Organ transplantation in Iran

Robert Gutman draws my attention to this article from the English language Iranian Financial Tribune:  Sunday, April 23, 2017 Strides in Organ Transplant

I'm not sure where the claim in the first sentence of 50,000 organ transplant "surgeries" comes from, but the rest of the article (which seems to talk about a total closer to 5,000 transplants) is an interesting view of the situation in Iran.


"Over 50,000 organ transplant surgeries were conducted during the last fiscal year that ended on March 20.

Around 2,500 kidney, 802 liver, 119 heart, 30 pancreas and several intestine and lung as well as 1,040 bone marrow transplants were performed in Iran during the period, said Seyyed Mohammad Kazemeini, head of the Organ Transplant Management Office at the Health Ministry.

“This impressive number of transplant surgeries has helped save many lives as well as more than $1.8 billion in foreign exchange, as patients would otherwise have paid huge amounts for the medical help abroad. Some were even treated free,” the official was quoted as saying by ISNA.

However, he regretted that insurance companies still refuse to cover expenses of organ transplants despite a government directive last year.

“Insurance companies are not complying and the Health Ministry has to draw on its own resources to provide free services for some patients,” he said and hoped the ministry’s support would continue.

“During this year’s New Year holidays (March 21- April 2), 93 transplants were performed,” which shows the preparedness of the medical fraternity.

Iranian organ transplant teams are capable of providing assistance and training to neighboring countries, he said.

Last year a team of experts from Mashhad, capital of the northeastern Khorasan Razavi Province, carried out 47 renal transplants in Afghanistan, and medical teams from Shiraz, capital of the southwest Fars Province, conducted 20 operations in Pakistan and Tajikistan.

Shiraz University of Medical Sciences is known for its accomplishments in liver transplants and the hospitals under its coverage are among the top medical centers in the world with regard to the number of surgeries performed. On average, 500 liver transplants and 300 kidney surgeries are annually undertaken in Shiraz, which also has the distinction of performing the first kidney transplant in Iran in 1968 at the prestigious Namazi Hospital.

A specialized hospital is now planned to be established in Shiraz for organ transplants.

Iran ranks third worldwide in organ donation and is the only country in the world that has addressed the shortage of transplant organs through a legal payment system since 1988 when living non-related donation (LNRD) was legalized,  making it the only country where organ sale is legal.

There are currently 46 organ transplant centers in the country and 25 facilities for organ donation.

  Increase in Brain-Dead Organ Donation

According to Kazemeini, people’s tendency to donate organs of brain-dead patients in their families has increased significantly.

“Last year, 57% of transplant kidneys were donated by brain-dead patients,” he said.

In the past organ donation or sale by living people was predominant. The acceptance of organs of brain-dead patients has improved remarkably due to legal and religious decrees and widespread awareness campaigns on the issue.

Organ transplant is a medical procedure in which an organ is removed from one body and placed in the body of a recipient, to replace a damaged or missing organ.

Today, over 1.4 million people have voluntary organ donation cards in the country. On average, 700 organ donations (nine per million people) are made annually according to official statistics.

Organs that have been successfully transplanted include heart, kidney, liver, lung, pancreas, intestine, and thymus. Worldwide, kidneys are the most commonly transplanted organs, followed by liver and heart. Organ donors may be living, brain dead, or dead via circulatory death.

In the fiscal year that ended in March 2016, from among the 8,000 people confirmed as brain dead at Iranian hospitals, 1,400 kidneys (and 2,300 organs) were donated.

Kidney transplants account for nearly 75% of all organ replacement surgeries while liver and heart transplants comprise 22% and 3% of the total number. More than half of all transplanted kidneys (56%) were from brain-dead donors and 44% were from living people.

Kazemeini had earlier pointed to Iran’s top position in the field of kidney transplant in the Middle East. On average, 3,000 kidney transplants are conducted every year and Iranian surgeons have transplanted over 35,000 kidneys so far."

Medical marijuana is now legal in half the U.S.

The Washington Post points out that this will be hard to reverse, even though that may be the position of the Trump administration:  If Jeff Sessions wants to crack down on medical marijuana, he’ll have to battle more than half the country

The FCC Spectrum Incentive Auction: conference at Duke

Here's a chance to hear about one of the most exciting auctions of modern times...

