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Organ donation is fast becoming an important bioethical issue from a social perspective as well.
While most first-world nations have a legal system of oversight for organ transplantation, the fact remains that demand far outstrips supply.
Consequently, there has arisen a black market trend often referred to as transplant tourism.
The issues are weighty and controversial.
On the one hand are those who contend that those who can afford to buy organs are exploiting those who are desperate enough to sell their organs.
Many suggest this results in a growing inequality of status between the rich and the poor.
On the other hand are those who contend that the desperate should be allowed to sell their organs and that preventing them from doing so is merely contributing to their status as impoverished.
Further, those in favor of the trade hold that exploitation is morally preferable to death, and in so far as the choice lies between abstract notions of justice on the one hand and a dying person whose life could be saved on the other hand, the organ trade should be legalized.
Conversely, surveys conducted among living donors postoperatively and in a period of five years following the procedure have shown extreme regret in a majority of the donors, who said that given the chance to repeat the procedure, they would not.
Additionally, many study participants reported a decided worsening of economic condition following the procedure.
These studies looked only at people who sold a kidney in countries where organ sales are already legal.

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