This dystopian thought is wrong learning from dystopian fiction.

I know it felt clever writing it, surely many found it clever cynicism, but in no way does it reflect real life kidney donations.

to call this outcome unrealistic, now or in the future seems incorrect as there is already a thriving pay for kidney trade.

https://www.dw.com/en/inside-a-global-organ-trafficking-netw...

it’s fair to say there would be great advances from such a programme, I’m personally in favour of medical surveillance generally for this reason but you have to be realistic about outcomes