Controversial Conversations

Unit 13: The Organ Black Market

Poverty, Desperation, and the Price of Flesh

A Matter of Supply and Demand

Thousands of people desperately wait for a new organ to save their lives. Meanwhile, millions live in deep poverty and desperately need money. In most places, paying someone for their kidney is strictly illegal. But does testing these strict laws truly protect weak people, or does it only force this dangerous trade into secret areas?

⚖️ Medical Terms

1. Raw Vocabulary: The Body Trade

Harvest (verb): To surgically remove body parts to use them or sell them.
Broker (noun): A person who secretly arranges an illegal deal for a high price.
Consent (noun/verb): Giving permission for something to happen.
Waitlist (noun): The long official list of sick people waiting for an organ.
Regulate (verb): To use official rules to safely control an industry, rather than completely stopping it.
Vulnerable (adj): Easily hurt or taken advantage of, often because of terrible poverty.
Demand (noun): A strong need from many people wanting to buy something quickly.
Illegal (adj): Breaking the law; completely not allowed by society.

Practice: Drag the correct term into the dark medical debate!

harvest
broker
waitlist
regulate
vulnerable
demand
illegal

1. With over 100,000 sick patients on the official , time is running out.

2. The shady middleman made a massive profit, paying the poor man very little.

3. Experts suggest we should legalise and strictly the trade to ensure safety.

4. Criminals often hurt deeply people who cannot protect themselves.

5. In dirty secret rooms, corrupt doctors kidneys from living people.

6. If someone is truly starving, can they really give free to sell a body part?

7. The huge for fresh kidneys continues to drive the dangerous market globally.

8. Even though it is completely , wealthy people frequently travel abroad to easily purchase organs.


2. Idioms and Expressions

When discussing serious moral boundaries, we often use strong descriptive expressions.


3. Reading: The Two Men

Read this story about true poverty and desperate medical needs.

Arthur is rich but dying. He will not survive long enough to reach the top of the slow waitlist. Feeling quite desperate, he secretly pays an illegal organ broker $200,000 to find him a perfect match.

Far away, Mateo is incredibly poor and vulnerable. He literally cannot feed his small children. Knowing the high demand for organs, he bravely gives his clear consent to sell his kidney for $5,000. He flies to a clinic where doctors neatly harvest the organ for Arthur.

Arthur easily survives, and Mateo finally pays his debts. Supporters argue this actually saved both men, claiming it is perfectly fine provided that the operation is medically safe. However, angry critics fiercely believe this completely crosses a moral line. They loudly say the rich simply preyed on the poor man's extreme desperation, and strongly conclude that unless we strictly ban this awful trade, very poor people will suffer constantly.


4. Grammar Focus: Conditionals (Unless / Provided that)

We often use special conditional phrases instead of "if." Unless means "if not." Provided that (or "as long as") means "only if."

Conjunction Meaning / Usage Debate Example
Unless "Except if" / "If we don't". Showing a severe negative condition. "Unless we legalise the trade, people will simply keep dying."
(If we do not legalise it...)
Provided that "Only if". Setting a strict condition for something being acceptable. "They can sell it, provided that the long surgery is safe."
(Only if the surgery is safe.)

Exercise A: Choose the Correct Conjunction

1. ____________ the donor truly understands the risks, the state shouldn't interfere.

2. ____________ we increase voluntary donors, the hidden crime will sadly continue.

Exercise B: Complete the Expressions

1. The scared patient strongly knows that deeply finding a kidney is definitely a serious matter of extreme life and .

2. The terrible criminals constantly prey the extremely weak poor people.


5. Debate Support: Prepare Your Arguments

Before you debate, look at these points and use the sentence starters below.

PROS (Regulate the Trade)
  • Adults have the freedom to give consent and do what they want with their bodies.
  • It would save thousands of lives of people suffering on the official waitlist.
  • Legalising it would allow governments to regulate it safely and stop the black market.
CONS (Exploitation)
  • It means the rich will prey on vulnerable, desperately poor people.
  • Consent given out of extreme poverty is not true, free consent.
  • It crosses a moral line by treating human body parts as products for profit.
Sentence Starters for Debate:
  • "If someone is truly starving, they cannot..."
  • "We have to regulate it, provided that..."
  • "Unless we ban this completely..."
  • "The main problem with the black market is..."

6. The Hot Seat: Debate Practice 🎙️

  1. If an adult is happily facing terrible starvation, can they actually ever give fair and free consent to effectively let someone boldly harvest their organ?
  2. Opponents confidently suggest we truly regulate this perfectly illegal action efficiently boldly strongly exactly. Do you fully perfectly smoothly efficiently agree?
  3. Use accurately smoothly Unless: "Unless we change the current poor laws easily..." safely (Complete the sentence).
  4. Use brightly purely Provided that: "I truly perfectly smoothly boldly strongly honestly completely beautifully correctly properly bravely believe you exactly should gracefully do it smoothly, provided that..."
« Back Next Unit »

Dominate the Discussion 🎙️

Join me for a bespoke English lesson at nativeuk.com.

Book a Private Session

More Free Topics? 📰

Check out our Blog for more high-level English tips.

Explore Free Resources