An extreme version of this is: What should the German health service do if someone says they are willing to donate a kidney as long as it doesn’t go to a Jew?
On the one hand, nobody is forced to donate a kidney and by forbidding this we’re making things worse for an innocent patient. On the other hand, it can be seen as the state sanctioning this kind of discrimination.
The very fact you raise the possibility of perverse or exploitative markets means there’s cause for mistrust in any donor arrangement. We live in a capitalist world and here you are devaluing my body for who, some CEO? Lisa Marie Presley inherits a catalogue of copyrighted content and revenue streams but my family can’t get a penny for saving someone’s life?
Organ donation is a wonderful thing and I understand why our systems are “opt-in” by default but why can’t I opt out, if I don’t trust society?
(Also: https://i.redd.it/9fiy6yw00mcb1.png)