  Opposition to the Saving of Lives Argument takes one of two forms. It may be objected to empirically, with the critic arguing either that permitting organ sale would be ineffective or that an alternative system would work better: for example, the ways in which we approach bereaved relatives could be improved, as could the ways in which the possibility of (unpaid) living donation is publicized, or there could be a move to a Mandated Choice or Presumed Consent system (Hinkley 2005). Alternatively, one might concede the empirical point that allowing organ sale would be an effective option, but nonetheless argue that there are sufficiently strong countervailing (moral or practical) reasons to justify leaving the prohibition on sale in place. These reasons are the subject of some later sections.