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In page Organ donation:

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On teleological or utilitarian grounds, the moral status of "black market organ donation" relies upon the ends, rather than the means.[citation needed] In so far as those who donate organs are often impoverished[citation needed] and those who can afford black market organs are typically well-off,[citation needed] it would appear that there is an imbalance in the trade. In many cases, those in need of organs are put on waiting lists for legal organs for indeterminate lengths of time—many die while still on a waiting list.