithm* that doesn't see the religion of the recipient, so it's not clear that this was a declaration with consequences. It was meant to provoke, and it did.
But it's a complicated issue. In the U.S. (and in Israel), donations can be made to a specific individual, but not to a class of individuals. With living donation, it means that the donor can choose a specific person to donate to, and it isn't an issue how they choose: no one has to donate an organ to anyone, and every donation saves a life (and maybe more than one, particularly since living donation reduces competition for scarce deceased-donor kidneys). So if this donor had been able to donate to his brother, no one would have thought twice that he was glad to be donating to a fellow Jew. What made his announcement provocative was that his kidney wasn't going to his brother: his brother was getting a kidney from an anonymous other donor. [Update clarification/correction: this donation was apparently an undirected (except for the 'only' condition) altruistic donation, not part of an exchange involving the donor's brother.]
Among the people I corresponded with about this is Martha Gershun, a kidney donor who thinks and writes clearly, and has given me permission to quote some of what she said.
"I’m wondering if we find the presentation of the story troubling: “Right-wing journalist and Temple Mount activist causes stir by announcing his kidney would go only to a Jew.” We would react badly to a story that said: “Right-wing Trump supporter says he will only give his kidney to a white man.”
"What if instead the stories were: “Observant Jewish father of 8 wants to donate to a fellow Jew” and “Rural man from West Virginia seeks to help another in his community”? Would we find those stories more acceptable?"
Part of the feeling that this is a bit complicated has to do with the fact that we don't (and maybe shouldn't) look gift horses in the mouth, i.e. we don't and maybe shouldn't delve deeply into the motivation of altruistic acts that do a lot of good. We should applaud good deeds even if they aren't performed by saints. (I blogged yesterday, about paying it forward, an umbrella term for doing good deeds in a spirit of gratitude for having ourselves benefited from past good deeds performed by others. We generally don't find it necessary to condition our approval on precisely who receives the forward-paid gifts.)
So, while I'm not sorry to see that this statement by a kidney donor is a much discussed provocation, I'm inclined to think that a good deed remains a mitzvah even if not performed by a tzadik, as we might have said in our New York English when I was growing up.
I'll give the last word to a Haaretz op-ed, also in English:
Is It Kosher to Donate Kidneys Only to Other Jews? A well-known religious journalist in Israel declared the " -only" donation of his kidney. His act is imperfect, but not immoral by Robby Berman
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*On the algorithm used in Israel and elsewhere, see e.g.
History doesn't exactly repeat itself, but it rhymes. (Mark Twain apparently missed the opportunity often attributed to him of saying that.) Here's a story about the history of ethnic quotas for Jews, as it played out in medicine in the 20th Century. (And at the bottom, some old jokes about coping with it...)
The History of Discriminatory Jewish Quotas in American Medical Education and Orthopaedic Training, by Solasz, Sara J. BA1; Zuckerman, Joseph D. MD1; Egol, Kenneth A. MD1,a, The Journal of Bone and Joint Surgery 105(4):p 325-329, February 15, 2023. | DOI: 10.2106/JBJS.22.00466
"By the early 1920s, formal quota systems were put in place to limit the number of Jewish applicants admitted to many American medical schools. This quota was partly a result of the second wave of Jewish immigration and the subsequent rise in antisemitism in the country. As a sign of the growing antisemitism in America, in 1920, Henry Ford published a weekly series called “The International Jew: The World’s Problem” on the front page of his newspaper, The Dearborn Independent. In this series, which continued for years, Ford fueled antisemitism both at home and abroad. The effect at the time was enormous: the feeling was that if an American icon as rich and powerful as Ford could hold this conviction so strongly, then it must be credible5,6. In addition to the effect on medical school admissions, measures were taken to deny Jewish people access to social institutions, neighborhoods, swimming pools and beaches, and employment.
...
"Harvard was known to have quotas restricting the number of Jewish students admitted to the college under the leadership of Lowell. In a letter to a philosophy professor, Lowell wrote that admitting Jewish students would ruin Harvard, “not because Jews of bad character have come; but the result follows from the coming in large numbers of Jews of any kind, save those few who mingle readily with the rest of the undergraduate body.”8
"It is within this social and political climate that the Jewish quota system appeared in medical schools throughout the U.S. Although medical school officials have always denied the existence of Jewish quotas, records from schools across the country reveal a systematic and intentional anti-Jewish prejudice. The medical historian Henry Sigerist wrote that Jewish students were subject to a “tacit, but nevertheless highly effective, quota system and in most schools the number of Jewish students rarely exceeds 10 per cent.”9 Many mainstream thinkers in higher education argued for further reductions in the acceptance rate for Jewish students, advocating for discrimination against Jews under the guise of keeping the “national ratio correct,” which would bring down the number of accepted students to represent only 3% to 4% of the total class.
...
"The most significant decrease in the number of admitted students occurred at Columbia University, which asked for the applicant’s religion, parents’ birthplaces, racial origin, and mother’s maiden name11. At the Columbia College of Physicians and Surgeons, the rate of enrollment of Jewish students between 1920 and 1940 dropped from 47% to 6%; during the same period, the rate dropped from 40% to 5% at Cornell University Medical College3. Throughout the Northeast, where the concentration of Jewish applicants was the highest, quotas appeared at schools such as Harvard Medical School, Yale School of Medicine, and the Woman’s Medical College of Pennsylvania3.
