Which is precisely the reason such sales are outlawed worldwide.
Are Iranian kidney donors the ones getting scammed?
If we enticed poor people to sell their kidneys, some percentage of them would wind up needing kidneys again without an ability to pay for them.
This turns into a kidney marketplace where the rich win out over the poor.
FCFS with triage based on need, immunocompatibility, and health outcome is the most equitable model.
Diabetes and uncontrolled high blood pressure are the top cause of kidney failure. These two conditions are far more common in the poor, and far more likely to be poorly managed.
Also if the price of a kidney relative to median income in the U.S. was similar to Iran, then a kidney would cost $15,000. This is expensive but still far cheaper than dialysis. And there is no reason an ACA plan or Medicaid wouldn't pay for it.
In theory. In practice rich people can jump ahead the line no matter what system. I.e. Steve Jobs and the liver that went to waste.
https://www.cnn.com/2009/HEALTH/06/24/liver.transplant.prior...
Same could be said for gambling and sales tax.
Sadly, economics dictate a lot of people's health is going to be like. Living/Work conditions lifestyle, diet are all influenced by wealth.
Poor people work most of the dirty and unhealthy jobs that significantly cut short life spans. Wealth and lifespans are known to be strongly correlated.
As countries we are perfectly comfortable reserving vaccines blocking poor countries with patents, polluting a lot more or exploiting their labor in terrible conditions we wouldn't tolerate. Compared to what we are willing to accept already this doesn't seem worse.
If a commercial system could save more lives(probably more likely rich) it is not that much worse for poor than it already is.