Showing posts with label politics. Show all posts
Showing posts with label politics. Show all posts

Wednesday, November 22, 2023

Political leadership in NYC: Mayor Eric Adams on antisemitism

Elected officials with executive responsibilities have difficult jobs. The Mayor of NYC has to make sure that garbage is collected, that potholes are filled, that corruption is contained.  But political leaders also have an opportunity and a responsibility to address broader social problems, and from a distance I can appreciate that NYC Mayor Eric Adams is speaking out against hate, and not flinching from naming antisemitism as he sees it surge back into public view,

Remarks by Mayor Eric Adams | Central Synagogue | November 17, 2023

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Earlier (including the video of an earlier speech by Mayor Adams):

Sunday, September 3, 2023

Protest against political persecution of Prof Muhammad Yunus, and more general threats to democracy in Bangladesh

 The Bangladesh Daily Star publishes an open letter, and the NY Times provides some general background.

Here's the  open letter to Prime Minister Sheikh Hasina:

‘Judicial harassment of Yunus’: 104 Nobel laureates, 79 global figures voice concern

"A total of 104 Nobel Laureates and 79 other global figures in an open letter to Prime Minister Sheikh Hasina yesterday expressed concern about the safety and freedom of Nobel Laureate Prof Muhammad Yunus.

...

"As you know, Prof Yunus' work, which has been inspirational to all of us, focuses on how social business can be a force for international progress resulting in zero poverty, zero unemployment, and zero net carbon emissions. He is a leading example of how Bangladesh and Bangladeshis have contributed to global progress in recent decades. We sincerely wish that he be able to continue his path-breaking work free of persecution or harassment.

...

"According to the case documents, officials of the Inspection for Factories and Establishments Department on August 16, 2021, inspected the office of Grameen Telecom in the capital's Mirpur and found several violations of labour laws.

"On June 6 this year, the court framed charges against the accused -- including Prof Yunus -- in the case. The trial began on August 22.

...

"In its review, the law firm said, "Professor Yunus is facing six months in prison for a crime that he not only did not commit, but that legally does not exist….Events are moving quickly in Bangladesh driven by a forthcoming election and a presumed desire to imprison Prof Yunus prior to that election….Not only are the allegations entirely without merit, but the legal process is wrong in law….A miscarriage of justice is happening in Bangladesh and the state must not be allowed to carry it to its conclusion."


"Following are the Nobel Laureates who are the signatories of the letter:

PEACE: Barack H. Obama, 2009; José Ramos-Horta, 1996; Mairead Corrigan-Maguire, 1976; Shirin Ebadi, 2003; Leymah Roberta Gbowee, 2011; Albert Arnold Gore Jr., 2007; Tawakkol Karman, 2011; Denis Mukwege, 2018; Nadia Murad, 2018; Maria Ressa, 2021; Oscar Arias Sanchez, 1987; Juan Manuel Santos, 2016; Rigoberta Menchu Tum, 1992; and Jody Williams, 1997.

CHEMISTRY: Peter Agre, 2003; Thomas R. Cech, 1989; Martin Chalfie, 2008; Emmanuelle Charpentier, 2020; Aaron Ciechanover, 2004; Johann Deisenhofer, 1988; Jacques Dubochet, 2017; Joachim Frank, 2017; Walter Gilbert, 1980; Alan Heeger, 2000; Richard Henderson, 2017; Dudley R. Herschbach, 1986; Avram Hershko, 2004; Roald Hoffmann, 1981; Robert Huber, 1988; Martin Karplus, 2013; Brian K. Kobilka, 2012; Yuan T. Lee, 1986; Robert J. Lefkowitz, 2012; Jean-Marie Lehn, 1987; Michael Levitt, 2013; Tomas Lindahl, 2015; Paul L. Modrich, 2015; John C. Polanyi, 1986; Jean-Pierre Sauvage, 2016; Sir John E. Walker, 1997; Arieh Warshel, 2013; and Sir Gregory P. Winter, 2018.

ECONOMICS: Oliver Hart, 2016; Finn E. Kydland, 2004; Paul R. Milgrom, 2020; Edmund Phelps, 2006; Alvin E. Roth, 2012; Vernon L. Smith, 2002; and Joseph E. Stiglitz, 2001.

