The price of a kidney? $20,000-30,000. There has been lots of emotional and even self-righteous pleas on the organ sale controversy recently. Why and how these two cases were brought to the public's attention and how many other organ sales in Singapore escaped public scorn and scrutiny is anyone's guess. Organ trading, pre or post "donor" death, is illegal by Singapore law and desperate patients needing a new kidney have to go abroad for organ transplants, risking a bad operation and health complications in a "third world" hospital.
Coming as a consequentialist, to make buyer and seller happy, the end justifies the means if there is no coercion in the transaction between strangers in the kidney transplant market. But why is it illegal in the first place still? One reason is that it both prevents the "exploitation" of the poor and a situation where the rich can get what they want by pricing human organs out of the reach of the hoi polloi. However, making such transactions illegal only creates a black market for it and with it, forgoing any chance of rigorous buyer-seller responsibilities and safety standards. On the contrary, permitting regulated organ sale means the seller has enough money for his needs and an escape from poverty however temporary, and the buyer has an organ and another chance to live life. The law against kidney sale actually perversely prevents the saving of lives, albeit it mostly refers to the lives of the rich as only the rich can afford organs in a human organ market. So is it a vindictive law that if the poor can't afford to buy an organ and get a much needed transplant, then the rich shouldn't get the chance to have an organ transplant as well. Viva la revolution?
For those vehemently against kidney sales, the true test of the unidimensional conviction is when a loved one needs a transplant desperately and there is a match from a willing kidney seller. The issue is not whether kidney sales should be illegal or not. The issue is how to regulate organ sales in an equitable manner where not only the rich would benefit. This is indeed a mammoth and pioneering regulatory task. Consequentialism to a regulated degree is something to ponder about.

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