Concern also focused on the imbalance of the trade because the market is for only those who can afford, therefore only gives chance for the well-off. The black market has been referred to as the transplant trade outside of the United States. Legalization of the international organ trade would lead to increased supply, lowering prices. Therefore the poor might be able to afford such organs as well.

Bioethics is also concerned in issues of exploitation of the donor. Exploitation arguments generally come from two main areas, physical and financial exploitation. Physical exploitation argues that the operations are risky and they take place in third-world countries or what they say "black alleys" which adds to the risk. Although operations can be made safe, still there remains some threat and risk for the donor. Financial exploitation on the other hand says that donors are not paid enough, especially those from the Indian...
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