• jsomae
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    5 months ago

    “Ghoulish” is a little knee-jerk, don’t you think?

    The proposed method to incentivize kidney donations seems well thought-out and non-coercive. It is structured in a way that makes it impossible or at least very difficult to sell a kidney as a way to “get rich quick” (get out of debt quick). Because it’s awarded as tax credits, impoverished people would have little incentive to sell.

    Meanwhile, the kidneys will go disproportionately to the poor and to the disadvantaged, since rich and advantaged people apparently have much less trouble finding volunteer donors.

    There is a huge need for kidneys. Kidney failure causes great suffering. Having a second kidney isn’t very useful. Why not cautiously incentivize donation?

    Edit: I think people aren’t realizing these are tax credits. Impoverished people who can’t afford necessities won’t be able to get any money from this.

    Edit (2): Okay so apparently these are refundable tax credits, which rather skews things. But there are apparently a number of other safeguards the proposal would put in place to prevent ghoulish kidney harvesting. I think this proposal should really be taken seriously and considered carefully rather than dismissing it outright as “ghoulish” because it has the potential to save a lot of lives, especially low-income and disadvantaged lives.

      • jsomae
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        5 months ago

        This is aggravating. It’s a carefully considered plan designed to avoid the ghoulish scenario of “poor people selling their kidneys,” evidently designed by someone smarter than either of us.

        • FuckyWucky [none/use name]@hexbear.net
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          5 months ago

          a government purchase program for kidneys isn’t really that innovative. Many governments procure food grains, wool etc at a floor price.

          the issue is with getting money involved. under capitalism, you have a class of unemployed, underemployed and underpaid workers who are desperate for money. it doesn’t matter if Government is buying kidneys and distributing it through a fair lottery system, the coercive element is still there.

          • jsomae
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            5 months ago

            But the system is designed to avoid the scenario of poor and desperate people selling their kidneys.

            • FuckyWucky [none/use name]@hexbear.net
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              5 months ago

              His organization’s proposal, for example, would split the $50,000 payment into installments arriving only around tax season to weaken donation as a get-rich-quick scheme. Even now, donation requires a weeks- to monthslong process of physical and psychological evaluation.

              the compensation is still there. i meant that any compensation, whether in form of tax credits, installments or even a house is coercive under the capitalist system.

              who do you think will be giving kidneys for $50,000? a person who earns $10k a year or a person earning $1m a year?

              • jsomae
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                5 months ago

                I’ll admit I don’t know much about American taxation, but in Canada someone who earns $10k a year pays $0 in taxes, and therefore would gain $0 from selling their kidneys under this scheme.

                I reckon this option would mostly be considered by people who earn $80k a year or more. We should encourage more people in this bracket to be donating their kidneys.

                • Rx_Hawk [he/him]@hexbear.net
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                  5 months ago

                  It doesn’t really matter how its designed. The reality is that only desperate people are going to sell their organs.

                  • jsomae
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                    5 months ago

                    How could it “not matter how it’s designed”? Do you realize how limiting that statement is? You’re saying there’s literally no way to ethically encourage people to donate their kidneys no matter how hard you try.

                • whogivesashit@lemmygrad.ml
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                  5 months ago

                  So in the US there are tax credits (work the way you said) and also refundable tax credits. Refundable tax credits will end up paying you money if you don’t owe anything.

                  • jsomae
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                    5 months ago

                    I didn’t realize this distinction. I am not sure the article specifies. I think the charitable interpretation then is that it’s the non-refundable kind, otherwise it would be a stupid system.

                  • jsomae
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                    5 months ago

                    And yet there are already people who donate their kidneys even without any incentive at all. Are you suggesting that with this incentive, fewer people will donate?

          • jsomae
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            5 months ago

            Thst’s cool! I didn’t know that.

            • AOCapitulator [they/them]@hexbear.net
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              5 months ago

              This is a joke mocking liberals and their terrible ideas that help no one but rich people

              I think this is a dangerous place for you if you’re this gullible and this politically illiterate

              Fair warning so you don’t end up getting yourself dog piled for posting more shit takes, post carefully

              • IzyaKatzmann [he/him]@hexbear.net
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                5 months ago

                Seems like most recognize he is genuine and not sh*tposting or trolling… I have to admit I thought it was an elaborate bit (it still might be, I honestly cannot tell)

                • Rx_Hawk [he/him]@hexbear.net
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                  5 months ago

                  Pretty sure it’s genuine. I can imagine someone with family or a close friend on a donation list or someone who works for an organ donor organization trying to see this in a good light.

                  But yeah I was a little suspicious at first too.

