Reader Austin Donisan has a long comment worth reading in response to my post on why kidney markets might offend me. I’m not going to engage with every single point Donisan makes, because in doing so I would be repeating myself (please read the post which started this discussion). But let me make a few responses in any case.
First, Donisan suggests I have “an a priori opinion on the matter of paid organ donation.” Well, yes, I do. As I stated in my last post, I have a strong, instinctive revulsion to the possibility of poor folks in this country, in these times, selling their kidneys for pittances; my revulsion is not directed toward paid organ donations per se. Call it a preference if you like; no worries. But do indicate what my preference is for in more specific terms.
Second, Donisan is too keen to convince me in economic terms; that is not going to work in this situation. You are asking me to make commensurate two scales: one, which measures markets in terms of efficiency; the second, which reacts to markets in less tangible terms like distaste. We might be talking past each other.
Third, Donisan says:
The ability to donate a kidney may be poor’s biggest comparative advantage, and comparative advantage is the only way to get ahead in the world.
So, presumably, the best way to help the poor would be to encourage them to sell their kidneys. This doesn’t sound right to me; I can think of many other strategies that would enhance the “comparative advantage” of the poor, which do not require them to sell their vital organs.
I’d like to evaluate kidney markets in a broader context and Donisan wants to make the context narrower; it will enable a market-based argument to go through, but it does so at the cost of making the argument uninteresting to me. A poor man selling a kidney in the US today is just an abstract agent seeking comparative advantage for Donisan; not so for me.
Anyway, I’d like to stop repeating myself and let Oscar Wilde have the last word. So, from Lady Windermere’s Fan, Act 3:
CECIL GRAHAM. What is a cynic?
LORD DARLINGTON. A man who knows the price of everything and the value of nothing.
CECIL GRAHAM. And a sentimentalist, my dear Darlington, is a man who sees an absurd value in everything, and doesn’t know the market price of any single thing.