KIDNEY EXCHANGE AND THE ETHICS OF GIVING by Philippe van Basshuysen

 Philippe van Basshuysen considers various forms of kidney exchange, including non-directed (altruistic) donor chains, but not global kidney exchange (GKE), which he defers for future consideration. His work is motivated by the effective ban on kidney exchange in Germany, and, he writes, in " Bulgaria, Estonia, Finland and Hungary, among others." He also notes that non-directed donors are excluded in " Belgium, France, Greece, Poland and Switzerland..."

KIDNEY EXCHANGE AND THE ETHICS OF GIVING
Philippe van Basshuysen,  December 2019
Forthcoming in Journal of Ethics and Social Philosophy

"The arguments given here are not wedded to a specific moral theory. They will appeal to effective altruists, but because of their weak, conditional premises, many people who are not committed effective altruists will welcome them as well. They are also consistent with conservative views on donor protection and allocative justice concerning patients on waiting lists. I hope that these arguments will lead to a clarification of the debates about the ethics underlying KE programmes, particularly in countries that have hitherto banned these programmes."

Controversial markets, at Humboldt University

This evening I'll be speaking at Humboldt University:

BSE Lecture on "Controversial markets" by Nobel Laureate Alvin E. Roth

Wann: 07.11.2019 von 14:30 bis 15:45 

Wo: Humboldt-Universität zu Berlin, Dorotheenstraße 24, 10117 Berlin, Fritz-Reuter-Saal, 3rd floor

Abstract:Markets need social support to work well. So do bans on markets, since without sufficient social support, bans can be ineffective and can sometimes lead to active black markets.  I’ll describe some examples of how these tensions have played out differently in different places, for example,  for markets for surrogacy, prostitution, and drugs. A particular example will be the almost (but not quite) universal ban on monetary markets for kidneys, and how this has influenced the treatment of kidney disease and the organization of kidney transplantation around the world, including the development of kidney exchange, which is growing worldwide, but is effectively banned in Germany by current German transplant law.

"If you want to attend the lecture, please register by giving the subject "Registration BSE Lecture Alvin Roth" as well as your name and your institution via email to veranstaltungen@hu-berlin.de.

"After the lecture, at 16:00, up to 25 students (Master's and PhD) as well as Postdocs will have the opportunity to attend a round-table discussion with Alvin Roth in which he will address your questions. This round-table discussion will be held at room 2070a at HU's main building (Unter den Linden 6, 10117 Berlin)."
************

Tonight I'll also speak at an event organized by the Einstein Institute, concerning how changes in the current German transplant law could make kidney exchange practical in Germany.

A step towards kidney exchange in Germany

 Here's an announcement of the German Medical Association's endorsement of kidney exchange, in the Deutsches Ärzteblatt.

Ärztetag spricht sich für Cross-over-Lebend­spende aus Mittwoch, 3. November 2021

Google translate: Doctors' day advocates cross-over living donation

"Berlin - The 125th German Medical Association (DÄT) has spoken out in favor of expanding the number of living organ donors. From the point of view of the medical parliament, a cross-over living donation - as it is already allowed in other countries - should also be made possible in Germany in the future.

"New legal regulations are required for this. Specifically, paragraph 8, approach 1 of the Transplantation Act (TPG) would have to be expanded, a donor-recipient pair can agree with a suitable second pair that two living organ donations are carried out crosswise (i.e. donor A / recipient B and vice versa).

"Living organ donation must be reorganized and rethought based on the current state of science," said Günther Matheis, President of the Rhineland-Palatinate Medical Association ( LÄKRLP ), at yesterday's debate.

T"he TPG currently limits the donor-recipient group for living organ donation to first- or second-degree relatives, spouses, fiancés or other persons who are obviously particularly close to the donor. The DÄT believes that a similar fate can bind people who have not been known to one another just as closely as people who are close to one another.

"In view of over 9,000 patients on the waiting lists who are urgently waiting for a life-sustaining transplant and the still far too low number of available donor organs, possible changes to the regulations on living organ donation have long been discussed in Germany."

