[net.sf-lovers] a selfish heart in the bank

trc@houca.UUCP (10/06/83)

TO: rabbit!jj
SUBJECT: selfish organs

I dont agree that organ banks should only be non-profit.  The use of criminals
for the organ banks likely only arises in the case of *non-profit*, government
supported organ banks.  There could be some sort of deal whereby the govt 
sells prisoners to for-profit organ banks, but I think that this is far less 
likely.  Non-profit OB's (if govt run) would presumably give away organs to 
the most needy, while selling organs at high prices to the rich.  This has the 
effect of encouraging most people to think of replacement organs as something 
that they have some degree of "right" to, rather than merely something they 
have to buy.  This has the result that the value of the lives that might 
supply the organs are cheapened.

Contrast this with a capitalistic approach.  Here spare organs will be 
priced at exactly their value, as determined by supply and demand.  The 
prices will initially be so high as to encourage many people to sell the 
right to their vital organs upon their death.  This will bring the level 
of legitimate supply up, and so eliminate much of the market for organ-legged 
organs.  The major market that criminals might supply would be the poor, who 
might be unable to afford "organ replacement insurance" or direct purchase 
of organs.  This market would have a very low profit margin, considering the 
rather high overhead of surgical costs.   There might be an occasional 
scandal in which organ-legged organs are sold to supposedly legitimate OB's, 
but since OB's will probably be associated primarily with hospitals, and 
such practices would threaten the entire hospital, the OB's are likely to 
be policed by the hospitals themselves.  (It might be argued that the poor 
are losing out, since they wont always be able to afford the expensive organs 
- but on the other hand, the poor would be the most likely targets for the 
organ- leggers, and there are fewer of the latter with the for-profit OBs.)

So, if the technology for easy organ transplants became available, there
would probably be some minor organ-legging in a for-profit environment, but 
nowhere near what it would be in a government controlled, non-profit situation 
(as I believe "Gil the Arm" was in).  And furthermore, there would not be the 
problem of the government sacrificing minor criminals for the sake of organ-
needy citizens.

As for the "greed and selfishness" of mankind - I dont object to the second
at all, but "greedy" is really just a insult-word, used mainly by people
who werent fast enough to get a piece of something.  (EG there are 3 pieces 
of cake, and 6 children - 3 kids get pieces, and the others call them greedy.  
A fourth piece of cake appears, and all those that called the first 3 greedy 
now vie for the fourth piece of cake - even though they would be called greedy 
by the remaining 2.  I view this as a form of double-think.)

	Tom Craver
	houca!trc

jj@rabbit.UUCP (10/12/83)

Yeah... Well, Tom, I usually agree with you, BUT.
I think that making organs sell for a profit
will mean that the poor, instead of having to
get black market organs, will start
BEING black market organs, i.e. the criminals
will kill the poor people (who "nobody misses")
and take their organs.  Sort of a more
deadly and even less desirable type
of shanghaiing people.

I guess that I don't like the idea of organ banks at all.
Seems to me that we should be able to GROW organs
long before we really lick the problem of rejection.
Then, what do we need organ banks for?

Perhaps as a short term solution, it's not
so bad, but...  WeMadeIt

I think the word "greedy" DOES have a use in this society.
It describes the actions of most of the Druckerite managers
perfectly, in that it shows someone cutting off their
long term existance for a rich time in the next 5 years.

-- 
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