The FCC Spectrum Incentive Auction: Lessons for the Future

Friday, May 12, 2017, 8:30 a.m. - 1:30 p.m.
Duke University's "Duke in DC" offices
1201 Pennsylvania Avenue, NW, Suite 500 | Washington, DC 20004

The FCC is concluding the most complex auction in history, the culmination of a decade-long planning process for moving spectrum from broadcast to mobile broadband uses. On the morning of May 12, The Center for Innovation Policy at Duke Law will hold a half-day conference that will identify lessons from this auction for spectrum policy, government disposition of assets (whether of spectrum or other resources), and the future of innovation policy generally. The conference will be at Duke in DC, 1201 Pennsylvania Ave., NW, Suite 500, Washington, DC. The program is free and open to the public; due to limited space, registration is required (see the link below).

Speakers include: Lawrence Ausubel, Univ. of Maryland, Power Auctions; Jonathan Chaplin, New Street Research; Paul de Sa, Quadra Partners; Gary Epstein, FCC; Karla Hoffman, George Mason Univ.; Allan Ingraham, Economists Inc.; Edward Lazarus, Tribune Media; Michael Ostrovsky, Stanford Graduate School of Business; Preston Padden, Boulder Thinking; Charla Rath, Verizon; Dorothy Robyn, former Commissioner at GSA; Gregory Rosston, Stanford Univ.; David Salant, Auction Technologies; Steve Sharkey, T-Mobile; and Ilya Segal, Stanford Univ.

PRELIMINARY AGENDA

8:30 AM	Introduction
8:35 AM	Auction Design
9:45 AM	Auction Implementation
11:15 AM	Auction Participation and Future Directions
12:30 PM	Adjourn

Market design at Harvard Business School

Here's the announcement of a new HBS course on market design:

Making Markets

Course Number 1764

Professor Thomas R. Eisenmann
Associate Professor Scott Duke Kominers
Spring; Q3Q4; 3 credits
24 sessions
Paper

Markets are everywhere - and where they’re not, you can build them!

Career Focus

Over the past twenty years, entrepreneurs have created and captured enormous value by launching new marketplaces. Examples include Airbnb, Alibaba, ClassPass, Craigslist, eBay, eHarmony, Etsy, Gerson Lehrman Group, Google, IEX Group, Lending Club, Kickstarter, OpenTable, Rakuten, Uber, Upwork, and many more.

Making Markets (M²) is intended for students who want to manage in marketplace environments and remedy market failures by building new platforms and marketplaces from scratch or by redesigning existing ones - or who want to advise or invest in entrepreneurs who pursue such opportunities.

Educational Objectives

Students will learn how to identify market failures and determine when those failures create opportunities to launch or redesign marketplaces.

First, we will explore how markets function and what makes them fail. Next, we will examine how effective marketplace design-or redesign-can address market failures and improve efficiency, liquidity, and fairness. Then, we will take the entrepreneur’s perspective, studying the key barriers to organizing new marketplaces and devising strategies for overcoming them. Along the way, we will pay special attention to settings in which marketplaces create more value for transaction partners than relying only on unmediated exchanges. As we will see, marketplace design can often “square the circle,” solving seemingly intractable problems simply by reducing transaction costs or barriers to entry.

Case contexts will range from ultra-local (e.g., the HBS EC course lottery) to truly global (e.g., container shipping); will examine private and public/social enterprise settings; will profile both online and offline marketplaces; and will span all stages of marketplace launch and development.

Course Content

Through case studies, simulations, and the occasional interactive lecture, M² will examine the design, launch, and management of marketplaces and marketplace platforms. Core lessons include:

