Download Last Best Gifts: Altruism and the Market for Human Blood and by Kieran Healy PDF

By Kieran Healy

Greater than the other altruistic gesture, blood and organ donation exemplifies the true spirit of self-sacrifice. Donors actually supply of themselves for no present in order that the lifetime of an individual—often anonymous—may be spared. yet because the call for for blood and organs has grown, the worth of a method that relies exclusively on presents has been known as into query, and the chance has surfaced that donors could be supplemented or changed by means of paid suppliers. Last most sensible presents deals a clean standpoint in this moral trouble by means of interpreting the social association of blood and organ donation in Europe and the us. presents of blood and organs will not be given all over the comparable approach or to an identical extent—contrasts that let Kieran Healy to discover the pivotal position that associations play in fashioning the contexts for donations. Procurement firms, he indicates, maintain altruism by way of supplying possibilities to offer and via generating public money owed of what giving capacity. after all, Healy indicates, profitable platforms relaxation at the equity of the alternate, instead of the purity of a donor’s altruism or the dimensions of a monetary incentive. (20070128)

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The narrative structure of the books aimed at adults follows the argument of the OPOs that donation helps families cope with death. ” Though it is clear that not every donor family can follow it successfully, the books lay out a sequence, a set of stages of feeling centered on the benefits of organ donation in the face of an otherwise meaningless event. This template for the secular ritual of organ donation is quite well established. 2. Percentage of New York Times stories about organ donation or transplantation mentioning infants or children, 1980–1999 and so on).

Why did the organizations in control of different parts of the blood supply react as they did to the emergence of HIV in the early 1980s? They did not all respond in the same way to the crisis, even though they all had the same information about it and, in retrospect, there were some steps all of them should have taken. I argue that the exchange relationships linking blood suppliers and recipients to collection organizations shaped what these organizations did. The obligations attached to these relationships affected the way blood collection organizations understood their interests and, as a consequence, how they reacted to uncertainty about HIV.

This chapter quantifies the structural and organizational forces at work in the procurement process. On the structural side, I show how differences between the service populations of OPOs affect their procurement rates. The characteristics of these populations—such as their density, racial composition, and poverty rate—have strong effects. In terms of organization, I measure the role played by the size and operating budget of OPOs, their logistical scope, and their procurement policies and strategies.

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