One of the most important and widespread healthcare issues discussed today is concern about the shortage of organ donations. As the topic of organ donation shortages continues to be a growing problem, the government and many hospitals are also increasingly looking for ways to improve organ donation numbers. In the United States alone, at least 6,000 patients die each year while on the waiting list for new organs (Petersen & Lippert-Rasmussen, 2011). Although thousands of transplant candidates die from end-stage disease of vital organs while waiting for a suitable organ, only a fraction of eligible organ donors actually donate. Therefore, the large discrepancy between supply and demand for transplantable organs is one of the reasons that aggravates this shortage of organ donations (Parker, Winslade, & Paine, 2002). In the past, many people sought the supply of transplantable organs from cadaveric donors. However, as many ethical questions arose about how to determine whether someone truly died from cardiopulmonary or neurological conditions (Tong, 2007), many healthcare providers and transplant candidates instead shifted their focus to obtaining transplantable organs from living donors. As a result, in 2001, the number of living donors exceeded the number of cadaveric donors for the first time (Tong, 2007). Despite an increase in the rate of organ transplantation from living donors, the supply and demand for recipients and donors has not yet increased. encountered. In an effort to further encourage and increase the number of organs available for transplantation from living donors, the possibility of an organ market has been brought to attention (Tong, 2007). While the idea of ​​an organ market system would theoretically improve the number of living organs... middle of paper... making his decision to sell them unethical. If a rare situation arose in which sellers of all income classes truly wanted to sell their organs without any hesitation or restriction, only then would the principle of autonomy truly provide a reasonable argument for the creation of an organ market. There are some compelling reasons to support the creation of an organ market based on the principles of beneficence and autonomy, there are also many compelling reasons against the market. Allowing organ markets to exist would theoretically increase the number of organ transplants from living donors, but the negative results these organ markets will have on society are too severe. Therefore, using justice and non-maleficence as guiding ethical principles precisely limits the creation of the organ market as an ethical system..