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.