Because that libertarian attitude every one should be able to enter any contract he wishes without restriction doesn't account for the realities of power play in this world.
The realities of power are that really rich people, right now, can fly to countries to get organs from desperate people. So all we're really doing is exporting the problem.
The reality of medicine is that being put on a donor waiting list is a death sentence for the "99%".
And the reality of organ transplants is that most people suffer organ failure due to poor health, poor diet and smoking / drug abuse. You probably see more poor and middling people, per capita, needing organ transplants because wealthy people take better care of their bodies.
Only desperate people would sell their organs for money.
So it's better that they simply remain desperate? They don't seem to think so. Do they get a say in the matter? Freedom of choice? My body, not the government's? Does that only apply to abortion?
Allowing people to sell organs would give very rich people with organ failure an incentive to make the life of potential donors hell.
Sure, that would make perfect sense if rich people were all part of some vast conspiracy. In reality, any sane person, rich or poor, has every incentive to avoid hugely invasive surgery, and as much as people don't want to be donors, they want to be recipients even less.
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