LITERATURE: J. M. Coetzee, 2003; Herta Muller, 2009; Orhan Pamuk, 2006; and Wole Soyinka, 1986.

MEDICINE: Harvey J. Alter, 2020; David Baltimore, 1975; Françoise Barré-Sinoussi, 2008; J. Michael Bishop, 1989; Elizabeth H. Blackburn, 2009; William C. Campbell, 2015; Peter C. Doherty, 1996; Jeffrey Connor Hall, 2017; Leland H. Hartwell, 2001; Jules A. Hoffmann, 2011; Tasuku Honjo, 2018; H. Robert Horvitz, 2002; Sir Michael Houghton, 2020; Craig C. Mello, 2006; Edvard Moser, 2014; May-Britt Moser, 2014; Sir Paul M. Nurse, 2001; Ardem Patapoutian, 2021; Sir Peter J. Ratcliffe, 2019; Charles M. Rice, 2020; Sir Richard J. Roberts, 1993; Michael Rosbash, 2017; Gregg L. Semenza, 2019; Hamilton O. Smith, 1978; Jack W. Szostak, 2009; Harold E. Varmus, 1989; Eric F. Wieschaus, 1995; Torsten N. Wiesel, 1981; and Michael W. Young, 2017.

PHYSICS: Barry Clark Barish, 2017; Steven Chu, 1997; Andre Geim, 2010; Sheldon Glashow, 1979; David J. Gross, 2004; John L. Hall, 2005; Takaaki Kajita, 2015; Anthony J. Leggett, 2003; John C. Mather, 2006; Michel Mayor, 2019; Arthur B. McDonald, 2015; Konstantin Novoselov, 2010; Giorgio Parisi, 2021; James Peebles, 2019; Roger Penrose, 2020; William D. Phillips, 1997; H. David Politzer, 2004; Brian P. Schmidt, 2011; Horst L. Stormer, 1998; Daniel C. Tsui, 1998; Carl E. Wieman, 2001; and David J. Wineland, 2012."

********

The letter also appeared as an ad in the International edition of the New York Times:


*************

And here's the NY Times story: 
The most active rivals to the country’s ruling party face dozens, even hundreds, of court cases each, paralyzing the opposition as a crucial election approaches. By Mujib Mashal 

"Bangladesh’s multiparty democracy is being methodically strangled in crowded courtrooms across this country of 170 million people.

"Nearly every day, thousands of leaders, members and supporters of opposition parties stand before a judge. Charges are usually vague, and evidence is shoddy, at best. But just months before a pivotal election pitting them against the ruling Awami League, the immobilizing effect is clear.

"About half of the five million members of the main opposition party, the Bangladesh Nationalist Party, are embroiled in politically motivated court cases, the group estimates. The most active leaders and organizers face dozens, even hundreds, of cases."

Wednesday, August 16, 2023

Argentine presidential politics, and monetary markets for kidneys

 The Financial Times reports on the surprising primary election performance of a far right candidate, Javier Milei.

Argentina radical rightwinger shakes up presidential race with primary win. by Ciara Nugent

"Javier Milei, a radical libertarian economist and outsider candidate, unexpectedly won Argentina’s primary poll, indicating a strong shift to the right as the South American country prepares to vote in a presidential election.

"Milei, a former television personality and one-term congressional representative who has called for extreme austerity and dollarising Argentina’s economy, won 30.1 per cent of the vote on Sunday, surpassing pollsters’ average forecast of 20 per cent, with 96 per cent of votes counted.

"That put his Freedom Advances party ahead of centre-right force Together for Change, with 28.3 per cent, and the ruling populist coalition Union for the Homeland, whose candidate is centrist economy minister Sergio Massa, which earned 27.2 per cent."

**********

I'm not a close follower of Argentine politics, but his name rang a bell, and reminded me that I had blogged about him in connection of his support for markets for kidneys. (There's no indication that was an issue in the presidential primaries...)

Wednesday, June 15, 2022


Friday, July 21, 2023

The Cost of Inaction and the Urgent Need to Reform the U.S. Transplant System: participant statements

 Yesterday's Senate Finance committee hearings on The Cost of Inaction and the Urgent Need to Reform the U.S. Transplant System are on video, and the following witness statements (delivered beforehand) are now also available.

If you only have time to read one, I'd recommend clicking on the testimony of Matthew Wadsworth, the President And CEO of the OPO, Life Connection of Ohio.