        • AOCapitulator [they/them]@hexbear.net
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          5 months ago

          The holocaust was also a carefully considered plan, but their reasons and the outcome they hoped for were as nonsense as this

          A move like this under capitalism will only enhance suffering

          • jsomae
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            5 months ago

            “The holocaust was also a carefully considered plan” is a fully-general rebuttal to any carefully considered plan.

            A move like this will definitely decrease the suffering of people who lack functioning kidneys. It will not affect the suffering poor and desperate.

            Obviously, we should abolish capitalism entirely, because capitalism causes suffering. I’m not advocating for capitalism here.

            • AOCapitulator [they/them]@hexbear.net
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              5 months ago

              It will not affect the suffering poor and desperate.

              you realize that hundreds of poor and desperate people would die from this procedure if this saw mass adoption right? Even if relatively safe it is a MAJOR procedure, and carries risk of death or complications.

              You would condemn them to die?

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                5 months ago

                They should be well informed. The risk of dying is around one in ten thousand – less than the risk of death giving birth.

                • AOCapitulator [they/them]@hexbear.net
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                  5 months ago

                  and there are MILLIONS of desperate people for whom 50k would be immensely tempting

                  I also don’t think we should exploit desperate people as surrogates, so idk how that affects anything that is also not a good thing

                  • jsomae
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                    5 months ago

                    …and they wouldn’t get a penny from donating their kidney under this system. Desperately poor people don’t benefit from tax credits.

    • zifnab25 [he/him, any]@hexbear.net
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      5 months ago

      There is a huge need for kidneys.

      Shove tons of salt and sugar into every available fast food venue

      “Damn, son, there sure are a lot of failed kidneys happening all of a sudden. Maybe we should legalize cannibalism to alleviate the problem?”

      • jsomae
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        5 months ago

        Improving the American diet is another thing that would help this problem a lot, but I doubt it would be sufficient.

        • zifnab25 [he/him, any]@hexbear.net
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          5 months ago

          George Washington had a mouth full of his slave’s teeth because he rotted the original pair through.

          One might argue that regular dental visits and cavity treatment wouldn’t have saved every tooth in his jaw, but maybe let’s give it a shot before we go around yanking other folks’ molars out with a pair of rusty pliers.

          • jsomae
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            5 months ago

            I’ve seen these dentures. It’s impossible to look at them without being struck by the harrowing provenance of those teeth.

            This kidney harvesting scheme is nothing like what those slaves went through. It is a way to encourage fairly-well-off middle-class people to donate their kidneys.

            • zifnab25 [he/him, any]@hexbear.net
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              5 months ago

              This kidney harvesting scheme is nothing like what those slaves went through.

              https://www.euronews.com/2023/11/27/israel-stealing-organs-from-bodies-in-gaza-alleges-human-right-group

              The existing organ harvesting practices are nothing short of absolute barbarity. I have little reason to believe a future profit-motivated industrial scale effort to remove organs from the most vulnerable and desperate people will be any less grotesque.

              It is a way to encourage fairly-well-off middle-class people to donate their kidneys.

              If we can’t even do blood donation ethically, how the hell are we going to handle organ donations? Fairly well-off middle-class people aren’t going to donate anything if they can purchase (or get their insurance company to purchase on their behalf) organs on a secondary market.

              • jsomae
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                5 months ago

                Just because some people have harvested organs in inhumane ways does not mean there is no ethical way to encourage people to donate kidneys. I could probably point to barbaric instances of praxis for any philosophy. Same thing with “if we can’t even do blood donation ethically.”

                Fairly well-off middle-class people aren’t going to donate anything if they can purchase […] organs on a secondary market Why would somebody who wants to purchase a kidney want to donate a kidney in the first place? I think you may be confused about this whole scenario.

                • zifnab25 [he/him, any]@hexbear.net
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                  5 months ago

                  Just because some people have harvested organs in inhumane ways does not mean there is no ethical way to encourage people to donate kidneys.

                  Listen, I’m not saying the fox who guarded the hen house didn’t eat a few hens. I’m saying that this new fox (who looks shockingly similar to the old fox) can be trained to guard the hen house under a strict and reliable ethics code.

                  I could probably point to barbaric instances of praxis for any philosophy.

                  Damn. Almost like the entire privatized health care system is plagued with moral hazard. But since there’s nothing to be done, might as well turn a blind eye to yet another form of atrocity.

                  Why would somebody who wants to purchase a kidney want to donate a kidney in the first place?

                  It’s almost as though the end goal of a legal kidney market isn’t to facilitate simple familial donations at all.

                  • jsomae
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                    5 months ago

                    I’m saying that this new fox can be trained to guard the hen house under a strict and reliable ethics code.

                    Yes that’s exactly what I’m saying.

                    It’s almost as though the end goal of a legal kidney market isn’t to facilitate simple familial donations at all.

