Your decision can make life worth living for someone in need and that's a fact. Transplants don't really work. It costs money to donate. Donation is painful for the donor's family. Donation can be especially comforting when the death is unexpected and the donor is young.
Wealthy people can buy organs.
That's not fair. For people on the national waiting list for organs, matching is based on blood and tissue type, medical urgency, time on the waiting list, and geographical location. There is no way to buy a place on the national waiting list. Doctors may let a patient die so they can transplant organs to their other patients. Every effort is made to save the patient's life before donation can be considered.