HT: Axel Ockenfels

Earlier posts: https://marketdesigner.blogspot.com/search?q=Germany+AND+kidney&max-results=20&by-date=true

Kidney sales and trafficking

There have been a number of recent stories about criminal organ-trafficking rings around the world.  Here's a long quote from the one that seems most credible, from Bloomberg (in which Frank Delmonico is among those quoted), followed by links to two related stories.

Organ Gangs Force Poor to Sell Kidneys for Desperate Israelis
"Aliaksei Yafimau shudders at the memory of the burly thug who threatened to kill his relatives. Yafimau, who installs satellite television systems in Babrujsk, Belarus, answered an advertisement in 2010 offering easy money to anyone willing to sell a kidney.

He saw it as a step toward getting out of poverty. Instead, Yafimau, 30, was thrust into a dark journey around the globe that had him, at one point, locked in a hotel room for a month in Quito, Ecuador, waiting for surgeons to cut out an organ, Bloomberg Markets magazine reports in its December issue.

...

"Organ trafficking is on the rise, as desperate people seek transplants in a world that doesn’t have enough donors. About 5,000 people sell organs on the black market each year, according to Francis Delmonico, an adviser on transplants to the World Health Organization.

It’s against the law to buy or sell an organ in every country except Iran, says Delmonico, who is president-elect of the Montreal-basedTransplantation Society, which lobbies governments to crack down on illicit procedures.

‘Exploit Shortages’

“There have been successes fighting organ trafficking around the world,” Delmonico says. “But organ trafficking continues to flourish because criminals exploit shortages of organ donors.”

Bloomberg Markets reported in June that U.S. citizens and others from the Americas suffering from kidney failure were going to Nicaragua and Peru to buy organs in a shadowy trade that injured and killed donors and recipients.

That U.S.-Latin American connection is dwarfed by a network of organ-trafficking organizations whose reach extends from former Soviet Republics such as Azerbaijan, Belarus and Moldova to Brazil, the Philippines, South Africa and beyond, a Bloomberg Markets investigation shows.

Many of the black-market kidneys harvested by these gangs are destined for people who live in Israel.

...

"Delmonico, a professor of surgery at Harvard Medical School, has spent the past six years lobbying governments and doctors around the world to combat organ trafficking. He says Israel’s government is cracking down.

The Knesset, Israel’s legislative body, passed the Organ Transplant Law in 2008, setting penalties, including imprisonment of up to three years, for buying and selling organs and requiring hospitals to scrutinize transplants by nonrelatives and foreigners.

Breaking up Gangs

In an effort to draw more legal organ donors, the law also offers volunteers compensation for lost wages and travel expense and provides them with additional health insurance. Israeli police have been among the most aggressive in the world against organ traffickers, breaking up three international gangs since 2008.

The government has also banned insurers from funding most transplants outside Israel.

The dearth of available organs in Israel has spawned a new class of criminals, mainly immigrants from the former Soviet Union, says Jerusalem Police Superintendent Gilad Bahat.

Investigators on five continents say they have uncovered intertwining criminal rings run by Israelis and eastern Europeans that move people across borders -- sometimes against their will -- to sell a kidney.

“The criminal here is the middleman who profits from the sick and the poor,” says Bahat, who investigated an organ- trafficking ring in Jerusalem. “It touches my heart that people will sell part of their body because they need money to live.”

...

"The Brazilian case is still wending its way through international courts. In November 2010 in Durban, Netcare Ltd. (NTC) -- South Africa’s largest hospital company -- pleaded guilty to violating the Human Tissue Act, which prohibits buying and selling organs.

Netcare paid 7.8 million rand ($848,464) in fines and penalties. It admitted to allowing 92 transplants in which donors from Brazil, Israel and Romania sold kidneys to Israeli patients. Four doctors are awaiting trial on trafficking charges.

In Brazil, 12 people connected to the Netcare case were convicted and jailed, with sentences from 15 months to 11 years.

In Kosovo, Ratel, who has dual citizenship in Canada and Great Britain and was appointed by the European Union to help restore the country’s criminal justice system, is overseeing a pivotal organ-trafficking case. It includes participants and victims from Belarus, Moldova, Turkey and four other countries.

