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Marginal Revolution

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Small Steps Toward A Much Better World

The organ procurement system has long been a miasma of inefficient monopoly providers. In 2024 I quoted some shocking facts from a great Statecraft interview with Jennifer Erickson and Greg Segal: “Organs are literally lost and damaged in transit every single week. The OPTN contractor is 15 times more likely to lose or damage an organ in transit than an airline is a suitcase.” Organs are not GPS-tracked! “In an era when consumers can precisely monitor a FedEx package or a DoorDash dinner delivery, there are no requirements to track shipments of organs in real time — or to assess how many…

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