                    Exactly! I want to see everyone who needs a kidney get one, and those who don’t want to give up their kidney not be coerced into it. There is an extremely large space of people who are (a) not in poverty and (b) never seriously considered donating their kidney, and this is a great way to tap into that pool.

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        5 months ago

        It’s tax credits. People who can’t afford basic housing won’t be able to get a penny from this.

        • DamarcusArt@lemmygrad.ml
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          5 months ago

          My response would be something like “so the people rich enough to purchase kidneys are the only ones who this effects.” but someone else has already responded similarly. I appreciate you listening to other people and not just dismissing them outright in your other comments though. We get that a lot.

          • jsomae
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            5 months ago

            I think there’s an order of magnitude difference in effective wealth or more still between the median person this applies to and who can purchase a kidney. I make enough money that I pay taxes, and I have a bit of savings, but I could not realistically purchase a kidney.

            • DamarcusArt@lemmygrad.ml
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              5 months ago

              But would you ever sell a kidney just so you can pay less in taxes? Cutting your own life a decade short (or possibly even dying on the operating table) just so you didn’t pay those taxes? I can’t imagine a scenario where it would ever be beneficial to anyone to want to do this, unless they needed the money (or tax credit) so badly that they had no other choice.

              • jsomae
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                5 months ago

                a decade short? where did you get that idea?

        • whatup@hexbear.net
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          5 months ago

          Yeah, relax plebes. It’s just tax credits (for now). People aren’t financially desperate enough to give away part of their bodies for so little (for now). You’re safe (lol).

          • jsomae
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            5 months ago

            You’re making a slippery slope argument? I think?

            This proposal is well-researched and is attempting to make donation financially neutral, so there is no reason somebody would sell their kidney for financial gain.

            You’re just imagining a different, ghoulish system being proposed and attacking that rather than actually considering the proposal mentioned, which could save many lives and end a lot of suffering – and would not exploit the lower class to ghoulishly take their kidneys.

            • queermunist she/her
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              5 months ago

              How is a $50,000 refundable tax credit supposed to be financially neutral? That’s very clearly a financial gain! A refundable tax credit means that the donor will receive either a credit on federal taxes for five years of $10,000 per year if they pay federal taxes, or a check from the government for $10,000 for five years if they do not pay federal taxes. That would be a life-changing amount of money for a lot of people.

              • jsomae
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                5 months ago

                Absolutely not. Ad hominem would be if I attacked the character of whatup without addressing their argument, like if I said “in your post history you advocate for genocide, so why should I listen to you?” (not that they did this ofc.)

    • ShimmeringKoi [comrade/them]@hexbear.net
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      5 months ago

      Ghoulish" is a little knee-jerk, don’t you think?

      Nah, this is every bit as ghoulish as those “want to buy textbooks? Sell your blood!” ads that make the rounds here

    • InevitableSwing [none/use name]@hexbear.netOP
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      5 months ago

      The proposed method to incentivize kidney donations seems well thought-out and non-coercive… Having a second kidney isn’t very useful.

      Thank you. I am stealing such things for future neoliberal (etc) parodies. Yeesh.

      Ninja edit 1: In fact - I’m going to bookmark you because you are clearly a goldmine for parody!

      Ninja edit 2: I scrolled down your profile - highly disturbing but amazing content.

    • TheLastHero [none/use name]@hexbear.net
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      5 months ago

      If you are so concerned about the availability of organs, how about instead of exploiting the desperation and suffering of still living people to rip their kidneys out, we institute universal deceased organ donation first?

      • jsomae
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        5 months ago

        As pointed out in the article, that would definitely help but wouldn’t be sufficient.

        Again, the proposed system would be non-exploitative. It would not incentivize the poor and desperate to donate.

        • AOCapitulator [they/them]@hexbear.net
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          5 months ago

          Say it with me

          Calling a system nonexploitative

          DOES NOT MAKE IT NON EXPLOITATIVE

          Incentivizing people starving and homeless to have their ORGANS Taken in exchange for MONEY FOR FOOD AND RENT

          is, and I cannot stress this enough

          EXPLOITATIVE

          We have a system, capitalism, where some people are poor or homeless or a thousand other situations where these people are faced with the options of do crime or starve to death, with this now that option is do crime, starve to death, or sell your organs! Yaaay we solved poverty!!!

          • jsomae
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            5 months ago

            Yo, cool your jets. I think we’re talking past each other. The system in question isn’t going to give any money to homeless people even if they donate their kidney. That’s what I mean by non-exploitative.

      • jsomae
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        5 months ago

        Yes. I’m definitely interested in learning more about leftism. I would identify as 50% liberal, 45% leftist, maybe 5% crazy libertarian.

