Around 7,000 people in the UK are currently waiting for a kidney transplant. In the past year, only 3,302 transplants were done, leaving many in a tough spot. The charity Kidney Research UK highlights that only 32% of those on the waiting list get a transplant within a year, and sadly, six people die each week while waiting.
For those with kidney failure, the options are dialysis or a transplant. However, a transplant isn’t a permanent fix. Kidneys from deceased donors typically last 10 to 15 years, and those from living donors last around 20 to 25 years. Eventually, many people find themselves needing another transplant or going back to dialysis.
This issue isn’t just a UK problem; it’s global. However, Iran stands out because it’s the only country that allows the sale of kidneys. Since 1988, Iran has created a system where no one waits for kidney transplants. A kidney can be purchased for about $5,000, and the money goes to the donor, who can be a friend or simply someone in need of cash. The black market, on the other hand, can see prices soar to $120,000 elsewhere.
The Iranian model raises an important question: Should countries like the UK also legalize the sale of kidneys? The current system in the UK relies entirely on voluntary donations, which isn’t enough to meet demand. Some experts argue that offering financial incentives could help increase the supply of kidneys.
Critics worry that legalizing kidney sales could exploit vulnerable people. While these concerns are valid, they overlook the fact that current systems aren’t improving the financial situations of those in need. Simply banning the market doesn’t fix the underlying issue. Instead, regulations could ensure that the market operates fairly and ethically.
Another concern is the idea of bodies as sacred. But who defines sacred? Many might view organ sales as wrong, but personal beliefs shouldn’t dictate laws affecting everyone, especially when lives are at stake. In the end, should feelings of discomfort outweigh the urgent need for transplants?
This dilemma isn’t new. Historically, societal feelings can shift dramatically. For instance, in the 18th century, paid singers were frowned upon, much like today’s thoughts on organ sales. What feels wrong today might seem normal tomorrow.
Ultimately, we must weigh personal discomfort against the real-life consequences of kidney shortages. This is not just a philosophical question; it’s about saving lives. Should societies take a more open approach to the sale of organs, especially if it could save lives?
In Iran, the regime’s decision to legalize kidney sales was partly a response to health crises. The government was willing to ignore public sentiment for the sake of practicality. Such authoritarian approaches can be problematic, raising questions about personal freedoms. If the decision is made democratically, it might be more acceptable, but if it comes from a place of power without public consent, then the consequences could be dire.
In conclusion, the issue of kidney sales deserves a serious conversation, balancing ethics, demand, and the rights of individuals. The goal should be to ensure that people in need receive the medical help they require without being forced into risky situations.
For more insights on organ donation and the implications of these choices, visit Kidney Research UK.

