There's been a lot of discussion on this subject on Andrew Sullivan's blog, and it all started with this article in the Atlantic. I think that, intuitively, we're all against organ selling, but maybe this will start you thinking.
...We first have to give up the idea that “organ donor” means someone dead. Deceased donors are, of course, essential for hearts. But not for kidneys. And not enough people die in exactly the right way to meet the need for kidneys... If every single person who died the right way became an organ donor, an optimistic estimate would be that 7,000 more kidneys a year would be available for transplant. Since the list is now increasing by 6,000 a year, that would be enough to end it—in 80 years... Living with a single kidney is almost exactly like living with two; the remaining kidney expands to take up the slack... The main risk to the donor is the risk of any surgery... The National Organ Transplant Act forbids offering “valuable consideration,” generally construed as cash or an equivalent quid pro quo, for an organ. But very few people are willing to give someone a kidney without getting something in return. Last year, 106 people anonymously donated kidneys to transplant centers as nondirected donors; a few more gave kidneys to people they’d met online but hadn’t previously known. But almost all living donors are helping a relative or friend. Although many people call these donations “altruistic,” they in fact offer donors a substantial benefit: saving someone they care about. More...
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