← All stories
Society

Economist Reveals Why Iran Alone Allows Legal Kidney Sales for Transplants

Sean Carroll Mindscape · 353 | Alvin Roth on the Economics of Morally Contested Markets · May 11, 2026
Economist Reveals Why Iran Alone Allows Legal Kidney Sales for Transplants
Sean Carroll Mindscape
Sean Carroll Mindscape
353 | Alvin Roth on the Economics of Morally Contested Markets
"It's against the law to pay someone to be a kidney donor almost everywhere with a single exception, which is the Islamic Republic of Iran. I've read the Shia fatwas, the religious rulings that allow it, and they just say, you know, it's not so bad. It saves a life."
Nobel Prize-winning economist Alvin Roth explained that Iran is the only country in the world where paying kidney donors is legal, sanctioned by Shia religious rulings that prioritize life-saving. Meanwhile, the U.S. has 90,000 people on kidney transplant waiting lists with fewer than 30,000 transplants performed annually, resulting in thousands of preventable deaths. Roth suggests the federal government could legally purchase kidneys as a national resource distributed by medical need, though he acknowledges this reform is unlikely.
From this episode
Sean Carroll Mindscape
Sean Carroll Mindscape

353 | Alvin Roth on the Economics of Morally Contested Markets

August 3, 2026 · 5 Egleze moments
Read episode summary and key points →

More moments from this episode

Crime & JusticeStanford Economist Claims Drug War Fails While Hitman Market Successfully SuppressedPoliticsSupreme Court Justices Gorsuch and Barrett Previously Opposed Medical Aid in DyingSocietyNobel Laureate Reveals U.S. Exports Tens of Billions in Paid Plasma While Other Countries Ban PaymentPoliticsRoth Says New Legislation Could Save Lives by Paying Kidney Donors Through Tax Credits
More stories More from Sean Carroll Mindscape