Our current system is failing dramatically because altruism isn’t a sufficiently motivating force to give up an organ. We need to test incentives, to reward people who are willing to save the life of a stranger through donation.
Our supply problem would supposedly be fixed—and we could save money overall—by paying people up to $10,000 to donate a kidney, but are we ready for a society where the disadvantaged are a source of replacement parts for those with means?