This is a (slightly edited) repost of a question I asked on the EA subreddit. They recommended I ask the same question here, too. I hope this doesn't go against any forum rules; if it does, please let me know and I will create a new post for the question.


Hi all. Ever since Scott Alexander's article on kidney donation came out last year, I've been looking into donating one of my own (to the best of my knowledge healthy) kidneys.

The snag: I live in Germany, which doesn't allow undirected organ donation. Nor would our health insurance cover the costs of a transplant done abroad (e.g. the Netherlands, which does allow UOD). And while I may be altruistic, I'm not holy or wealthy enough to pay thousands of Euros out of my own pocket.

So I'm looking for loopholes / a way that would allow me to do this. Do any of you have any good ideas or can point me in the right direction?

PS: I'm by no means committed to donating yet, but I resent not even having the option of choosing to do so. If there's a way for me to donate legally, I anticipate a 70% chance of doing so.


Reddit user SvalbardCaretaker directed me towards the Swiss, who will apparently do surgeries of this kind for Germans as well. Unfortunately, Google is less than helpful in this question, so I'm hoping to hear from another German national who has had some experiences in this matter.

Thanks in advance!

3

0
0

Reactions

0
0
Comments4


Sorted by Click to highlight new comments since:

Dumb suggestion: is there any way you could find someone in Germany who needed one and then make a directed donation? Maybe there is a Facebook group or Reddit for such people.

That's not a bad idea. Though AFAIK clinics check your relationship with the recipient and aren't afraid to reject you if they don't deem you close enough. But I'll check the option out, thanks!

[anonymous]1
0
0

A couple of resources. Any transplant center in the US who is a National Kidney Registry(NKR) donor hospital (Map of National Kidney Registry Member Transplant Centers) may be willing to work you up as a donor. This is typically done at no cost to you (you will want to verify by communicating with the transplant center first). 

If you are found to be a suitable donor, they have a protection called Donor Shield (Donor Shield | Protecting & Supporting Living Kidney Donors (donor-shield.org)) which theoretically covers you for complications related to the donation. Complications are rare, but it is still worth having. Again, you will want to confirm with NKR that this applies to a non-US citizen. They also give some financial assistance for lost wages, travel, etc. 

Thank you! The States are a little further than I would prefer, but I'll keep it in mind in case other options fail.

Curated and popular this week
 ·  · 4m read
 · 
Forethought[1] is a new AI macrostrategy research group cofounded by Max Dalton, Will MacAskill, Tom Davidson, and Amrit Sidhu-Brar. We are trying to figure out how to navigate the (potentially rapid) transition to a world with superintelligent AI systems. We aim to tackle the most important questions we can find, unrestricted by the current Overton window. More details on our website. Why we exist We think that AGI might come soon (say, modal timelines to mostly-automated AI R&D in the next 2-8 years), and might significantly accelerate technological progress, leading to many different challenges. We don’t yet have a good understanding of what this change might look like or how to navigate it. Society is not prepared. Moreover, we want the world to not just avoid catastrophe: we want to reach a really great future. We think about what this might be like (incorporating moral uncertainty), and what we can do, now, to build towards a good future. Like all projects, this started out with a plethora of Google docs. We ran a series of seminars to explore the ideas further, and that cascaded into an organization. This area of work feels to us like the early days of EA: we’re exploring unusual, neglected ideas, and finding research progress surprisingly tractable. And while we start out with (literally) galaxy-brained schemes, they often ground out into fairly specific and concrete ideas about what should happen next. Of course, we’re bringing principles like scope sensitivity, impartiality, etc to our thinking, and we think that these issues urgently need more morally dedicated and thoughtful people working on them. Research Research agendas We are currently pursuing the following perspectives: * Preparing for the intelligence explosion: If AI drives explosive growth there will be an enormous number of challenges we have to face. In addition to misalignment risk and biorisk, this potentially includes: how to govern the development of new weapons of mass destr
jackva
 ·  · 3m read
 · 
 [Edits on March 10th for clarity, two sub-sections added] Watching what is happening in the world -- with lots of renegotiation of institutional norms within Western democracies and a parallel fracturing of the post-WW2 institutional order -- I do think we, as a community, should more seriously question our priors on the relative value of surgical/targeted and broad system-level interventions. Speaking somewhat roughly, with EA as a movement coming of age in an era where democratic institutions and the rule-based international order were not fundamentally questioned, it seems easy to underestimate how much the world is currently changing and how much riskier a world of stronger institutional and democratic backsliding and weakened international norms might be. Of course, working on these issues might be intractable and possibly there's nothing highly effective for EAs to do on the margin given much attention to these issues from society at large. So, I am not here to confidently state we should be working on these issues more. But I do think in a situation of more downside risk with regards to broad system-level changes and significantly more fluidity, it seems at least worth rigorously asking whether we should shift more attention to work that is less surgical (working on specific risks) and more systemic (working on institutional quality, indirect risk factors, etc.). While there have been many posts along those lines over the past months and there are of course some EA organizations working on these issues, it stil appears like a niche focus in the community and none of the major EA and EA-adjacent orgs (including the one I work for, though I am writing this in a personal capacity) seem to have taken it up as a serious focus and I worry it might be due to baked-in assumptions about the relative value of such work that are outdated in a time where the importance of systemic work has changed in the face of greater threat and fluidity. When the world seems to
Sam Anschell
 ·  · 6m read
 · 
*Disclaimer* I am writing this post in a personal capacity; the opinions I express are my own and do not represent my employer. I think that more people and orgs (especially nonprofits) should consider negotiating the cost of sizable expenses. In my experience, there is usually nothing to lose by respectfully asking to pay less, and doing so can sometimes save thousands or tens of thousands of dollars per hour. This is because negotiating doesn’t take very much time[1], savings can persist across multiple years, and counterparties can be surprisingly generous with discounts. Here are a few examples of expenses that may be negotiable: For organizations * Software or news subscriptions * Of 35 corporate software and news providers I’ve negotiated with, 30 have been willing to provide discounts. These discounts range from 10% to 80%, with an average of around 40%. * Leases * A friend was able to negotiate a 22% reduction in the price per square foot on a corporate lease and secured a couple months of free rent. This led to >$480,000 in savings for their nonprofit. Other negotiable parameters include: * Square footage counted towards rent costs * Lease length * A tenant improvement allowance * Certain physical goods (e.g., smart TVs) * Buying in bulk can be a great lever for negotiating smaller items like covid tests, and can reduce costs by 50% or more. * Event/retreat venues (both venue price and smaller items like food and AV) * Hotel blocks * A quick email with the rates of comparable but more affordable hotel blocks can often save ~10%. * Professional service contracts with large for-profit firms (e.g., IT contracts, office internet coverage) * Insurance premiums (though I am less confident that this is negotiable) For many products and services, a nonprofit can qualify for a discount simply by providing their IRS determination letter or getting verified on platforms like TechSoup. In my experience, most vendors and companies