> Nobody wants to sell their organs. People that want to purchase organs would love your suggestion however, as it allows them to justify exploitation of the desperate under the guise of "it was their decision".

The problem is that almost any labor is unethical under certain systems. We just notice it more when it's in the extremes, like sex-work or selling an organ.

If we didn't have a situation where people could be taken such advantage of, this wouldn't be a problem. The cost of buying an organ might be very high, because no one would be forced into it.

But yes, if suddenly selling organs were legal in the US, that would be a very unfortunate thing because it would immediately be abused.