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Want To Buy A Kidney?
07/28/2009 2:26 PM
When the FBI recently arrested Levi Rosenbaum for allegedly acting as a broker for people selling body parts, the former head of the Red Cross said “that it could happen in this country is so shocking.”
Why? Did we learn nothing from prohibition? When government puritans (Senator Al Gore got Congress to pass a ban) outlaw things that people want, nasty black markets arise.
Trade becomes “smuggling.” Selling becomes “trafficking.”
The MSM talk about Mexican “drug traffickers” and “cartels” but never stop to think that there are no French “wine traffickers” or “American Beer Cartels.”
The ban on organ sales kills people every day. We are born with two kidneys, but need just one to survive. Millions of kidney patients are now on waiting lists, but there are too few donors. No wonder desperate patients go to the black market. There’s been one for years. It’s a dirty little secret in the organ transplant world. Buying and selling may be illegal, but web sites suggest that such trade happens anyway, all the time.
Dialysis patient Steve Rivkin told me that even though organ selling was illegal, he was willing to pay.
"It's a fair exchange. You know, you're talking about two desperate people." Some desperate for a kidney, others desperate for money.
"I don't think that there's anything wrong with paying money for a kidney transplant. I think it's a wonderful thing, and I think more people should try to do it," Steve said.
Me too, but after the Rosenbaum arrest, authoritarians made their usual comments: “We really have to crack down,” the co-director of the Joint Council of Europe/United Nations Study on Trafficking in Organs and Body Parts told MSNBC.
I once argued about that with Dr. Brian Pereira, president of the National Kidney Foundation, "Organ donation is purely an issue of altruism," he said, and if people sold an organ, “they miss the pleasure, or the gratification of having made this decision purely out of altruism …"
Hello? Shouldn’t that be their choice? If you find selling an organ immoral, fine, don’t do it. But it’s immoral to deny all sick people such transplants because you believe selling organs is immoral.
Sally Satel writes in the Wall Street Journal:
When I needed a kidney several years ago and had no donor in sight, I would have considered doing business with someone like Mr. Rosenbaum. The current law—the National Organ Transplant Act of 1984—gave me little choice. I would be a felon if I compensated a donor who was willing to spare me years of life-draining dialysis and premature death…
The illicit organ trade is booming across the globe. It will only recede when the critical shortage of organs for transplants disappears. The best way to make that happen is to give legitimate incentives to people who might be willing to donate. Instead, I fear that Congress will merely raise the penalties for underground organ sales without simultaneously establishing a legal mechanism to incentivize donors.
Although Satel’s op-ed ran on an op-ed page that’s generally a promoter of capitalism, she does not call for a genuine market.
States could offer health and life insurance to living donors, or funeral benefits to families of posthumous donors. Donors could also be offered a tax credit or perhaps a very generous contribution to a charity of their choice.
Or, upon death, the default position could be: organs are given unless the family explicitly says no. Or you can join an organ exchange.
But these are all timid remedies. The best solution, as usual, is the market. Too bad it’s illegal.
July 28, 2009 in Regulation | Permalink | Share | User Comments (58)
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There is no morality more corrupt, backwards, and destructive to humanity than altruism.
Posted by: Brian | Jul 28, 2009 2:59:12 PM
I like to think that I'm a pretty giving person. My blood is to thick to donate so I give my plasma and platelets every month(alternating). I'm a registrated organ donar. I've given marrow twice. But even I realize genorosity will go only so far. Selling your organs is in no way physically diffrent than donating it; you're just getting compensated for saving a life. I see nothing wrong with that.
Posted by: Brandon Williams | Jul 28, 2009 3:20:25 PM
SELLING KIDNEYS ORO ANY BODY PART SHOULD BE BANNED AS ILLEGAL ACTION!
