Letter in response to Armitage (2024) Non‐directed (altruistic) kidney donation: Altruism or insurance policy? J Eval Clin Pract., https://doi.org/10.1111/jep.13929.

The article focuses on the debate surrounding the value of nondirected kidney donations as discussed in Richard Armitage's recent paper. Topics include the comparison of kidney donation to insurance policies, the implications of this analogy on the altruism of donations, and the need for further data to evaluate the expected value of such donations.