Witnesses 


  1. LaQuayia Goldring
    Patient
    Louisville , KY
  2. Molly J. McCarthy
    Vice Chair & Region 6 Patient Affairs Committee Representative
    Organ Procurement and Transplantation Network (OPTN)
    Redmond , WA
  3. Matthew Wadsworth
    President And CEO
    Life Connection of Ohio
    Kettering , OH
  4. Raymond J. Lynch, MD, MS, FACS
    Professor Of Surgery And Director Of Transplantation Quality And Outcomes
    Penn State Health Milton S. Hershey Medical Center
    Hershey , PA
  5. Donna R. Cryer, JD
    Founder And CEO
    Global Liver Institute
    Washington , DC
**********

Thursday, July 20, 2023

Senate Finance Subcommittee on Health Care --testimony on organ transplants, going on now

Watch right now or listen later.  UNOS is not popular in the Senate.

 https://www.c-span.org/video/?529461-1/health-advocates-testify-improving-organ-transplant-system

Health Advocates Testify on Improving Organ Transplant System

Patients and health professionals testify on the effectiveness of the organ transplant system before the Senate Finance Subcommittee on Health Care.

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Another set of links:Subcommittee Hearing
Subcommittee on Health CareDate: Thursday, July 20, 2023Time: 10:00 AMLocation: 215 Dirksen Senate Office Building

Saturday, July 15, 2023

Marijuana and military recruitment

 Here's a proposal for a bit pf reality-based legislation that has some bipartisan support. DefenseOne has the story:

Proposed marijuana waivers acknowledge blunt recruiting truths. Lawmakers on both sides of the aisle want to remove a barrier to joining the U.S. military.  by LAUREN C. WILLIAMS 

"As the military services struggle to meet recruiting goals, lawmakers in the divided House seem united on a proposed fix: relaxing the Pentagon’s policies on marijuana use.

“I do not believe we should be testing for cannabis [in] people who want to join the military,” Rep. Matt Gaetz, R-Fla., told the House Rules Committee during a hearing on Tuesday. “We should be thinking about cannabis more in terms of alcohol.”

Gaetz testified in support of his amendment that would ban drug testing for marijuana as a condition of enlistment or to become a commissioned officer. 

“We are having a recruiting crisis,” he said, noting that many “people use cannabis under the color of state law.” So far, 23 states and Washington, D.C. have legalized the recreational use of marijuana.

"The Florida lawmaker stressed that his amendment wouldn’t preclude DOD from prohibiting marijuana use for individuals actively serving in the military, but that cannabis testing is “an unnecessary gate” for recruitment. In 2021, Gaetz sought to overturn U.S. election results."

Sunday, March 26, 2023

The economics and politics of compensating kidney donors, by McCormick and Held

Political feasibility is an unavoidable consideration in any discussion of compensating kidney donors.  McCormick and Held take the latest a stab at it. 

How to End the Kidney Shortage. Few if any of these news stories lamenting the kidney shortage or touting hightech breakthroughs mention that we already have a solution to the shortage: compensating kidney donors to induce more supply  By Frank McCormick and Philip J. Held, SPRING 2023 • REGULATION (CATO Institute).

"A crucial question remains: what level of compensation should the government offer to kidney donors? The answer is a political judgment call that involves the tradeoff between the number of patients saved from premature death and the probability of getting a particular law or regulation changed.



Tuesday, February 28, 2023

Democracy & “Noxious” Markets, by Debra Satz

 The Winter 2023 issue of Daedalus is about Creating a New Moral Political Economy, edited by Margaret Levi & Henry Farrell.

The article by Debra Satz will strike a chord with market designers: she takes very seriously that markets are tools that need thoughtful design.

"my argument is not a lawyer’s brief against markets. No large democratic society can or should entirely dispense with markets. Not only are markets among the most powerful tools we have for generating growth in living standards and incentivizing innovation, but also Smith was right to see their democratic potential as ways of enabling cooperation among independent, free, and equal individuals. As tools, however, we should think carefully about where to use them and how to design them when we do. While a neoliberal worldview sees efficient markets enhancing freedom and well-being everywhere, the reality is more complex. Some markets foreclose options that would better support democratic institutions and culture. Sometimes, closing off market options makes everyone better off. Consider that if individuals are free not to purchase health insurance on the market, the cost of publicly provided insurance will increase: healthy individuals are more likely to opt out of health insurance, leaving sicker individuals in the pool to be insured and raising the costs of their insurance, leading more people to forgo holding such insurance, driving the prices up even higher."


