Grades 6-8, 9-12
Sports Economics: Teaching Entrepreneurship
On November 1, 1999, Walter Payton, former Chicago Bears running back, died waiting for a liver transplant. Payton’s death re-opened the nation’s attention to the issue of organ donation. The National Organ Transplant Act of 1984 (NOTA) made giving or receiving compensation for organ donation illegal in the United States. Currently in the United States there exists a large shortage of viable organs which are allowed to be used for transplant. In this lesson students will be asked to research the issue of organ donation, and to debate, in a class discussion, the different alternatives which are being proposed to meet the demand for organ transplants using economic analysis.
On November 1, 1999, Walter Payton, former Chicago Bears running back, died waiting for a liver transplant. Payton's death re-opened the nation's attention to the issue of organ donation. The National Organ Transplant Act of 1984 (NOTA) made giving or receiving compensation for organ donation illegal in the United States. Currently in the United States there exists a large shortage of viable organs which are allowed to be used for transplant. In this lesson students will be asked to research the issue of organ donation, and to debate, in a class discussion, the different alternatives which are being proposed to meet the demand for organ transplants using economic analysis.
This lesson uses the example of liver transplants to provide students with practice in applying their decision making skills. It stresses difficult decisions related to handling scarcity. More people require liver transplants than can be provided, given the limited number of donated livers. Students consider alternative methods for rationing organ transplants and evaluate how each method influences the relative scarcity of the resource.
Economics reasoning can help students to explain human actions and anticipate the consequences of policies in emotionally and ethically charged issues just as it helps with the analysis of ethically simpler issues, such as car sales. In most hospitals, doctors and advisory boards establish the criteria for allocating the available organs. These criteria may include age, potential match to avoid the body's rejection, ability to pay, and citizenship. Students should see this issue as yet another example of rationing a scarce resource; they also should see that different rationing methods establish incentives which encourage potential patients to behave in a manner which may enhance their chances of obtaining the operation.
Links on Markets for Organ Donation:
Links on Opt-Out Organ Donation:
First, use the Web to learn more about Walter Payton's prospects for receiving a liver transplant. Read two articles at CNNSI
Does Payton's status as a former pro football player make it easier for him to get a transplant? [He has to wait in line like everyone else. However associates have offered use of the Chicago Bears' private plane to get him to the hospital in case a donor becomes available.]
Knievel Counsels Sweetness – Why does Kneivel suggest that Payton go to Florida? [shorter waiting list]
What does Dr. Ramos say affects the length of time a patient waits? [degree of illness and organ match]
View the UNOS National Patient List (see Organ and Tissue Donation)
What is the total number of people awaiting transplants? [58,000]
How many are on the list for a liver transplant? [10,358]
How many people received transplants during 1997? [21,497]
Based on these numbers, approximately how many years do recipients need to wait? [At least 2 years]
Given that Payton has about two years to live with his current liver, how could you make sure he gets his new liver in time? [Make sure the selection criteria takes into account severity of disease.]
Visit the UNOS site – What is the purpose of this section? [Educate potential donors.]
How will education affect the supply of donors. [Dispelling myths and reducing reluctance of people to donate organs should increase the supply of organs.]
Pretend you are a member of a surgical team in a leading U.S. hospital. As a team, you must decide which patients should receive liver transplants as donated organs become available. Recently your hospital received an organ donation from the family of an accident victim. As best as your team can determine, each of the three candidates' bodies would accept the liver without major threat of rejection. The cost of this operation, surgical fees and hospital care, would come to approximately $50,000. Decide which patient will receive the liver transplant operation. Identify the criteria you used to evaluate each patient.
Potential Liver Transplant Recipients
What economic principles apply in this situation to help us understand the problem? [Scarcity forces people to choose among alternative ways to use limited resources. Scarcity forces people to set up a rationing scheme to distribute limited goods and services.]
Suppose a member of Congress, reacting to the large number of liver transplants provided for non-U.S. citizens, introduced a bill to require an "Americans First" policy. This policy would require all hospitals and organ procurement agencies to provide organ transplants to foreign nationals only after conducting a lengthy, thorough and unsuccessful search for a suitable U.S. recipient.
Grades 6-8, 9-12