• The Structure and Purposes of Markets: Markets create value by enabling parties to execute mutually beneficial transactions - exchanging goods, say, or sharing ideas. They are everywhere that transacting parties face incentives - from classic contexts like financial or product markets to dating, recruiting, and the sharing economy.
  Some markets are completely unstructured, but most are subject to at least some rules that shape participation. In this course, we will focus in particular on markets that are organized through marketplaces that combine rules for participation with infrastructure to facilitate interactions and transactions.
• Common Sources of Market Failure: In many markets, institutional frictions combine with incentives to produce suboptimal outcomes - socially wasteful transactions occur, or productive ones do not. When such market failures occur, entrepreneurial opportunities arise: reshaping the market to improve efficiency creates value that can be captured(!).
  To understand how to fix markets, however, we must first understand how and why market failures occur. The course will classify different types of market failures, and highlight entrepreneurial responses to each.
• Strategies for Launching and Managing Marketplaces: When launching a marketplace or other market intervention, it is essential to mobilize a critical mass of market participants so that there is enough liquidity for valuable transactions to occur. Once running, a marketplace must maintain balance between its supply and demand sides, or else participants may leave to transact elsewhere. Yet at the same time, marketplaces must avoid crowding that makes it hard for participants to find high-value transaction partners.
  The course will provide strategies for promoting participation and trust in marketplaces, especially early on. Then, we will learn techniques for growing marketplaces, and combating the problems that marketplaces face at scale, such as congestion, “unraveling” (e.g., when recruiters pressure candidates with early and exploding offers), and the risk of disintermediation.
• Types of Marketplace Mechanisms: Markets work in many different ways. Some compel participants to seek out their own transaction partners; others use centralized transaction discovery and execution systems like auctions and recommendation algorithms. The mechanisms that a marketplace uses to identify and process transactions can be the difference between success and failure.
  Choosing among marketplace mechanisms requires careful attention to market participants’ needs and transaction attributes. The course will provide guidelines for adopting mechanisms best suited for different market contexts.

School choice in Indianapolis: podcast of my talk at the Economic Club of Indianapolis

Here's a link to the broadcast of my talk on radio WYFI in Indianapolis, on markets, marketplaces, Who Gets What, and school choice with unified enrollment which is coming to Indianapolis next year.

Economic Club of Indiana / Dr. Alvin Roth

Match Up 2017: April 20-21 at Microsoft Research New England

MATCH-UP 2017, the fourth workshop in the series of interdisciplinary and international workshops on matching under preferences, will take place April 20-21, 2017.

