A Final Fleecing

by Emmett Harris

So-called “experts” have been aiding and abetting the growth of the state for quite some time. This isn’t news to those who pay attention to such things, which is why it is seldom shocking to discover new calls for government action originating from the pages of specialized journals. The latest temptation toward the rocks can be found in the current issue of The American Journal of Kidney Diseases.

As if estate taxes weren’t enough of an affront to common decency (One can’t even die without rendering unto Caesar!), Aaron Spital and Dr. Charles A. Erin want to make sure the government takes one last piece out of each of us – literally. The aforementioned men are top medical researchers, one from Strong Memorial Hospital in Rochester, N.Y., and the other from the University of Manchester in the U.K., respectively, and they are proposing a switch to a mandatory organ “donation” system. It may be a bold step, but it’s one they’re willing to take. How heroic.

The two point out the tragic consequences of the organ shortage plaguing the United States. Lacking a sufficient supply of healthy organs, many people succumb to their afflictions while on the transplant waiting list. Thus it follows, so the medical experts inform us, that the way to eliminate the shortage is to allow for the forcible removal of viable organs, irrespective of the wishes of the deceased or the deceased’s family.

Well … that is certainly one way to address the problem. It doesn’t take a great prophet, however, to suspect that such a course may usher in a whole host of new problems. First, doctors, nurses, and other health professionals will be required to be complicit in the “harvesting.” This will lead to a probable loss of trust and may even prompt some to forego needed medical services. Second, since not all individuals are going to be too keen on having the dearly departed disemboweled without family consent, a criminal wave of underground burials (so to speak) may be in the offing. Naturally, any flouting of the law will fuel the enactment of grander investigative powers to root out the offending bodies. Lastly, we may even look forward to future “public service” (i.e., propaganda) ads appearing during prime time sporting events questioning the patriotism of anyone who refuses to hand over Grandpa. It’ll be such a comfort to loved ones to know that their tax dollars are being used to assist them in their time of sorrow.

But is state-cloaked violence the only means of addressing the organ shortage? Of course not. Whenever a shortage of any good or service develops, you can bet some force or forces external to the market are causing it. Laws and regulations are invariably the culprits. The organ shortage is no different; free trade in transplantable organs is expressly prohibited under current laws. Were it not outlawed, no extended shortage of viable organs would exist. Individuals, or family members in the absence of explicit directions from the deceased, would be able to offer their organs for sale, thereby enhancing the value of the deceased’s estate. Potential organ recipients would also be spared the arbitrary, iniquitous waiting list. Those in need of organs would finally be able to place bids (either directly or through an insurance company) to match the available supply.

Messrs. Spital and Erin, being experts, are aware of, and have considered, the market approach. Unfortunately, they found it lacking. Their proposed mandatory system is superior, they assert, because it will avoid “exploitation of the poor for the benefit of the rich.” Even assuming this were true (it is not), it is interesting to consider that the researchers would rather implement a system of universal exploitation than allow free trade in organs to emerge. This calls into question their professed concern for the poor. Are they really worried about the poor being exploited or do they simply have a deep-rooted disdain for capitalism?

Though it seems unlikely that a mandatory system will be adopted at present, its eventual adoption will be a constant threat now that it’s out there. If Spital and Erin have their way, the Grim Reaper won’t be the only visitor a person meets upon death’s door. A sour bureaucrat will be waiting close behind, sent in to administer a final fleecing.

March 19, 2002  

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Emmett Harris lives in Dennis, Cape Cod. Visit his personal site at www.eeharris3.com.

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