Kidneys, coming soon to a high street near you

Consider this:

A kidney patient who travelled to the Philippines to search for a live donor has defended his decision to become a so-called “transplant tourist”.

Stories like this hit the bullseye of the inherent tension between ‘liberal’ and ‘left’ ways of looking at the world.

A liberal (even ‘libertarian’) solution would be simple: we should be allowed to sell a kidney. It’s our body, and we should be free to do what we want with it. The borders of the state must stop at the dermis. Liberty is that simple. Or simplistic.

A left analysis would first point out that the burdens of this ‘freedom’ would fall disproportionately on the poor. Should they need a kidney, they won’t be able to afford one. A rich person is unlikely to need to sell his; a poor person, the opposite. Kidney sellers will be poor; purchasers usually rich. A freedom isn’t a freedom unless its universal; it’s more like a privilege. Just like my freedom (or ‘right’) to buy a Porsche. In a system that relies on exploitation, what we call capitalism, words like ‘freedom’ are sometimes meaningless. (There’s an analogy here with smoking in pubs, but that’s another story.)

There’s really no ‘left-liberal’ solution to this, not in the philosophical sense anyhow. There’s also no place for supporting or condemning one man’s attempt to prolong his life. Perhaps the place to start is with common sense. Support for the BMA’s position on presumed consent is little more than acknowledging the existence of a market failure that can be corrected. Easily and liberally.

First published at Liberal Conspiracy.