Just to clarify (because my brain is on vacation), you mean the insurance must pay for it IF there’s no charitable organization footing the bill, yes? Because I am in MA so that confused me for a sec (as does everything else at the moment).
I always assumed there was only one donor registry, ya know, the NATIONAL Marrow Donor Registry and I also assumed that they footed the bill for the testing through donations and such. It seems to me that it’d be easier to search if all the information were in one place (or do they share with each other?)
I’m not doubting your numbers at all, but I’m boggled by the idea that someone can be told, in effect, “There’s someone who’s going to die without a marrow transplant, and you’re the best match. Do you want to donate?” and say no.
I signed up with Canadian Blood Services One Match a year or two ago, and the only contact I’ve had since has been my address change. Just from the numbers I don’t expect to be called for a donation, but if I am it’ll take serious health problems on my part for me to say no.
Do you have any pointers to papers/studies on why people on the registry don’t donate?
I told my wife about this thread. She reminded me that the charge was reversed by UMass Medical Center when I complained. And that makes me wonder why they were able to keep this scam up for so long. Why didn’t the insurance companies cry foul when they got outrageous bills for this testing? I don’t see how they could have been in on it (they paid the charges, so what would have been in it for them?), so why did they let it go on for so long?
There can be reasons beyond just being an egoistic person. When a match comes up, they send you a huge form with all risks outlined, because not only is it a bit painful, it’s a surgical procedure, so it carries all the small but still present risks - 4% risk of problems with the anesthetic, 5% risk of infection with super-resistant bacteria while in the hospital etc. (numbers not accurate, just memory). And because this is a voluntary, not medically necessary procedure for the donor, they spend pages detailing the risks and making sure why medically this is a bad idea.
And of course donors are also rejected by the doctors - if there is anything that increases the risk during the surgery, the donor can’t simply say “I’m willing to take the risk”. The doctors refuse (out of fear of being sued, I think) and you don’t get the chance to donate.