1. Introduction -- A. A tale of two cities -- B. Black markets : altruism's limits -- 1) The black market -- 2) Exploitation of living donors -- 3) Compelled organ and tissue donation from children -- 4) Bias and fraud : who gets priority status? -- 5) Presumed consent : an underground process -- 6) Tissue sales and donor betrayal -- C. Reform : an alternative vision -- Alternatives -- Hybrid system -- Slavery debate -- D. Research framework : laws and status -- pt. 1. Understanding the strain on altruism -- 2. Institutional supply, demand, and legitimacy -- Introduction -- A. Medical trust and government-sponsored medicine -- B. Institutional competency -- Institutional goals -- Institutional supply and demand -- Physical capacity -- C. Competency and altruism : a statistical overview -- Racial disparities, distributive justice, and waitlists -- a. Kidney waitlists -- b. Liver waitlists -- c. Heart waitlists -- D. Confidence and donation -- Conclusion -- 3. Nuances, judicial authority, and the legal limits of altruism -- Introduction -- A. The language of altruism -- B. Obsessive altruism, it's not really altruism at all or is it? -- Living donations -- The cases -- McFall v. Shimp -- Curran v. Bosze -- Fluid jurisprudence -- Strunk v. Strunk -- C. Reproductive altruism -- Conclusion -- 4. Getting the organ you want -- Introduction -- A. Organ referral : getting onto the list -- Profit in dialysis -- Green screening and social valuing -- The God squad -- B. Distributive justice and the waiting list game -- History -- Matching and politics -- 1) Blood distribution grouping -- 2) Human leukocyte antigen disparity -- 3) Higher crossmatch -- 4) Low donations among Blacks -- Conclusion -- pt. 2. Legal frameworks and alternatives -- 5. The Uniform Anatomical Gift Act -- Introduction -- A. 1968 UAGA -- Scope -- Compensation -- Tensions -- B. The 1987 UAGA : required request and presumed consent -- 6. Presumed consent : the unsuspecting donor -- Introduction -- A. Presumed consent : origins and obstacles -- What does consent have to do with it? -- Too much to not ask for... -- B. Can presumed consent work for organs? -- Religious concerns -- Cultural concerns -- Opt-out viability -- C. Compulsory donation and a duty to rescue : why social contract theory doesn't apply -- A few problems -- Black exclusion -- Autonomy and state interference -- Conclusion -- 7. Commoditization : incentives for cadaveric organ harvesting -- Introduction -- A. Bad blood -- Blood crisis -- B. Costs -- C. Subjective ethics -- D. Life, death, and insurance -- E. System components and government power -- The law -- Conclusion -- 8. Black markets : the supply of body parts -- Introduction -- A. Taking from the dead : robbing Black cemeteries -- B. Public and private transactions in tissue procurement -- C. The private and the public : a new right to choose in sperm and ova sales -- D. Black markets and organs -- The tale of an organ -- Buying an organ -- Costs -- Conclusion -- pt. 3. Critiquing the slavery and Black body market comparison -- 9. Critiquing the slavery and Black body market -- Comparison -- Introduction -- Black bodies and property -- 1) Saving Lives -- 2) Compensation -- 3) Voluntary participation -- 4) Physicality -- Conclusion -- 10. Conclusion.