Kidney sales: how far do sellers exercise reasoned freedom? Cases from Bangladesh

The advance of biotechnology facilitates extraction of " fresh " organs like kidneys from living people, and their transplantation to sick people. The transplant trade has expanded the options for life-saving treatment but it violates many traditional understandings regarding appropriate market exchange. The kidney trade is the largest example, despite being the subject of heated public debate and having no legal basis across most of the world. It has been both challenged controversy continues, the gap between policies and illegal practices widens. The trade is expanding in Asia as well as in war-torn MENA areas (He, 2015). Kidney sale is perhaps still under-theorized in some respects. In all discussions, the sellers should sit at the center, for only the poor, destitute or socially disadvantaged sell, whereas only the well-off and socially advantaged buy. Discussions have concentrated on: (1) goals of the sellers, (2) varying benefits and harms they can experience, and (3) illegal informal arrangements that facilitate the decision to sell an organ. But there is confusing evidence on consequences, and limited connection between those discussions and the normative assessment of how far are selling decisions the desperation behavior of people who possess too little real choice. This paper explores kidney sellers' perspectives and the process of decision-making in some villages of Bangladesh. We examine the organ sellers' degree of freedom in relation to what they value to achieve, identify its limits, and see how those lead them to the choice of organ-selling. Selling decisions are made in a context where some people lack adequate material