        • FanonFan [comrade/them, any]@hexbear.net
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          5 months ago

          45% leftist

          Rookie numbers. Gotta pump those numbers up ;)

          Welcome. People here can be a bit overly aggressive sometimes when they see someone posting from another Lemmy instance due to the high likelihood of trolling or bad-faith engagement.

          I didn’t get the impression you were engaging in bad faith so I don’t know aggression is warranted yet, even if many of us disagree with you.

          Personally I can imagine a context where a person is compensated for their trouble when donating, whether that be blood or bone marrow or plasma or kidneys. But in a profit-driven system it opens up a lot of potential for hyper-exploitation of vulnerable communities. As it is, the idea that people have to sell their body parts to survive gets normalized incredibly quickly once any regulations are pulled back. Someone posted recently an ad for plasma donation with a smiling woman saying she donates plasma to pay rent. Sell yourself or be homeless, effectively.

          We also have a very low opinion of the New York Times, a publication that frequently manufacturers consent for war, downplays working class struggles, etc. So the ghoulishness isn’t solely coming from the basic idea of compensation for donation, but also that it’s a bourgeois rag talking about yet another way poor people can be commodified. The same rag that tries to tell us inflation isn’t a big deal, that the economy is doing fine, actually-- why are the poors whining again?

          • jsomae
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            5 months ago

            Thanks for the welcome! I’m not trying to argue in bad faith. I think this scheme would help minorities and the poor disproportionately, so I’m hopeful I can convince leftists that despite the dollar signs involved this is actually a very good plan.

            It seems to me that the monetary blood donation reward is poorly thought out and has a lot of problems that this kidney-selling system is trying to sidestep. In particular, I think this kidney system isn’t going to encourage poor people to donate their kidneys at all – it will only give a monetary reward to people who pay lots of taxes (the middle class+).

            I have a low opinion of NYT also. I was onboard with (carefully) monetarily rewarding kidney donations already.

          • jsomae
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            5 months ago

            An incomplete list:

            Leftism

            • structural racism/sexism/etc. exists and is a serious problem that needs to be addressed
            • police as a concept needs to be completely rethought
            • we should tax the rich and give to the poor
            • free healthcare, maybe UBI even
            • The U.S. needs to stop interfering in the political systems of other countries

            Libertarianism:

            • Privacy should be a human right
            • The DMCA is a disaster, DRM is evil, and copyright terms are way too long
              • jsomae
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                5 months ago

                Fair enough. So maybe I’m only 4% libertarian :)

                My gut response when those things are challenged is “but muh freedom!” so it certainly feels libertarian.

                Also, the left-of-liberal party in my country (NDP) disagrees with me on these matters.

    • EelBolshevikism [none/use name]@hexbear.net
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      You have to consider that, even if it isn’t ghoulish or is somehow actually a good thing, it is an unbelievably terrible statement to make anyways. When you start saying “hey maybe we should start giving people money for their kidneys” it should immediately tell you that what’s going on is horrific. That’s why it’s ghoulish. Capitalism actively degraded and damages scientific progress. We might not have needed organ donors AT ALL if it wasn’t for capitalism’s constant bureaucracy preventing and stalling the development of organ replication. The ghoulish thing is that this person doesn’t talk about that. The sheer, unending injustice of the very fact we are asking this question AND NOT IMMEDIATELY BLAMING THOSE IN POWER is unbelievable.

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        5 months ago

        Okay, I do agree with what you’re saying, at least as far as “we live in a broken society” and capitalism is bad. But why should the response to any idea short of tearing down the system be negative? If there’s a way to help improve things… shouldn’t we go for it? It sucks that society sucks but that’s not an excuse to ignore potentially helpful ideas.

        • EelBolshevikism [none/use name]@hexbear.net
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          If there’s a way to help improve things… shouldn’t we go for it? It sucks that society sucks but that’s not an excuse to ignore potentially helpful ideas.

          I mean, sure, you can try and get people over the hurdle of convincing them that kidney selling is actually good sometimes, if you want. But people shouldn’t just be like, accepting this. Telling people to accept or normalize this is wrong. The fundamental truth is that the very idea of this being a possibly reasonable thing should fill people with rage. We don’t want people accepting this, ultimately, because we want them to revolt.

          Settling for survival by self-mutilation, even if it’s better than neither revolt or self-mutilation, is still horrific. Normalizing it (which is what the article is trying to do) is ghoulish

          • jsomae
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            5 months ago

            People already self-mutilate (living kidney donors), and they are seen as heroic. Unfortunately, they take a financial hit as a result of their decision. What an injustice. Shouldn’t we try to offset that? What makes this “wrong”?

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                5 months ago

                The idea is for kidney donation to be financially neutral. So you wouldn’t do this for financial gain. Currently, it’s financially net negative.

                Putting nitpicks with the specifics of their system aside, how is it wrong to take kidney donation from a financial negative to financially neutral?