Center for Trafficking

The EU has administered the courts in Kosovo since 2008, the year the country the size ofConnecticut declared independence from Serbia after a civil war. Ratel, who arrived in March 2010 as part of the European Union Rule of Law Mission in Kosovo, says the country has become a center for organ trafficking.

Ratel built a case against nine doctors, hospital administrators and recruiters on charges of buying and selling kidneys for patients in Georgia, Germany, Israel, Poland and Ukraine, as well as Canada and the United States.

...

"“This is organized crime,” Ratel says. “There is significant coercion and threats of violence.”

Organ traffickers search the world for hospitals willing to perform illicit transplants. Sometimes, sellers are flown to cities just to wait for procedures, and then traffickers move them to other parts of the globe when they find a recipient and a hospital willing to cooperate.

While the illegal organ trade may be run by seasoned criminals, it depends on the complicity of doctors and hospitals, says Oleg Liashko, a member of Ukraine’s parliament.

“I doubt this could happen without the hospital and doctors knowing about it,” says Liashko, who has investigated organ trafficking and is calling for more-severe criminal penalties in organ transplant laws. “They either know or look the other way because of the money involved. This is corruption, pure and simple.”

********

Here's a story that follows up on the U.S. side: Kidney Broker Said to Use Johns Hopkins in Organ-Traffic Case
********

And here's a graphic (but probably less credible) story from Egypt: Refugees face organ theft in the Sinai

The EU proposes strengthening bans on compensating donors of Substances of Human Origin (SoHOs)--op-ed in VoxEU by Ockenfels and Roth

 The EU has proposed a strengthening of European prohibitions against compensating donors of "substances of human origin" (SoHOs).  Here's an op-ed in VoxEU considering how that might effect their supply.

Consequences of unpaid blood plasma donations, by Axel Ockenfels and  Alvin Roth / 4 Nov 2023

"The European Commission is considering new ways to regulate the ‘substances of human origin’ – including blood, plasma, and cells – used in medical procedures from transfusions and transplants to assisted reproduction. This column argues that such legislation jeopardises the interests of both donors and recipients. While sympathetic to the intentions behind the proposals – which aim to ensure that donations are voluntary and to protect financially disadvantaged donors – the authors believe such rules overlook the effects on donors, on the supply of such substances, and on the health of those who need them.

"Largely unnoticed by the general public, the European Commission and the European Parliament’s Health Committee have been drafting new rules to regulate the use of ‘substances of human origin’ (SoHO), such as blood, plasma, and cells (Iraola 2023, European Parliament 2023). These substances are used in life-saving medical procedures ranging from transfusions and transplants to assisted reproduction. Central to this legislative initiative is the proposal to ban financial incentives for donors and to limit compensation to covering the actual costs incurred during the donation process. The goal is to ensure that donations are voluntary and altruistic. The initiative aims to protect the financially disadvantaged from undue pressure and prevent potential misrepresentation of medical histories due to financial incentives. While the intention is noble, the proposal warrants critical analysis as it may overlook the detrimental effects on donors themselves, on the overall supply of SoHOs, and consequently on the health, wellbeing, and even the lives of those who need them. We illustrate this in the context of blood plasma donation.

"Over half a century ago, Richard Titmuss (1971) conjectured that financial incentives to donate blood could compromise the safety and overall supply. This made sense in the 1970s, when tests for pathogens in the blood supply were not yet developed. But Titmuss’ conjecture permeated policy guidelines worldwide, despite mounting evidence to the contrary. Although more evidence is needed, a review published by Science (Lacetera et al. 2013; see also Macis and Lacetera 2008, Bowles 2016), which looked at the evidence available more than 40 years after Titmuss’ conjecture, concluded that the statistically sound, field-based evidence from large, representative samples is largely inconsistent with his predictions.

