This introductory chapter first sets out the book's main arguments, that the problems of organ transplantation, and the shortages of organs for that purpose, are not unsolvable. The primary problems are not technological but are instead political and moral, and we have the means now to resolve the shortage over a reasonable period if we choose to do so. It suggests that any practical solution to the organ shortages under current technological means must involve paying meaningful compensation to donors for their willingness to donate. Compensation may be paid both to the families of deceased donors and to living donors (in the case of kidneys). It further proposes the establishment of public monopsony buyers for organs, and argues that such a system may be adequately managed to produce greatly improved patient outcomes while saving money and avoiding serious moral failings. An overview of the subsequent chapters is also presented.
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