Among the markets she is concerned about are school choice, and military service:

"some of the ways parents prioritize their own children can lead to worse outcomes for other children and to the furthering of educational inequities, as well as to other social ills like instability and conflict. Evidence indicates, for example, that choice schools in the United States are more homogenous than public schools with respect to social class and race. Researchers have also shown that when public school choice is available, educated parents are especially likely to factor child demographics in their school selections.11 This may be because school quality is very hard to judge and parents default to markers such as the reading and math levels of other students. These levels, in turn, are heavily influenced by social class. It is likely that some parents take race and class directly as proxies for school quality."

...

"Extending the reach of markets even more, war has been further outsourced to private military contractors: in 2009, there were more private military contractors in Afghanistan than U.S. military troops.17 Hiring private mercenaries and outsourcing national security to a subsection of our population might spare our citizens, but as political philosopher Michael Sandel has noted, it changes the meaning of citizenship.18 In what sense are we “all in this together” if most citizens never need to think hard about decisions to go to war? Whatever the efficiency pros and cons of the decision to outsource fighting and allocate military service through market means, doing so changes our relationships with one another and our sense of a common life."

"My argument so far suffers from treating the state and market as two stark alternatives for the allocation of goods and services in society. So I now want to consider ways in which the benefits of markets can be harnessed—through design—to better serve important democratic goals. "

...

"One important mechanism is providing greater roles for worker voice. This can be done through such reforms as changing labor laws to support forms of worker association, like trade unions, allowing worker representatives on company boards, and strengthening democracy at work through diverse forms of ownership including worker-managed and -owned firms. Empowering the associational organization of labor would also help redress the background social conditions that render workers vulnerable to the oligarchic power of their employers.

"There are other examples in which careful design and policy can limit the “noxiousness” of a particular market for democracy. Policies such as a negative income tax can strengthen the power of workers, and campaign finance laws can diminish the power of money in elections. Others have argued for reforms to our current system of commodified legal representation within an adversarial system, and for single-payer health care systems."

Here's her concluding paragraph:

"Beyond education, we need to pay special attention to particular markets that affect democratic functioning and stability. Such markets include but are not limited to markets in legal representation, media and news markets, markets relating to national defense, and markets governing political rights. Politicians and other commentators usually write unreflectively, as if all markets were the same. They are not. Markets affect not only the distribution of income and wealth, but also our capacities, and our views of each other. Their strengths but also their limits depend on the fact that they are radically individualizing. But in some contexts, that individualizing threatens the practice of democracy. Markets have moral and even “spiritual” consequences relevant to our shared public life, and our evaluations of them must also attend to those consequences. A new political economy needs to take this larger evaluative frame into account."

******

The next article in the issue is a thoughtful essay on markets for personal care of the young and the elderly, organized in various ways, including care within families, written as a commentary on the Satz article: 

Is There a Proper Scope for Markets?  by Marc Fleurbaey

Wednesday, October 5, 2022

Open letters--democracy and academic freedom, in Iran and Turkey

 Around this time of year I think of the various open letters I sign, from among many that I'm invited to sign.  (I try to avoid signing letters in which it might appear that I'm offering expertise where in fact I don't have any--e.g. letters that make macroeconomic predictions or prescriptions.)  But some of the letters I end up signing protest injustices of various sorts, and seem to require only the kind of expertise that comes with being a citizen in a democracy or a professor at a university.

Here are two that I've recently signed.

The first concerns widely reported events in Iran.

AN OPEN LETTER TO THE PEOPLE OF IRAN. Over 120 Nobel Laureates from around the world stand in solidarity with the calls for justice and freedom in the wake of the death of 22 year-old Mahsa Amini.

Here's the beginning:

"Nobel Laureates from around the world stand in solidarity with the courageous actions of the people of Iran and join them in their calls for justice and freedom, and for the protection of human rights for all citizens of the country.

"Nobel laureates condemn the Iranian authorities’ violence against women and protestors.

“We condemn these barbaric actions toward women and protesters in Iran,” said laureate Dr. Shirin Ebadi, Nobel Peace Prize Laureate 2003. “Women should be free and there must be removal of all legal discriminations against women.”