"Getting the facts right is important because, at least where blood plasma is concerned, the volunteer system has failed to meet demand (Slonim et al. 2014). There is a severe and growing global shortage of blood plasma. While many countries are unwilling to pay donors at home, they are willing to pay for blood plasma obtained from donors abroad. The US, which allows payment to plasma donors, is responsible for 70% of the world’s plasma supply and is also a major supplier to the EU, which must import about 40% of its total plasma needs. Together with other countries that allow some form of payment for plasma donations – including EU member states Germany, Austria, Hungary, and the Czech Republic – they account for nearly 90% of the total supply (Jaworski 2020, 2023). Based on what we know from controlled studies and from experiences with previous policy changes, a ban on paid donation in the EU will reduce the amount of plasma supplied from EU members, prompting further attempts to circumvent the regulation by importing even more plasma from countries where payment is legal. At the same time, a ban will contribute to the global shortage of plasma, further driving up the price and making it increasingly unaffordable for low-income countries (Asamoah-Akuoko et al. 2023). In the 1970s, it may have been reasonable to worry that encouraging paid donation would lead to a flow of blood plasma from poor nations to rich ones. That is not what we are in fact seeing. Instead, plasma supplies from the US and Europe save lives around the world.

"In other areas, society generally recognises the need for fair compensation for services provided, especially when they involve discomfort or risk. After all, it is no fun having someone stick a needle in your arm to extract blood. This consensus cuts across a range of services and professions – including nursing, firefighting, and mining – occupations, most people would agree, that should be well rewarded for the risk involved and value to society. To rely solely on altruism in such areas would be exploitative and would eventually lead to a collapse in provision. Indeed, to protect individuals from exploitation, labour laws around the world have introduced minimum compensation requirements rather than caps on earnings. In addition, payment bans on donors, even if they’re intended to protect against undue inducements, raise concerns about price-fixing to the benefit of non-donors in the blood plasma market. In a related case, limits on payment to egg donors have been successfully challenged in US courts. 1

"In addition, policy decisions affecting vital supplies such as blood plasma should be based on a broad discourse that includes diverse perspectives and motivations. Ethical judgements often differ, both among experts and between professionals and the general public, so communication is essential (e.g. Roth and Wang 2020, Ambuehl and Ockenfels 2017). Payment for blood plasma donations is an example. We (the authors of this article) are from the US and Germany, countries that currently allow payment for blood plasma donations while most other countries prohibit payment. On the other hand, prostitution is legal in Germany but surrogacy is not, while the opposite is true in most of the US. And while Germany currently prohibits kidney exchange on ethical grounds, other countries – including the US, the UK, and the Netherlands – operate some of the largest kidney exchanges in the world and promote kidney exchange on ethical grounds.

"The general public does not always share the sentiments that health professionals find important (e.g. Lacetera et al. 2016). This tendency is probably not due to professionals being less cognitively biased. In all areas where the question has been studied, experts such as financial advisers, CEOs, elected politicians, economists, philosophers, and doctors are just as susceptible to cognitive bias as ordinary citizens (e.g. Ambuehl et al. 2021, 2023). Recognising the similarities and differences between professional and popular judgements, and how ethical judgements are affected by geography, time, and context, allows for a more constructive and effective search for the best policy options.

"In our view, the dangers of undersupply of critical medical substances, of inequitable compensation (particularly for financially disadvantaged donors), and of circumvention of regulation by sourcing these substances from other countries (where the EU has no influence on the rules for monitoring compensation to protect donors from harm) are at least as significant as those arising from overpayment. Carefully designed transactional mechanisms may also help to respect ethical boundaries while ensuring adequate supply. Advances in medical and communication technologies, such as viral detection tests, can effectively monitor blood quality and ensure the safety and integrity of the entire donation process – including the deferral of high-risk donors and those for whom donating is a risk to their health – without prohibiting payment to donors. Even if it is ultimately decided that payments should be banned, there are innovations in the rules governing blood donation that have been proposed, implemented, and tested that would improve the balance between blood supply and demand within the constraints of volunteerism; non-price signals, for instance, can work within current social and ethical constraints.

"As the EU deliberates on this legislation, it is imperative to adopt a balanced, empirically sound, and research-backed approach that considers multiple effects and promotes policies to safeguard the interests of both donors and recipients.

