Semantics aside, the real problem is the (desperation of) poverty, not the results of it.
I suspect this is an adaptation to both increase hemoglobin transport, but also to reduce cancer risks.
In that context, anybody who works hard labor is trading in part of their health for income because many labor-intensive jobs will take their toll on the body [0]. Up to a point where people either have to switch line of work or go into early retirement, as certain parts of their body stop functioning properly and they are stuck with chronic pains for the remainder of their lives.
[0] https://www.reuters.com/article/us-health-work-occupational-...
The human body is amazingly reliable, no comparison to "dead" (non-self-sustaining, non-self-renuvating) machines.
I also do not find selling your hair, your blood, your saliva or urine or your sperm or what ever your body produces as selling your body.
It does not follow that there are no ethical boundaries for departing from these "products".