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Freakonomics, M.D.

11. Why Do So Many Donated Kidneys End Up in the Trash?

Freakonomics, M.D.

Freakonomics Radio + Stitcher

Society & Culture, Science

4.81.1K Ratings

🗓️ 12 November 2021

⏱️ 24 minutes

🧾️ Download transcript

Summary

Every year, thousands of people in the U.S. die while they’re waiting for a new kidney, yet thousands of available organs get thrown away. Bapu talks to a kidney doctor and an economics Nobel laureate about why this happens and how the system could improve.

Transcript

Click on a timestamp to play from that location

0:00.0

One Saturday, several years ago, Sumit Mohan arrived at the hospital at Columbia University

0:09.0

in New York City.

0:11.2

Sumit is a nephrologist, which is a kidney doctor, and many of his patients are waiting

0:15.5

for new kidneys.

0:16.8

So he was at the hospital to do rounds, which is a task he usually does with all the doctors

0:22.0

who were involved in transplanting kidneys, and that includes surgeons.

0:25.9

But on this particular Saturday, something strange is going on.

0:29.5

So I had one particular weekend where I came in, surgeons not to be found.

0:34.3

Now, if you guys know surgeons that are all early risers, like, you know, being in the

0:38.7

hospital early, and so that was a surprise.

0:41.8

So Sumit asked around, hey, where is everyone?

0:44.3

Where are all the surgeons?

0:45.7

It turns out they were in the operating room.

0:47.8

They were all doing transplant surgeries.

0:50.7

So Sumit figured he and the medical team would just do the rounds by themselves without

0:56.2

the surgeons, and he'd update them on the next day Sunday morning.

1:00.2

And instead, what happens is they're back in the operating room.

1:02.3

It's like, wait, did something go wrong earlier?

1:04.1

I like, no, now the patient, now the transplant.

1:07.1

And essentially what happened over that weekend is our surgical team transplanted five

1:11.0

kidneys, and I never saw them.

1:14.1

And so the question in my mind was like, wait a minute.

...

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