References

Asamoah-Akuoko, L et al. (2023), “The status of blood supply in sub-Saharan Africa: barriers and health impact”, The Lancet 402(10398): 274–76.

Ambuehl, S and A Ockenfels (2017), “The ethics of incentivizing the uninformed: A vignette study”, American Economic Review Papers & Proceedings 107(5), 91–95.

Ambuehl, S, A Ockenfels and A E Roth (2020), “Payment in challenge studies from an economics perspective”, Journal of Medical Ethics 46(12): 831–32.

Ambuehl, S, S Blesse, P Doerrenberg, C Feldhaus and A Ockenfels (2023), “Politicians’ social welfare criteria: An experiment with German legislators”, University of Cologne, working paper.

Ambuehl, S, D Bernheim and A Ockenfels (2021), “What motivates paternalism? An experimental study”, American Economic Review 111(3): 787–830.

Bowles S (2016), “Moral sentiments and material interests: When economic incentives crowd in social preferences”, VoxEU.org, 26 May.

European Parliament (2023), “Donations and treatments: new safety rules for substances of human origin”, press release, 12 September.

Iraola, M (2023), “EU Parliament approves text on donation of substances of human origin”, Euractiv, 12 September.

Jaworski, P (2020), “Bloody well pay them. The case for Voluntary Remunerated Plasma Collections”, Niskanen Center.

Jaworski, P (2023), “The E.U. Doesn’t Want People To Sell Their Plasma, and It Doesn’t Care How Many Patients That Hurts”, Reason, 20 September.

Lacetera, N, M Macis and R Slonim (2013), “Economic rewards to motivate blood donation”, Science 340(6135): 927–28.

Lacetera, N, M Macis and J Elias (2016), “Understanding moral repugnance: The case of the US market for kidney transplantation”, VoxEU.org, 15 October.

Macis M and N Lacetera (2008), “Incentives for altruism? The case of blood donations”, VoxEU.org, 4 November.

Roth, A E (2007), “Repugnance as a constraint on markets”, Journal of Economic Perspectives 21(3): 37–58.

Roth A E and S W Wang (2020), “Popular repugnance contrasts with legal bans on controversial markets”, Proc Natl Acad Sci USA 117(33): 19792–8.

Slonim R, C Wang and E Garbarino (2014), “The Market for Blood”, Journal of Economic Perspectives 28(2): 177–96.

Titmuss, R M (1971), The Gift Relationship, London: Allen and Unwin.

Footnotes: 1. Kamakahi v. American Society for Reproductive Medicine, US District Court Northern District of California, Case 3:11-cv-01781-JCS, 2016.

From repugnant, to legal, to mandatory?

The Telegraph reports on the intersection of prostitution law (it's now legal) and unemployment law (you can lose your benefits if you turn down a job) in Germany: 'If you don't take a job as a prostitute, we can stop your benefits'

"A 25-year-old waitress who turned down a job providing "sexual services'' at a brothel in Berlin faces possible cuts to her unemployment benefit under laws introduced this year.

"Prostitution was legalised in Germany just over two years ago and brothel owners – who must pay tax and employee health insurance – were granted access to official databases of jobseekers.

 "The waitress, an unemployed information technology professional, had said that she was willing to work in a bar at night and had worked in a cafe.

 "She received a letter from the job centre telling her that an employer was interested in her "profile'' and that she should ring them. Only on doing so did the woman, who has not been identified for legal reasons, realise that she was calling a brothel.

 "Under Germany's welfare reforms, any woman under 55 who has been out of work for more than a year can be forced to take an available job – including in the sex industry – or lose her unemployment benefit. Last month German unemployment rose for the 11th consecutive month to 4.5 million, taking the number out of work to its highest since reunification in 1990.

 "The government had considered making brothels an exception on moral grounds, but decided that it would be too difficult to distinguish them from bars. As a result, job centres must treat employers looking for a prostitute in the same way as those looking for a dental nurse."
...
"Tatiana Ulyanova, who owns a brothel in central Berlin, has been searching the online database of her local job centre for recruits.

