  One initial response to the ‘coercion by poverty’ refers us back to the fact that almost all defenders of organ sale are arguing not for unfettered international trafficking in transplant organs but rather for a regulated system of compensation. Within the context of a regulated system (particularly that advocated by Erin and Harris, which would be limited to one economic area) there is no reason to believe that most organ sellers would be desperately poor. Organ sale may admittedly be more attractive to those with the least money (for why would someone rich need or want to sell an organ?) but then much the same can be said of some of the least sought-after and worst paid agricultural and cleaning jobs, and we do not generally say that people cannot consent to do these or that these types of employment should be banned.