CANADALAND CANADALAND

Repugnant Markets: Where Blood is Sold and Kidneys Swapped

Aug 10, 2026 · 24m

Summary

Host Gemma Boothroyd interviews Nobel laureate Alvin Roth about "repugnant markets," exploring controversial transactions like organ sales, MAID, and surrogacy. Roth explains how social stigma often drives these practices underground, creating dangerous black markets rather than eliminating them. The discussion highlights how regulated systems, such as kidney exchanges and paid plasma donation, can save lives and reduce harm compared to outright bans.

Topics discussed

Intro and Oxio sponsorship Personal story on MAID and repugnance Defining repugnant markets with Alvin Roth Kidney failure statistics and scarcity Deceased vs. living donors and matching issues How kidney exchange programs work Repugnance, Iran's legal market, and Article ad Article and Oxio sponsorships Regulated markets and the plasma trade Cross-border kidney exchange barriers International cooperation examples: Israel and UAE Plasma donation and payday loans The dangers of the black market for kidneys Prohibition analogy and surrogacy laws Future tech, CRISPR, and ethics Outro, prediction markets, and credits
Listen ad-free on Castria