Commentary

Kidney International (2006) 69, 957–959. doi:10.1038/sj.ki.5000280

Voluntary reciprocal altruism: a novel strategy to encourage deceased organ donation

D W Landry1

1Department of Medicine, Columbia University, New York, New York, USA

Correspondence: D W Landry, Division of Nephrology, Columbia University, P&S Building, 10-445, 630 West 168th Street, New York, New York 10027, USA. E-mail: DWL1@columbia.edu

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Abstract

New strategies are needed to encourage organ donation. Altruism, the impulse that underlies our present system, is undermined by proposals that provide tangible inducements to improve donation which are, in their own subtle ways, coercive. I propose a new strategy based on implementing an option to donate that reinforces the strong reciprocity which drives anonymous altruism.

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