In the following interview, philosophers Leonard Fleck and Arthur Ward discuss the latter’s recent experience of being a nondirected kidney donor. The interview took place in the Center for Bioethics and Social Justice at Michigan State University.

The 2018 SAA statement encouraging collaboration between archaeologists and “responsible and responsive stewards” included recommendations epitomizing decades of established practice at the University of Iowa Office of the State Archaeologist (OSA), a research center housing the State Archaeological Repository of Iowa. At the time the SAA statement was published, OSA staff were actively implementing a grant supporting transfer to the State Repository of the John and Phil Palmquist Archaeological Collection. This grant was designed to provide hands-on research experience for undergraduate students interested in archaeology and collections management while recording improved site locational data and artifact specific documentation, including on relatively rare (for the area) red pipestone artifacts. Although modest by some standards, the Palmquist Collection includes 860 artifacts from 26 locations recorded through 40 years of surface survey by the family in a portion of Iowa that is rarely the focus of professional archaeologists. This article provides a case study of responsible archaeological practice implementing SAA recommendations, including treating collector-collaborators with respect, encouraging collector assistance in the recording of finds, capturing research data from a private collection, and facilitating curation of privately owned materials. We include brief consideration of the impact of the Palmquist Collection on the understanding of southwestern Iowa archaeology.

Both theory on motivational crowding and recent empirical evidence suggest that nudging may sometimes backfire and actually crowd out prosocial behavior, due to decreased intrinsic motivation and warm glow. In this study, we tested this claim by investigating the effects of three types of nudges (default nudge, social norm nudge, and moral nudge) on donations to charity in a preregistered online experiment (N = 1098). Furthermore, we manipulated the transparency of the nudges across conditions by explicitly informing subjects of the nudges that were used. Our results show no indication that nudges crowd out prosocial behavior; instead, all three nudges increased donations. The positive effects of the nudges were driven by the subjects who did not perceive the nudges as attempts to manipulate their behavior, while donations among subjects who felt that the nudges were manipulative remained unaffected. Subjects’ self-reported happiness with their choice also remained unaffected. Thus, we find no indication that nudges crowded out warm glow when acting altruistically. Generally, our results are good news for the proponents of nudges in public policy, since they suggest that concerns about unintended motivational crowding effects on prosocial behavior have been overstated.

Project HOPE, a global health and humanitarian assistance organization, has responded to some of the world’s largest natural disasters and humanitarian and health crises for more than 60 years. As natural disasters increase in frequency and intensity, otherwise effective health systems can become compromised, and - although less visible than traumatic injuries – populations with chronic diseases can be significantly impacted. Emergency preparedness and response efforts must adapt to address issues around continuity of care, access to pharmaceuticals, strengthening cold chain mechanisms, restoring supply chains, and educating patients with chronic illnesses on emergency preparedness. Project HOPE designs medical teams and supply donations to work alongside, rather than parallel to, existing health care infrastructure, laying the foundation for the long-term recovery of the health system.

Secrecy involves the active concealment of information from others, which can cause undesirable consequences for cognitive, perceptual and health psychology, but empirical research linking secrecy to charitable behaviors remains relatively scarce. This research examined whether secrecy weakens people’s desire to engage in charitable behaviors. Two experiments demonstrated that as a mental burden, secrets decreased people’s donation desire, including their intentions to volunteer and donate, and their tangible charitable behavior. In Experiment 1, recalling a personal secret increased the tendency to donate less money than recalling a neutral experience. Study 2 showed that this weakening effect of secrecy on charitable behaviors is mediated by fatigue (but not negative affect).

Introduction: A significant gap exists between the number of people waiting for an organ and donors. There are currently 1,628 people awaiting organ donation in Ontario alone. In 2018 to date, 310 donors have donated 858 organs. The purpose of this study was to determine whether there were missed donors in the Emergency Department (ED) and by what percent those missed donors would increase organ donation overall. Methods: This was a health records and organ donation database review of all patients who died in the ED at a large academic tertiary care center with 2 campuses and 160,000 visits per year. Patients were included from November 1, 2014 – October 31, 2017. We collected data on demographics, cause of death, and suitability for organ donation. Data was cross-referenced between hospital records and the provincial organ procurement organization called Trillium Gift of Life Network (TGLN) to determine whether patients were appropriately referred for consideration of donation in a timely manner. Potential missed donors were manually screened for suitability according to TGLN criteria. We calculated simple descriptive statistics for demographic data and the primary outcome. The primary outcome was percentage of potential organ donors missed in the Emergency Department (ED). Results: There were 606 deaths in the ED from November 1, 2014 – October 31, 2017. Patients were an average of 71 years old, 353 (58%) were male, and 75 (12%) died of a traumatic cause. TGLN was not contacted in 12 (2%) of cases. During this period there were two donors from the ED and 92 from the ICU. There were ten missed potential donors. They were an average of 67 years, 7 (70%) were male, and 2 (20%) died of a traumatic cause. In all ten cases, patients had withdrawal of life sustaining measures for medical futility prior to TGLN being contacted for consideration of donation. There could have been an addition seven liver, six pancreatic islet, four small bowel, and seven kidney donors. The ten missed ED donors could have increased total donors by 11%. Conclusion: The ED is a significant source of missed organ donors. In all cases of missed organ donation, patients had withdrawal of life sustaining measures prior to TGLN being called. In the future, it is essential that all patients have an organ procurement organization such as TGLN called prior to withdrawal of life sustaining measures to ensure that no opportunity for consideration of organ donation is missed.

