Behavioral Economics – Affirmative Choice – Organ Donations

You can call the framework whatever you want but forcing people to chose an option works. I think Organ Donations are a great thing and the data is out there to show what states should do to encourage this. In Colorado, 64% of driver’s license and State ID applicants signed up as donors. In Michigan and NY, less than 13% did. The 8 states who have rates in exceess of 50% all do the same thing…the employees at the motor vehicles department ask the people and force them to say yes or no.

Apparently there are some people pushing for “presumed consent” which would require that people opt-out. This is apparently done in several European nations, and while I don’t have an issue with it personally, I’m sure it won’t happen here.

This framework reminds me of the Select Home Delivery option which Express Scripts designed a few years ago, and I believe is the best product idea to come out of the Consumerology concept.

From Donate Life America:
* Top 5 states for participation – Colorado (64%), Iowa (63%), Montana (62%), Washington (57%), and Wyoming (55%)
* Bottom 5 states – New York (11%), Michigan (13%), Arizona (17%), California (25%), and Kentucky (26%)

One Response to “Behavioral Economics – Affirmative Choice – Organ Donations”

  1. One insidious aspect of home delivery is that it makes it too easy to get drugs. By not having to go to a pharmacy and hand in prescription to a person in white coat, and not seeing all the pills behind the counter, and other sick people, it robs you of sensory experience that reminds yourself that you are a patient. And that you have a health condition.

    Home delivery no doubt improves compliance, and saves clients money by reducing expensive care resulting from noncompliance. But the goal should be to reduce drug consumption for people who can get healthier without taking drugs. And there in lies the ultimate conflict of interest for PBMs – Although it has every incentive to get people to convert from brand to generic, it has zero incentive to influence people to reduce drug consumption. And I really don’t want to hear that the responsibility lies solely on doctors, because it’s not. Health plans and PBMs have enormous leverage over patient behavior.

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