My friend, selling Kidenys will only create a world filled with people who are not capable of moving or enduring pain and stress to create their own destiny!Selling Kidneys is not a Christlike selfless act but a desperate act to stay alive living in mediocrity that the dictators create spending billions of dolloars in hollywood financing films against me and spending billions of dollars for making atomic weaponry while their own people are dying of hunger having to sell Kidney! That is why my Leadership Excellence Program enforced by United Nations will disqualify the incompetent dictators like Ahamadinejad and that is why I am censored and hundreds of young people are being encouraged to martyr themselves so that the dictator could live on behind their dead bodies on the stick for I can talk & they cannot!That is why they kill the living and worship the dead historically not to loose the toxic control of the bully dictator who must be the one stealing lifework of others to make the dead wrong decisions by himself bringing cenosrship from the East blocking democracy in and from the West!
Posted by: RoseParvin | Jul 28, 2009 3:24:39 PM
"Organ donation is purely an issue of altruism," he said, and if people sold an organ, “they miss the pleasure, or the gratification of having made this decision purely out of altruism …"
Liberals' disdain for certain motivations harms us all. They disdain "greed," making us all poorer (and sometimes dead, e.g. for lack of kidneys or starving to death in North Korea). They disdain competitiveness. I recall how they no longer had grades when I got to graduate school. I never forgave them for that: I loved stomping everyone else into the ground academically. The result was not only my anger, but also that I worked less hard as a graduate student.
Most people haven't figured it out, but one of the underlying causes of liberalism is guilt. Liberals only approve of motivations that assuage their guilt, like altruism. But the effect of banning certain motivations is merely to... reduce motivation. Which makes us all worse off.
Posted by: GregF | Jul 28, 2009 4:37:24 PM
And if we start selling organs, who do you think will get to buy them and live and who do you think won't have enough money to buy them and die?
Posted by: jan | Jul 28, 2009 6:58:36 PM
Unless you have received an organ out of donation will any of you understand what it is like to read these stories...
It's embarrassing and shameful that this sort of activity does go on here in our own country, and the Jewish people whom are amongst the lowest in the percentage of organ donors based on ethnicity yet, are amongst the highest in receiving organs...
This is what most people really are unaware of which doesn't surprise me because, they sure know how to manipulate the ten commandments to work in their favor when they need to.
Don't get me wrong because I'm no saint but, at least I admit to my shortcomings as opposed to manipulating their beliefs so that it justifies their actions hwich in itself is another form of denial.
Posted by: Henry | Jul 28, 2009 7:14:42 PM
get a grip I will do it in a heart beat, I am college educated in biology and biomededical technology. there is nothing wrong with being compensated to helping out a stranger. any one ever heard of a good samaririan holla back if you need one
Posted by: antony watkins | Jul 28, 2009 8:35:14 PM
Is this a new plank for the libertarian party because I don't really see even the republicans doing this.
In fact, you usually only see people living in third world countries desperate enough to start selling their body parts.
You know, if you really wanted to do something to help someone live you could donate a kidney or get your bone marrow tested (a lot of people die from bone marrow related diseases as well and you don't have to actually lose any body parts when you donate) as a potential donor and save someone's life for free. Its not like anything's stopping you.
Posted by: jan | Jul 28, 2009 9:20:51 PM
Free. That's a four letter word, isn't it...
Posted by: jan | Jul 28, 2009 9:23:25 PM
"who do you think will get to buy them and live and who do you think won't have enough money to buy them and die?" - Jan
I expect you want us to say that those with insurance or the money to pay will get the organs, those without will miss out. But that is only first level thinking.
Charity exists today, why wouldnt it exist in the future too? Why wouldnt there be a Donate an Organ charity? There obviously would be if one was allowed to form.
But that isnt even the big issue. What you are implying, Jan, is that because poor people MIGHT not get organ transplants, that the current shortage is preferable.
This is a callous position to hold. You seem to prefer that more people die so that things can be more "fair" as you define it. Do you really not mind if people die, if those people are not poor?
The cost of an organ transplant at the moment is both zero and infinite. The price is zero for suppliers so they dont supply, and the price is infinite for buyers because they cannot buy.
Posted by: Kimble | Jul 28, 2009 10:07:05 PM
Don't see how an organ free market solves anything unless your problem is rich people having to wait like everyone else for a donor.