During the Second World War, a German economist, Marie Dessauer, later Marie Meinhardt, worked with the British welfare state scholar and policy analyst Richard Titmuss on pioneering studies of social factors and health. Titmuss is remembered today for his role in establishing social policy as an academic discipline, and for his internationally-renowned works on welfare, health and public policy. Meinhardt's career as an economist has been largely forgotten. This was an unusual alliance with far-reaching consequences, as Meinhardt later bequeathed a large sum of money to the London School of Economics, where Titmuss worked, to help fund social policy students and research. This article documents the story of the Titmuss-Meinhardt collaboration, locating it in the context of Titmuss's last and probably best-known work, The Gift Relationship, which analyses the function of altruistic giving in promoting healthy and democratic social relations.

This study investigates consumer preferences for a marketing system that improves integration of farmers into a local food system. Attribute-based methods are used to estimate consumer willingness to pay for a locally grown product that is bundled with a local food bank (LFB) donation. Estimates reveal that, on average, households are willing to pay 11% more for locally grown relative to nonlocal agricultural products. When the locally grown product attribute is combined with a donation to support a LFB, the premium nearly doubles. Results suggest that the proposed system could provide resources to strengthen local food distribution networks.

Can governments increase tax compliance by rewarding honest taxpayers? We conducted a controlled laboratory experiment comparing tax compliance under a “deterrence” baseline with tax compliance under two “reward” treatments: a “donation” treatment giving taxpayers a say in the spending purposes of their payments and a “lucky” treatment giving taxpayers the (highly unlikely) chance of winning a lottery. The reward treatments significantly affected tax behaviour but not in a straightforward manner. Although female participants altered their behaviour as expected and complied somewhat more, men strongly reacted in the opposite manner: they evaded a much higher percentage of taxes than under the baseline. Apparently, there is no one-size-fits-all approach to boost tax compliance.

It is widely recognized that traditional informed consent requirements are highly problematic in the context of population-based genetic research. This article is based on a qualitative study that describes and analyses the consenting procedures and perceptions of donors to the North Cumbria Community Genetics Project (NCCGP), a DNA bank in northwest England. The NCCGP collected placenta and cord tissue, as well as maternal blood samples and health and lifestyle information, in order to conduct genetic epidemiological studies. The findings show that the nature of the sample (i.e. afterbirth) significantly impacted donors’ decision to donate. The antenatal context also influenced the way the request was framed to potential donors, who had a limited understanding of the aims of the biobank. However, the article concludes that a lack of understanding on the part of donors is not necessarily an ethical problem and that efforts to re-think informed consent guidelines may benefit from paying greater attention to the factors that motivate people to donate in the first place.

Natural and complex disasters can cause a dramatic increase in the demand for emergency medical care. Local health services can be overwhelmed, and damage to clinics and hospitals can render them useless. Many countries maintain mobile field hospitals for defense or humanitarian purposes. Dispatching these facilities to disaster-affected countries would seem an ideal response to emergency medical needs. Unfortunately, experience has shown that in the case of natural disasters, field hospitals often have not met the expectations of recipients and donor institutions.

In July 2003, the World Health Organization and Pan American Health Organization sponsored a workshop in El Salvador to discuss the pros and cons of using foreign fieldhospitals in the aftermath of natural disasters. These guidelines are the result of that workshop. The workshop participants identified different phases when foreign field hospitals and specialized medical personnel are most useful. They can provide advanced trauma care and life support if at the disaster site within 48 hours of the impact of an event; they would provide follow-up care for trauma victims and resumption of routine medical care in the two weeks following the event; during rehabilitation and reconstruction phases (from two months to two or more years), a field hospital might serve as a temporary replacement for damaged health facilities. These guidelines propose conditions that field hospitals and their staff should meet for each ofthese phases. The guidelines also outline issues that authorities in donor countriesand disaster-affected countries should discuss before mobilizing a field hospital.