One of the primary reasons donors articulate for why they sell their organs is to pay off debt.[42] The most impoverished are frequently viewed as more reliable targets for transplant tourists because they are the most in need of money. While some supporters of the organ trade argue that it helps lift some people out of poverty by providing compensation to donors, evidence of this claim is hotly debated.[6] In many cases, people who sell their organs in order to pay off debt do not manage to escape this debt and remain trapped in debt cycles.[79][80] Often, people do not make an informed choice to donate their kidneys to strangers, but are forced into doing so due to extreme poverty.[80][81] It is therefore problematic to establish informed consent when the decision to donate is economically motivated, particularly in unregulated organ markets. The donor's socioeconomic situation is crucial in understanding the motives and outcomes of organ donation, particularly in relation to economically disadvantaged organ donors.