"Why shouldn't I look for employees through the job centre when I pay my taxes just like anybody else?" said Miss Ulyanova."
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So we have here a situation in which a formerly repugnant transaction became legal and might, under some circumstances become mandatory (at least for those seeking unemployment benefits). This reminds me of one of the better arguments against legalizing kidney sales and other payments to organ donors: once they were legal, some future Congress might want to make unemployment benefits available only to people who had already utilized their kidney resources, for example… See my posts on the fraught debate about compensation for donors.

HT: Itay Fainmesser

Update from the comments: no women have been forced into prostitution by this potential legal technicality...http://www.snopes.com/media/notnews/brothel.asp

Kidney exchange in Germany? It will need an amendment to the Transplantation Act

Axel Ockenfels points out that the Frankfurter Allgemeine Sonntagszeitung has a recent piece on "Tauschen wir die Nieren?" ("Do we exchange kidneys?"). I can't find it online, but here's a picture:

Google translate renders the opening paragraphs as follows:

"Patients wait a long time for donor organs. That can be changed - with a proposal that has received the Nobel Prize.
Organ donation is literally a matter of life and death. Anyone who receives the urgently needed organ in good time lives on. In Germany, however, many are waiting for the necessary transplantation - often for years. At the same time, the number of organ donations is falling. So how can the number of donated organs be increased so that affected people can live? That's a tricky question, because too many answers tend to limit the voluntary nature of the donation. On Wednesday, the topic is on the agenda of German politics, when the Health Committee of the Bundestag deals with the amendment of the Transplantation Act.
The economists Dorothea Kübler and Axel Ockenfels advise the politicians to take a look at living donations. Kidneys or parts of the liver can also be donated by living people - and this is much less common in Germany than in other countries. The proposal goes in the direction of the FDP parliamentary group around the chairman Christian Lindner, who are pushing for more living donations. In a motion for the health committee on Wednesday, the FDP is proposing to allow the cross-donation of two couples and an anonymous live donation to an organ pool. "

Ethical issues concerning living donors: a European conference

ELPAT (it stands for Ethical, Legal and Psychosocial Aspects of Organ Transplantation) is organizing a conference on issues involving (chiefly) non-directed anonymous kidney donation in Brussels:

	ELPAT Specialty Update Symposium Living donor kidney exchange: Medical, Ethical, Legal, and Psychological Issues
Sunday, 13 September, 09:00 - 12:50
Moderated by: Annette Lennerling, Gothenburg, Sweden and Willem Weimar, Rotterdam, The Netherlands
	Antonia Cronin: "Is it unethical for doctors to encourage healthy adults to donate a kidney to a stranger" Antonia Cronin is Consultant Nephrologist and Honorary Senior Lecturer at the MRC Centre for Transplantation, King's College, London. She is chair of the British Transplantation Society Ethics Committee and appointed member of the UK Donation Ethics Committee. Her presentation will examine the legitimacy of allowing individuals to donate an organ to a stranger and explore the circumstances in which encouraging such a form of donation may be justified.
	Willij Zuidema: "Unspecified donors and domino-paired chains" Willij Zuidema is working at Erasmus MC in Rotterdam, The Netherlands. For years she is involved in the alternative living donation programs. Especially the program of the unspecified donors has her interest. The living donation program in Rotterdam is one of the largest in Europe with an expertise in unspecified donors and domino-paired chains. She will present the data and logistics of the unspecified donations and domino-paired transplants.
	Mihaela Frunza: "Acceptability of public solicitation, the role of social media" Mihaela Frunza is Associate Professor at the Department of Philosophy, Babes-Bolyai University, Cluj, Romania. She will present a presentation where public solicitation of organs is critically assessed from a legal, moral, and practical perspective. Several recommendations are discussed that aim at maximizing the organ donor pool while safeguarding the interests of potential living donors.
	Leonie Lopp: "The legal debate on anonymous donation" Leonie Lopp studied law in Münster, Germany. Afterwards, she wrote her doctoral thesis with the title "Regulations regarding Living Organ Donation in Europe - Possibilities of Harmonisation". She will today present the results of comparing the legal regulations on living organ donation in Europe by focusing on anonymous living organ donation.
	Hannah Maple: "Psychological outcomes after unspecified donation" Hannah Maple is a trainee Renal Transplant surgeon in London, United Kingdom. She will present an overview of the psychosocial issues pertinent to unspecified donation. Additionally she will discuss the results of her UK based study into psychosocial outcomes after unspecified donation.
	Linda Wright: "Ethical and practical issues of breaking anonymity" Linda Wright conducts research on transplantation ethics with the Canadian National Transplant Research Programme in Toronto, Canada. She will discuss the experience of contact between anonymous living donors and their recipients and recommend a strategy to address this, in the absence of evidence to support best practice.

