Imagine one of your kidneys fails. Your body relies on this organ to filter the toxins and waste
products from your blood, but when it stops working, your whole body suffers. Sodium builds up,
your bones weaken, and you’re at risk of developing anemia or heart disease. If not treated quickly,
you will die.
More than 40,000 people in the United States come down with end-stage renal disease every year.
Their kidneys fail for one reason or another and they have two options: either go through time-
consuming back-and-forth visits to a treatment center three times a week for five-hour dialysis
treatments, or get a kidney transplant.
But there are not enough kidneys available for transplant. Currently more than 100,000 patients are
on the wait list; more than 4,000 new patients are added each month. Not surprisingly, people on the
wait list for a kidney are eager to get one.
Imagine you are on that list. It is managed on a first-come, first-served basis, and available kidneys
are offered first to people at the top of the list, who usually have been waiting the longest. You
yourself have been waiting for months for an available kidney. You’re fairly low on the list, but
finally one day you’re offered a potential match. You’d take it, right?
Clearly, people who need a kidney to save their lives should take one when offered. But
surprisingly, 97.1 percent of kidney offers are refused.
Now, many of those refusals are based on the kidney not being a good match. In this respect, getting
an organ transplant is a bit like getting your car repaired. You can’t put a Honda carburetor in a
BMW. Same with a kidney. If the tissue or blood type doesn’t match yours, the organ won’t work.
But when she looked at hundreds of kidney donations, MIT professor Juanjuan Zhang found that
social proof also leads people to turn down available kidneys. Say you are the one hundredth person
on the list. A kidney would have first been offered to the first person on the list, then the second, and
so on. So to finally reach you, it must have been turned down by ninety-nine other people. This is
where social proof comes into play. If so many others have refused this kidney, people assume it must
not be very good. They infer it is low quality and are more likely to turn it down. In fact, such
inferences lead one in every ten people who refuse a kidney to do so in error. Thousands of patients
turn down kidneys they should have accepted. Even though people can’t communicate directly with
others on the list, they make their decisions based on others’ behavior.
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Similar phenomena play out all the time.
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seasoned rice, and pita bread.
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