***********

The second concerns a colleague at a Turkish university:

Prof. Dr. Ünal Zenginobuz’un ve Boğaziçi Üniversitesi’nin yanındayız.  We stand by Prof. Ünal Zenginobuz and Boğaziçi University.

The International Academics’ Statement:

"We are outraged by the suspension of Prof. Ünal Zenginobuz from teaching at Boğaziçi University for a period of three months, thereby preventing his academic and educational activities, on grounds of an investigation into actions conducted while he held the position of Department Head.

...

"Cutting Prof. Zenginobuz off from the academic world will harm his students, his university, his country, and the international academic community. This is simply unacceptable. What makes this unjust decision even more grave is that this is a continuation of developments at Boğaziçi University since January 2021 that have been in violation of academic autonomy and merit. Boğaziçi University enjoys success and worldwide renown thanks to values including academic merit, democratic governance, and dedication to public service, which Prof. Zenginobuz represents at its best.

"We stand by Prof. Zenginobuz and Boğaziçi University."

Sunday, August 14, 2022

More on UNOS in the hot seat and calls for reform of the U.S. deceased donor transplant system

 Here's another report about the recent Senate Finance Committee hearing about UNOS, which includes a redacted version of the U.S. Digital Service report calling for UNOS's functions to be broken up. (UNOS, the United Network for Organ Sharing, is the federal contractor that runs the U.S. deceased donor transplant system.)

Transplant System Urgently Needs Overhaul, Experts Say— UNOS CEO skewered for alleged failures in management during a Senate Finance Committee hearing by Shannon Firth, Washington Correspondent, MedPage Today

"Members of the Senate Finance Committee and fellow witnesses roasted the head of the United Network for Organ Sharing (UNOS) during a hearing on Wednesday, over what Committee Chair Ron Wyden (D-Ore.) characterized as "gross mismanagement and incompetence."

...

"A report from the U.S. Digital Service issued last year determined that the network lacks the technical capacity to modernize the system. The report recommended that the contract for the system, worth $248 million, be separate from a contract for policy management, according to The Washington Post.

"Sen. Elizabeth Warren (D-Mass.), not one to mince words, told Brian Shepard, CEO of UNOS, "I'll just be clear. You should lose this contract. You should not be allowed anywhere near the organ transplant system in this country. And if you try to interfere with the process of turning the contract over to someone who can actually do the job, you should be held accountable for that."

HT: Frank McCormick

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And here is a Senate memo issued just prior to the hearing:

“A System in Need of Repair: Addressing  Organizational Failures of the U.S.’s Organ Procurement and Transplantation Network”

"This bipartisan investigation began in February 2020 when then-Chairman Charles Grassley, then-Ranking Member Ron Wyden, Senator Todd Young, and Senator Benjamin Cardin sent a letter to UNOS expressing their concerns about the adequacy of patient safety standards and belief that OPOs are failing to recover thousands of viable organs each year. 16 The letter also highlighted an investigation by the Department of Health and Human Services, Office of Inspector General (HHS OIG) and news reports, shining a light on “lapses in patient safety, misuse of taxpayer dollars, and tens of thousands of organs going unrecovered or not transplanted,” leading to questions about the adequacy of UNOS’ oversight of OPOs.”17

"In 2021, the investigation continued under the leadership of now-Chairman Wyden and Ranking Member Grassley of the Senate Judiciary Committee with a series of bipartisan requests for information sent to HHS,18 CMS,19 HRSA, and the Office of Management and Budget. Staff also broadened the scope of the investigation to include concerns about the inadequacy of the OPTN information technology system and its impact on patients. 

...

Based on documents and internal memoranda, the Committee found that:

• The OPTN is failing to provide adequate oversight of the nation’s 57 OPOs, resulting in fewer organs available for transplant.

• The lack of oversight by UNOS causes avoidable failures in organ procurement and transplantation resulting in risks to patient safety. These failures include testing procedure errors, transportation issues resulting in life saving organs being lost or destroyed in transit, and process and procedure failures.

• UNOS lacks technical expertise to modernize the OPTN IT system, resulting in risk of system interruption or technical failure with the potential to harm patients across the country."

...

