  A more promising option is to focus on groups rather than individuals. One might argue, for example, that the rich nations have a duty to alleviate poverty in the poor nations. With this (plausible) assumption in place, it could then be argued that when the rich nations collectively offer the poor nations money (but only) in return for organs, this is not really an offer, but rather a threat (a threat to wrongfully withhold resources if they do not hand over organs). The rich nations (it is argued) should be giving the money anyway, not demanding organs in return for it. So what the rich nations are doing is threatening to withhold resources to which the poor nations have a moral right, unless the poor nations hand over organs: a seemingly clear case of coercion.