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A kidney market can considerably release patients from suffering under dialysis, increase their lifetimes, and cut healthcare costs. Real Human Organsrtheless, such a market creates some ethical concerns, and our analysis should not be seen as an authorization for it. Many opponents of a market for kidneys are concern that the two sides of the market are divided by wealth, where the majority of buyers are the rich, and most sellers are the poor who sell their kidneys because they desperately and sometimes urgently need money. That is why some opponents argue that a market for organs can be coercive. However, we should note that as a kidney market had not made potential donors poor, it should not be blamed for that. Such a market provides a costly signal, i.e., selling one’s kidney, that make desperate poor people visible.

Therefore, a kidney market could even provide a truthful mechanism to distinguish poor people and do something for them. After all, we do not expect that a wealthy individual sells his/her kidney just to get financial support from the government. Should there be a fixed price? If we accept sales, why not have the kidney go to the highest bidder? There are many advantages to a government-sponsored regulated system with a fixed price paid to the vendor. The most important is that all potential recipients would have access to vendor kidneys. If some form of bartering or a ‘to the highest bidder’ system were establish, the rich would clearly benefit.