Venue:Microsoft Research New England Cambridge, MA 02142

	DAY 1
8:00 A.M.	Breakfast
8.45 A.M.	Invited Talk 1 —Estelle Cantillon, Université libre de Bruxelles The efficiency – stability tradeoff in school choice: Lessons for market design Abstract: A well-known result for the school choice problem is that ex-post efficiency and stability may not be compatible. In the field, that trade-off is sometimes small, sometimes big.  This talk will summarize existing and new results on the drivers of this trade-off and derive the implications for the design of priorities and tie-breaking rules.
9.30 A.M.	Session 1
10.30 A.M.	Break
10.50 A.M.	Session 2
12.30 P.M.	Lunch
1:00 P.M.	Outlook Talk 1 – Al Roth, Stanford Frontiers of Kidney Exchange Abstract: Kidney exchange is different from many market design efforts I’ve been involved in, because it affects the everyday conduct of transplant centers, so we’re constantly adapting to their big strategy sets…(in contrast to e.g. annual labor markets or school choice which don’t affect the daily conduct of residency programs and schools …)The early design challenges in kidney exchange mostly involved dealing with congestion (and the solutions involved long chains, standard acquisition charges, and attempts to better elicit surgeons’ preferences over kidneys).The current challenges to kidney exchange involve creating more thickness in the markets, and I’ll touch on several new initiatives: 1. Frequent flier programs to encourage transplant centers to enroll more of their easy to match pairs; 2. Global kidney exchange; 3. Information deserts: populations of Americans who don’t get transplants; 4. Deceased donor initiated chains ; a. Increasing deceased donation: military share, priority in Israel
2:00 P.M.	Session 3
3.40 P.M.	Break
4:00 P.M.	Session 4
5:00 P.M.	Invited Talk 2 – Aaron Roth, UPENN Approximately Stable, School Optimal, and Student-Truthful Many-to-One Matchings (via Differential Privacy) Abstract: In this talk, we will walk through a case study of how techniques developed to design “stable” algorithms can be brought to bear to design asymptotically dominant strategy truthful mechanisms in large markets, without the need to make any assumptions about the structure of individual preferences. Specifically, we will consider the many-to-one matching problem, and see a mechanism for computing school optimal stable matchings, that makes truthful reporting an approximately dominant strategy for the student side of the market. The approximation parameter becomes perfect at a polynomial rate as the number of students grows large, and the analysis holds even for worst-case preferences for both students and schools. Joint work with: Sampath Kannan, Jamie Morgenstern, and Zhiwei Steven Wu.
5.45 P.M.	Break
6:00 P.M.	Poster Lightning Talks
6.30 P.M.	Reception and Poster Session
8:00 P.M.	END
	DAY 2
8:00 A.M.	Breakfast
8.45 A.M.	Invited Talk 3 — Michael Ostrovsky, Stanford Matching under preferences: beyond the two-sided case Abstract: I will present an overview of several recent papers showing that most of the key results of matching theory generalize naturally to a much richer setting: trading networks. These networks do not need to be two-sided, and agents do not have to be grouped into classes (“firms”, “workers”, and so on). What is essential for the generalization is that the bilateral contracts representing relationships in the network have a direction (e.g., one agent is the seller and the other is the buyer), and that agents’ preferences satisfy a suitably adapted substitutability notion. For this setting, for the cases of discrete and continuous sets of possible contracts, I will discuss the existence of stable outcomes, the lattice structure of the sets of stable outcomes, the relationship between various solution concepts (stability, core, competitive equilibrium, etc.), and other results familiar from the literature on two-sided markets.
9.30 A.M.	Session 5
10.30 A.M.	Break
10.50 A.M.	Session 6
12.30 P.M.	Lunch
1:00 P.M.	Lunch w/Outlook Talk 2 — David Manlove, University of Glasgow Selected Algorithmic Open Problems in Matching Under Preferences Abstract: The research community working on matching problems involving preferences has grown in recent years, but even so, plenty of interesting open problems still exist, many with large-scale practical applications.  In this talk I will outline some of these open problems that are of an algorithmic flavour, thus giving an outlook on some of the research challenges in matching under preferences that the computer science community might seek to tackle over the next decade.
2:00 P.M.	Session 7
	Making it Safe to Use Centralized Markets: Epsilon - Dominant Individual Rationality and Applications to Market Design Speakers: Ben Roth and Ran Shorrer Abstract: A critical, yet under-appreciated feature of market design is that centralized markets operate within a broader context; often market designers cannot force participants to join a centralized market. Well-designed centralized markets must induce participants to join voluntarily, in spite of pre-existing decentralized institutions they may already be using. We take the view that centralizing a market is akin to designing a mechanism to which people may voluntarily sign away their decision rights. We study the ways in which market designers can provide robust incentives that guarantee agents will participate in a centralized market. Our first result is negative and derives from adverse selection concerns. Near any game with at least one pure strategy equilibrium, we prove there is another game in which no mechanism can eliminate the equilibrium of the original game. In light of this result we offer a new desideratum for mechanism and market design, which we term epsilon-dominant individual rationality. After noting its robustness, we establish two positive results about centralizing large markets. The first offers a novel justification for stable matching mechanisms and an insight to guide their design to achieve epsilon-dominant individual rationality. Our second result demonstrates that in large games, any mechanism with the property that every player wants to use it conditional on sufficiently many others using it as well can be modified to satisfy epsilon-dominant individual rationality while preserving its behavior conditional on sufficient participation. The modification relies on a class of mechanisms we refer to as random threshold mechanisms and resembles insights from the differential privacy literature.
3.40 P.M.	Break
4:00 P.M.	Session 8
5.20 P.M.	Break
5.30 P.M.	Invited Talk 4 — Marek Pycia, UCLA Invariance and Matching Market Outcomes Abstract: The empirical studies of school choice provide evidence that standard measures of admission outcomes are the same for many Pareto efficient mechanisms that determine the market allocation based on ordinal rankings of individual outcomes. The paper shows that two factors drive this intriguing puzzle: market size and the invariance properties of the measures for which the regularity has been documented. In addition, the talk will explore the consequences of these findings: the usefulness of non-invariant outcome measures and of mechanisms that elicit preference intensities.
6.15 P.M.	Closing Remarks
6.30 P.M.	END