...
Facing this widespread sentiment, Jewish students hoping to gain admission to medical school were forced to take action—with some even changing their last names to avoid discrimination. Medical schools identified “Jewish names” on applications, especially when the applicants were from areas with large Jewish populations, to indirectly discriminate against Jewish students. Soon, schools expanded applications to require completion of a “change of name” section. *
...
"Prior to the establishment of the current U.S. residency “match” system, each residency position was sought individually with an application and interview and was typically followed by a near-immediate offer of a position. This system certainly provided a biased and unfair method for filling training programs.
...
"In New York State, the Education Practices Act (1948) set a precedent for other states to pass legislation to eliminate discriminatory admissions practices. As the wave of antisemitism began to fade and the need for physicians grew, medical schools and graduate medical education programs started to remove the quota systems, which came to a complete end in the 1970s."
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*Black humor was common in my dad's generation, including jokes about name changing (sometimes told in Yiddish). Here are two, approximately remembered.
1. Shmuel and Moshe, friends from Odessa, meet in New York after both have immigrated to America. Moshe spots him from a distance and rushes over, calling out "Shmuel!" They embrace, and Shmuel says, "I'm called Sam now, in America. How about you?"
Moshe says "my American name is Sean Ferguson." Sam is astonished, and asks "how come?" "Well," says Moshe/Sean, I had picked out a good American name, but I was so nervous when I got to Ellis Island that I couldn't remember it. So when the immigration officer asked me my name, all I could think of to say was "I've already forgotten/ ikh hab shoyn fargesn, which is what he wrote down." (איך האב שוין פארגעסן)
2. A few years later, Sean Ferguson goes to court to change his name again, to John McMillan. The judge asks him why he wants to do that. He says "When I apply for positions, people ask what my name used to be..."
In the U.S. we certainly have a complicated history around both race and alcohol, but in Australia there may be even more complications, as a recent (limited) ban on alcohol and aborigines is reinstated.
The NY Times has the story
Authorities Reinstate Alcohol Ban for Aboriginal Australians. The reaction to a rise in crime has renewed hard questions about race and control, and about the open wounds of discrimination. By Yan Zhuang
"Mr. Shaw lives in what the government has deemed a “prescribed area,” an Aboriginal town camp where from 2007 until last year it was illegal to possess alcohol, part of a set of extraordinary raced-based interventions into the lives of Indigenous Australians.
"Last July, the Northern Territory let the alcohol ban expire for hundreds of Aboriginal communities, calling it racist. But little had been done in the intervening years to address the communities’ severe underlying disadvantage. Once alcohol flowed again, there was an explosion of crime in Alice Springs widely attributed to Aboriginal people. Local and federal politicians reinstated the ban late last month.
...
"For those who believe that the country’s largely white leadership should not dictate the decisions of Aboriginal people, the alcohol ban’s return replicates the effects of colonialism and disempowers communities. Others argue that the benefits, like reducing domestic violence and other harms to the most vulnerable, can outweigh the discriminatory effects.
...
"According to the Northern Territory police, commercial breaks-ins, property damage, assaults related to domestic violence and alcohol-related assaults all rose by about or by more than 50 percent from 2021 to 2022. Australia does not break down crime data by race, but politicians and Aboriginal groups themselves have attributed the increase largely to Indigenous people.
"This was a preventable situation,” said Donna Ah Chee, the chief executive of one of these organizations, the Central Australian Aboriginal Congress. “It was Aboriginal women, families and children that were actually paying the price,” she added.
"The organization was among those that called for a resumption of the ban as an immediate step while long-term solutions were developed to address the underlying drivers of destructive drinking. Ms. Ah Chee said she considered the policy to be “positive discrimination” in protecting those most vulnerable."
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Of course bans in one jurisdiction can have spillovers into others. Here's a story from the Australian Broadcasting Corporation:
Katherine reports rise in transient visitors since return of Alice Springs alcohol restrictions By Matt Garrick and Max Rowley
"An outback town struggling with crime and homelessness is seeing an influx of transient visitors, which some believe is a direct impact of new alcohol restrictions in Alice Springs."
When religion and non-discrimination contest with each other in court, the decisions sometimes rely on the details of the case:
The WSJ has the story:
"The Supreme Court unanimously ruled Thursday that a Catholic social-service agency was entitled to a Philadelphia contract even if its religious views prevented it from compliance with local policies forbidding discrimination against same-sex couples.
"The court’s decision, by Chief Justice John Roberts, was a narrow one, stopping short of fundamentally extending the accommodations for religious exercise that Catholic Social Services—and several conservative justices in concurring opinions—argued the Constitution required.
"The city of Philadelphia contracts with private agencies to screen foster parents for children in need. While a broad nondiscrimination policy is written into its contracts, Chief Justice Roberts observed that the agreements also authorize the city’s human-services department to grant exceptions.
"Catholic Social Services, which for decades has received city contracts, was entitled to such an exception, the chief justice wrote, because the city can grant them for secular reasons. The city’s interest in equal treatment for same-sex couples—and in caring for children in need—wasn’t impaired, the court found, because some 20 other agencies with foster-service contracts are available to work with married LGBT foster parents."