If there’s anything in the world that shines a better light on the utter and contemptible evil of altruism and those who preach it than the whole organ transplant industry, I surely don’t know about it. Here’s one place where — at least — you’ll get the doctrine right up in your face.
This is a place where what you might have done with your life — what sorts of values you might have created for yourself, for your loved ones, and even for all of humanity — is of explicitly no worth whatsoever. If you need an organ to live and continue producing the values you produce, the mantra is always the same: get in line. (aside: What might that remind you of?)
Forget all the slide-rule arguments about how free markets would better allocate organ "resources." As they go, they’re true, of course, but it’s not the point. Neither should it be of any concern whatsoever that a doper might value his dope more than a kidney. Not your business, any more than it’s your business that dopers and starving students have been selling their blood for decades, at least.
Here’s a post at Samizdata that speaks to parts of this issue. You want to practice the "virtue" of altruism? Yea? Well then you donate your organs to anonymous strangers on some list you have no access to, managed by those over whom you have not a wit of influence. Bonus points if they end up being donated to someone who holds values you happen to despise. "Nirvana": Bill Gates’ organs go to some do-nothing Luddite who never produced an objective value in his life, choosing rather to spend it attacking the sorts of technologies that Gates helped create, reshaping the world by decentralizing creativity and productivity.
I’m a donor myself. Personally, once I’ve left the building I don’t care what they do with it. Would I prefer that they go to someone I would consider deserving, i.e., someone who shares my values and strives to better himself, his loved ones, and humanity in meaningful ways? Youbetcha. But failing that, I suppose they go to the next guy, gal, or kid on the list. I figure the chances are even that they go to a good person and so that’ll have to do, for now.
Should I ever find myself in need of an organ before I’m fortunate enough for my name to come up, then you better believe I’ll be scouring every worldwide resource I can find to purchase one and have it installed by a competent surgeon. And, yes, I would insist on meeting the seller or his/her heirs personally to ascertain the individual’s true willingness — to make sure there was not an hint of coercion involved. I would likewise condemn anyone who would blindly fail to take such careful measures in such serious matters.
As to whatever the prevailing laws happen to be (the organ-donation "system"), or what the bio-"ethicists" think about it…well, they can all kiss my lilly-white ass.