Abstract
Compared to policies intended to increase donations, policymakers have largely ignored the role of allocation policies in addressing current kidney shortages. This paper examines the impacts of prioritizing certain types of candidates for deceased-donor kidney allocation. Using a regression discontinuity design, I find that increased access to deceased-donor kidneys dramatically decreases mortality rates (by 43 percent relative to baseline), while decreasing the likelihood of receiving a living-donor transplant. Both of these effects vary substantially across race, blood type, and dialysis status. The result implies that prioritizing for transplant candidates, who are less prone to crowd-out, in deceased-donor kidney allocation could make policies, designed to increase the number of deceased donors, more effective.
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