Posted by: Max | Jul 28, 2009 10:10:02 PM
There is only one way for the price of organs to come down from infinite, and that is for it to rise above zero.
Jan and others, you dont know how much a kidney would sell for in a market. You assume it will be expensive simply because the current prices are expensive. But without the market you have no idea how many sellers there will be.
It could be that a kidney in the future is available for all but the most impoversihed person.
Posted by: Kimble | Jul 28, 2009 10:11:29 PM
The anti-free-market "liberals" (heh...) miss one IMPORTANT point: If a person can sell a kidney, then MANY more kidneys will become available, and many more lives can be saved. Why is THAT so terrible? Are you afraid of the free market?
Posted by: True_Liberal | Jul 28, 2009 10:41:27 PM
Strange but fascinating illogic.
Posted by: jan | Jul 28, 2009 10:43:32 PM
The donor is the only party in the entire transaction who doesn't get compensated in this transaction. Using Pereira's logic, the entire field of medicine should be an altruistic endeavor.
I will never sign an organ donor card until the donors are allowed to receive compensation.
Heck, I also quit giving blood when they did away with the banking system.
Posted by: Angela | Jul 28, 2009 11:10:28 PM
Another point that the anti-free market liberals miss is that poor people can't afford them now! They would, however, be able to sell their organs, and possibly not be poor any more!
Posted by: Angela | Jul 28, 2009 11:13:10 PM
Max said, "Don't see how an organ free market solves anything unless your problem is rich people having to wait like everyone else for a donor."
Why do you think that's true? Because they say so?
More organs means more surgery. More surgery means increased efficiency. Increased efficiency means lower costs. Lower costs means wider availability.
How's your system working out?
Posted by: Angela | Jul 28, 2009 11:16:18 PM
Hey, lets take a leaf out of the Lefts book and address the issue the way they always do:
People, like Jan and Max, who are against organ markets like it when people die because they couldnt get the organ transplant they needed.
They are selfish because they prefer that other people die so that their sense of right and wrong can be preserved. They cant be bothered thinking about the issue beyond what "feels" right to them.
Their apathy and willful ignorance is fatal to sick people.
Posted by: Kimble | Jul 28, 2009 11:39:26 PM
i think my only fear with a free market in donated organs is that unscrupulous characters would harvest organs from the unwilling, then sell them as if they were legitimate. i suppose there's nothing to stop that from happening now, but the market is smaller.
with that said, i'd probably still be for the legalization of someone selling their organs and someone else purchasing them. but then, i'm a libertarian.
Posted by: bw | Jul 28, 2009 11:46:34 PM
it's basically been said already, but for those who don't see how this would benefit anyone but the rich, this is how it will (likely) work:
let's say there are 50,000 people who need a kidney, each of which paying (or having someone else pay for them; apparently, according to the national kidney foundation, the federal g'ment pays 80% of dialysis costs) $50k/yr for dialysis, which i think is below average.
now assume kidneys can be sold. i think the price in the nj situation was somewhere around $150k or so, so we'll start there as a max. i don't know how long people are on dialysis, but that is three years worth of dialysis cost. but that is likely the high end of the cost of a kidney.
at $150k/kidney, lets assume that only the most wealthy 500 patients get them. now you have 500 less people waiting in line; everyone's bumped up. i don't know what the "donor's" cut will be, but it won't be insignificant. now we get another 3000 people willing to donate at that price, pushing the price down to, say, $130k. now we have 3500 people off the waiting list, which doesn't even count the people who got kidneys through donation.
so in time, the price will fall and we'll get people off the waiting list and back into a normal life away from the dialysis machines and certain death. i don't know how many new people need kidneys each year, but it won't take long before the only demand is from people new to the list. the price will fall accordingly.
and like someone else already said, charity will exist then to help people pay for it. not only that, but the government could even pay for a significant chunk for the first little bit (not that i'm for that); since it already pays for such a large part of the dialysis costs, it would save taxpayer money.
so tell me how you honestly think that in the anything but the immediate term, only the rich would get kidneys.
Posted by: hutch | Jul 29, 2009 12:14:12 AM
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