Zurich celebrates Tuomas Sandholm: Symposium on Electronic Market Design

A symposium and more in honor of Tuomas Sandholm:

Location

The symposium will take place at the Department of Education of the University of Zurich (building KAB), at Kantonsschulstrasse 3, 8001 Zurich in room G-01 (interactive map).

A map is available below.

Talks

Time	Speaker	Title
14:00 - 15:00	Prof. Tuomas Sandholm Carnegie Mellon University, USA	Keynote: Journey and new results in combinatorial auctions, automated mechanism design for revenue maximization, and kidney exchanges
15:00 - 15:45	Prof. Martin Bichler TU Munich, Germany	All models are wrong, but some are useful: About spectrum auction design and challenges in market design
15:45 - 16:15	Coffee Break
16:15 - 17:00	Prof. Sven Seuken University of Zurich, Switzerland	Designing better combinatorial auctions: Algorithms, incentives, and bidding languages
17:00 - 17:45	Prof. Axel Ockenfels University of Cologne, Germany	Engineering trust on eBay

Organizers

• Prof. Dr. Sven Seuken
• Dr. Timo Mennle

Organ donation in Wales

Will Wales change from opt-in to opt-out on deceased organ donation? The discussion continues...

Presumed consent organ donation to be Welsh law by 2015
"The Welsh government says it plans to have a new law in place for presumed consent of organ donation by 2015.

"The legislation would require people to opt out of donating their organs when they die, rather than opting in by signing the donor register.
...
"Opponents say they do not believe it will work and it will hit trust in the system but supporters claim it will save more lives.

"The Welsh government has told the BBC Wales Politics Show that it is planning a system of "soft" presumed consent where family members would still be consulted after a person's death."
******************

Drop organ law says Archbishop of Wales Dr Barry Morgan
"The Archbishop of Wales is urging the Welsh Government to ditch plans for presumed consent for organ donation."
*****************

A call has been made for more research into presumed consent for organ donation as Wales is poised to become the first part of the UK to adopt it.
"A University of Ulster team has found Wales consistently supplies more donors and donations than other UK nations.

"But they say that laws on presumed consent across Europe show mixed results and need further research.

"Presumed consent campaigners say they have raised awareness of the issue, but opponents warn that it could backfire.

"The Ulster team analysed data from NHS Blood & Transplant for all four UK countries between 1990 to 2009, and compared data on registration and donation from other European countries.

The research found that Wales "consistently outperformed" its UK neighbours, both in terms of the percentage of people registered and its organ donation rate, which had been higher than the UK average for most of the past 20 years.

"The authors recommended more research on the issue of presumed consent, which would mean people would have to opt out of becoming donor, or their organs may be used.

The Welsh government is proposing to introduce the system with a proviso that family members should be consulted.

"The idea has the support of bodies like the Kidney Wales Foundation, but it has been criticised by some, such as the Archbishop of Wales, Barry Morgan, who said organs should be donated as a gift and not as an "asset of the state."

"Spain was found to have doubled organ donation rates with a such a system of "soft" presumed consent, but Sweden - which presumes consent - had a similar rate to Germany and Denmark where informed consent operates, as in the UK.

"Further exploration of underlying regional differences and temporal variations in organ donation, as well as organisational issues, practices and attitudes that may affect organ donation, needs to be undertaken before considering legislation to admit presumed consent," the report says.

