But others are more thoughtful and prudent. One approach is to make the federal government the sole purchaser of kidneys. Donor and recipient would never meet. Compensation would be fixed, haggling impossible. After the kidney is acquired, the transplant process would unfold in the typical manner.

Slightly less bad i guess but under capitalism it would essentially result in the poor selling their kidneys for what? $50k? maybe in a much more equal society i can see some state benefits to incentivize people but definitely not under the current system.

there is already a blood donation market in the U.S. and its as 'problematic' as you would expect