Why should it be considered unethical to have a Big Brother type show to decide who should be the lucky recipient of one particular kidney?
OK, the original Big Brother is a tacky waste of time.
But somebody, somewhere, somehow, decides who gets each available kidney. Why is that process superior? How is that person (or committee) better placed to make the decision? Isnt it a Good Thing that ordinary people should have a real taste of what it is like, through their vote, to actually come down in favour of only one candidate?