"Comparison of EU nations, and particularly Spain, indicates that improvement of organ donation rates is unlikely to be achieved by introducing new legislation alone."

German kidney transplant surgeon on trial

Prosecutors in Germany have accused a transplant surgeon of attempted murder, for allegedly manipulating the waiting list to obtain organs for his patients, and thus victimizing those who should have been ahead of them in line to receive the organs in question

Google translate renders the headline as "He killed without being a murderer"

"The surgeon Ayman O. is on trial. He is said to have manipulated information to patients to transplant organs to them. The prosecution sees this as attempted murder, he had taken the death of the other into account. The process in Göttingen will make the system of organ allocation to the test."

HT: Rosemarie Nagel

Summer School on Matching Problems, Markets, and Mechanisms: going on now in Budapest

Summer School on Matching Problems, Markets, and Mechanisms:

(And don't miss the link to ruin pubs at the bottom...)

the first summer school of the COST project on Computational Social Choice

Monday, 24 June 2013

8:00-8:45 Registration

8:45-9:00 Opening

9:00-10:30 First tutorial of David Manlove

Hospitals / Residents problem and its variants

10:30-11:00 Coffee break

11:00-12:30 First tutorial of Tamás Fleiner

Two-sided problems with choice functions, matroids and lattices

12:30-14:00 Lunch break

14:00-15:30 First tutorial of Atila Abdulkadiroglu

School choice - Theory

15:30-16:00 Coffee break

16:00-17:30 Invited talk 1

Marina Nunez: Introduction to assignment games

18:30-21:30 Poster session with welcome reception

In the main building of Corvinus University of Budapest. Address: Budapest, Fővám tér 8., main hall. 33 posters will be presented.

Tuesday, 25 June 2013

9:00-10:30 Second tutorial of Tamás Fleiner

Generalised stable roommates problems

10:30-11:00 Coffee break

11:00-12:30 Second tutorial of Atila Abdulkadiroglu

Market design and recent issues in school choice

12:30-14:00 Lunch break

14:00-15:30 Second tutorial of David Manlove

The House Allocation problem (with applications to reviewer assignment)

15:30-16:00 Coffee break

16:00-17:30 Invited talk 2

Tamás Solymosi: The nucleolus and other core allocations in assignment games

Wednesday, 26 June 2013

9:00-10:30 Third tutorial of Atila Abdulkadiroglu

From design to evaluation to redesign

10:30-11:00 Coffee break

11:00-12:30 Third tutorial of David Manlove

Kidney exchange

12:30-14:00 Lunch break

14:00-15:30 Third tutorial of Tamás Fleiner

Stable allocations and flows

16:00-18:00 Facultative social program

Hiking to the Citadella (top of Gellért hill), or going to Gellért bath. Meeting after at 18:00 at the fountain in front of hotel Gellért.

18:30- Conference dinner

Buffet dinner at Trófea Grill Restaurant Újbuda.

Thursday, 27 June 2013

9:00-10:30 Invited talk 3

Ildikó Schlotter: Parameterized complexity of some stable matching problems

10:30-11:00 Coffee break

11:00-12:30 Invited talk 4

Katarína Cechlárová: Computational complexity of competitive equilibria in exchange markets

12:30-14:00 Lunch break

14:00-15:30 Invited talk 5

Francis Bloch: Dynamic matching problems

15:30-16:00 Coffee break

16:00-17:30 Invited talk 6

Joana Pais: Experimental studies in matching markets

Friday, 28 June 2013

9:00-10:30 Invited talk 7

Szilvia Pápai: Matching with priorities

10:30-11:00 Coffee break

11:00-12:30 Invited talk 8

Estelle Cantillon: Preference formation in matching mechanisms

12:30-14:00 Lunch break

14:00-15:30 Invited talk 9

Lars Ehlers: Strategy-proofness in markets with indivisibilities

15:30-16:00 Coffee break

16:00-17:30 Invited talk 10

Dorothea Kuebler: University admissions in Germany: empirical and experimental evidence

Facultative social program

Visiting ruin pubs, meeting from 18:00 in Szimpla Kert