[dazc]

What if I off-shore my earnings to avoid paying tax; what if I vote Republican. Does consenting to organ donation make me a worthy person despite anything else you may disagree with?

[cygx]

Reciprocity is not some outlandish concept: If you're unwilling to help out, you don't get to join the mutual aid pact.

[toyg]

That’s irrelevant. If you just treat organ donation as an exchange system, an “organ-bank club” if you will, you don’t need to bring judgement into it.

[dazc]

Parent post was hinting at judgement though.