[shabda]

Are you seriously suggesting anyone who has renal failure shouldn't have children? What next - siblings of renal failure should be sterilized because they might be at Y% higher chance of X unknown disease?

Your choice if you don't want to sign up for organ donation, and I respect your choice. Everyone should make their choices about their bodies. However, your choices are coming from horrible misinformation.

[hycaria]

I don't think it's very wise but there's no obligation. If you want to have children risking to suffer from the same life altering conditions that's your choice. But what happens when everyone in your lineage is dependent on organ donation or more generally lifelong drug dependance? Is that alright or should we act when it's preventable (genetic counseling etc)?

Also what is misinformed? Are you living without treatment? Do you indeed carry any risk for offspring or are you in the slight share of patients who got acute renal failure thanks to some bacterial infection? Since you didn't address it and the odds are not in favor, I don't have much doubt on the answer. I don't think much is factually wrong, rather that you're displeased with my conclusions : not worth enabling.