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Consideration for a Donation Economic Aspects

Consideration for a Donation Economic Aspects. Dr. Samuel Jellinek LL.D Faculty of Law The Hebrew University of Jerusalem Presented at Maastricht Medicine & Law Conference - 2002. Content of consideration. Arrangements by the National Insurance Institute Taxation arrangements

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Consideration for a Donation Economic Aspects

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  1. Consideration for a Donation Economic Aspects Dr. Samuel Jellinek LL.D Faculty of Law The Hebrew University of Jerusalem Presented at Maastricht Medicine & Law Conference - 2002

  2. Content of consideration Arrangements by the National Insurance Institute Taxation arrangements Insurance arrangements Legal arrangements Health system arragements Social arrangements

  3. Purchasing or buying organs only by official body Organs distribution will remain as today Receipt of organs will not be conditional upon any payment GUIDING PRINCIPLES

  4. Fundamental Assumptions Life and Death Right to Privacy Money

  5. Blood Donation Surrogate Motherhood I.V.F Adoption Proceedings Private Medicine Volunteers in dangerous units (police, army etc.) Financing for obtaining the organs will be covered totally by the vast saving in health budget and social resources. Money – Two Aspects

  6. Payments for Dialysis Patients in NIS/US$ Thousands

  7. Number of Dialyis PatientIn Israel

  8. Increase of Dialysis Patients is greater than the sum of all transplants. Kidney patients are 65%-70% of those awating transplants. One third of them are suitable for transplants. Dialysis - 46,000.- $ Other exp. 4,000.- $ Total - 50,000.- $ Kidney PatientsDirect Medical Expenses

  9. General Costs • Loss of family income 100,000 NIS • Increased expences 25,000 NIS • Raised Costs /Social Welfare 50,000 NIS • Disability Pensions 48,000 NIS • Other Benefits60,000 NIS • Total 283,000 NIS Aprox. 60,000 $

  10. Operation; Israel: 32,000 $ U.S.A:(AV.) 100,000 $ Treatment: 1st / 2nd year 14,000 / 10,000 $ 20,000 / 15,000 $ Kidney Transplant Operation & Treatment Following

  11. Economic Equation Direct Medical exp. + General Costs = Kidney Transplant + 1st year treatment = 45,000- 110,000 $ “The costs of treatment in the first year of transplantation were approx. the same as the average costs of dialysis”. (Charro Th. & De wit A.)

  12. Conclusions-A With each kidney transplant there will be a total saving for the economy starting from the 2nd year or from the 3rd year, if the “consideration basket” would be the total value of the savings for one year. This will finance the consideration for the donation according to the model that have been presented!

  13. Conclusions-B If we encourage organ donations from deceased persons, all of those waiting for organ transplants of various types that could be made ‘at the same opportunity’ would be bound to benefit by reduced costs because of the financial saving as a result (at least) of the kidney transplantations.

  14. Thank you very much

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