"While not the sole focus of the Committee’s investigation, Senator Grassley and Senator Wyden’s staff also heard concerns from patients, transplant center staff, and OPO staff that UNOS lacks technological expertise or the willingness to develop and maintain an adequate IT infrastructure. Staff also heard concerns that the archaic IT system results in delays in placing organs, organs being discarded, and inaccurate data being used to place organs because of its dependence on staff manually entering hundreds of donor and transplant candidate data points rather than upgrading to systems better able to transfer data across Electronic Medical Record platforms.

"These concerns were validated in a report from the independent U.S. Digital Service (USDS), which is housed within the Executive Office of the President and provides consultation services to federal agencies on information technology.115 The report, titled Lives Are at Stake, states that UNOS has been able to wiggle through and around most new contract requirements for the OPTN technology by hand-waving at change with technical jargon, while making no substantive progress. The USDS also states that:116

• UNOS is incapable of modernizing the OPTN IT infrastructure;

• the core systems are fragile;

• OPTN technology limits policy development;

• UNOS is resistant to change; and,

• OPTN system is dependent on a disjointed and inadequate user experience.

"Ultimately, USDS determined that these technological failings are in fact placing lives at stake and recommended that HHS take action to create a better organ transplant system and enable better patient outcomes, including updating NOTA to create flexibility in how the OPTN is serviced by contractors."

...

"Based on the investigation’s findings, Committee staff makes the following recommendations to improve the OPTN:

• Remove barriers to competition by removing the specific requirement for HHS to contract only with a “non-profit entity that has an expertise in organ procurement and transplantation;”

• Increase the pool of potential bidders by clarifying that the OPTN functions described in NOTA and subsequent amendments may be operated by more than one contractor, since few contractors will have adequate clinical knowledge and expertise in IT, policy development, and data collection and reporting, and policy compliance activities;

• Promote innovation in all OPTN functions (e.g., policy development, compliance and patient safety mentoring, IT infrastructure, coordinating transport of organs, etc.) as the best qualified entities with distinct skill sets could compete for contracts for these functions;

• Remove a major barrier for entry for bidders by providing authority for HHS to procure a government owned, contractor operated modern IT system to facilitate the OPTN functions;

• Increase security and innovation in the OPTN system by ensuring the new IT system is based on current technologies and operated and maintained by a contractor with adequate IT knowledge and experience;

• Ensure the continued viability of the OPTN by authorizing HHS to collect fees from transplant hospitals when adding a patient to the national organ transplant waitlist. This would replace a current fee structure authorized by regulation which is not flexible enough to provide funding for multiple contracts;

• Increase transparency and accountability for chain of custody and transportation of organs procured for transplant by providing for public reporting, as appropriate, on the status of organs in transport; and,

• Increase accountability for organs lost, damaged, or delayed in transport by requiring oversight and corrective action for such incidents.

**********

Earlier:

Wednesday, August 3, 2022

Wednesday, June 15, 2022

An unusual Argentine presidential candidate supports a monetary market for kidneys

 The right-wing Argentine politician,  Javier Milei, who describes himself as an anarcho-capitalist (but who the Washington Post thinks has a chance of becoming Argentina's next president, supports the sale of kidneys for transplantation. (The Buenos Aires Times describes him in general as an "outspoken provocateur.") While the election is only in 2023, this is the first time I have heard of this issue entering any sort of political campaign.

Here's the story in La Nacion, with some excerpts in rough translation by Google:

Javier Milei se manifestó a favor de la venta de órganos tras apoyar la compra libre de armas y denunciar a periodistas: “Es un mercado más”  2 de junio de 2022

"Javier Milei spoke out in favor of the sale of organs after supporting the free purchase of weapons and denouncing journalists: “It is one more market”

"In a week full of controversy for having denounced journalists and supported the free purchase of arms , the national deputy Javier Milei expressed another controversial opinion this morning: he declared himself in favor of the sale of organs . “It is one more market,” said the libertarian, who has already declared himself a presidential candidate for 2023.

"Asked about his position regarding this practice prohibited by law in Argentina, Milei said: “It is one more market and you could think of it as a market. The problem is why everything has to be regulated by the State.

...

"Later, he said that "there is probably something" that leads someone to decide to market their organs and under the assumption that this reason could be, for example, poverty, Milei indicated: "Then we are going to put it in other terms: if not you end up buying that organ, you end up starving and you don't even have a life."

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HT: Julio Elias