Both the source and method of obtaining the organ to transplant are major ethical issues to consider, as well as the notion of distributive justice.
This practice was condemned by bioethicists [3] and was gradually abandoned and replaced by donation systems[4] A powerfully-argued opposing view, that properly and effectively regulated trade (markets) in organs could ensure that the seller is fully informed of all the consequences of donation, is a mutually beneficial transaction between two consenting adults, and that prohibiting it could itself be interpreted as violating Articles 3 and 29 of the Universal Declaration of Human Rights.
[5] As controversies on the boundary of life and death grow, the debate on when to terminate end-of-life care and start organ harvesting ensues.
[7] Donor matching intended to optimize life-years gained is also subject to debate, as people value their organ and the remainder of their lives differently.
[10] Current commentary on the ethics or organ distribution opposes the absolute exclusion and encourages an individualized interdisciplinary assessment.