how about this for a small piece of health care reform?

On New Jersey politics, the govt-restricted market for vital organs, and the subsequent corruption, here's Sally Satel in the WSJ...

Even by New Jersey standards, Thursday’s roundup of three mayors, five rabbis and 36 others on charges of money laundering and public corruption was big. But what put this FBI dragnet head and shoulders above the rest are the charges of trafficking in human body parts.

According to a federal criminal complaint filed in district court in New Jersey, Levy Izhak Rosenbaum of Brooklyn conspired to broker the sale of a human kidney for a transplant. The cost was $160,000 to the recipient of the transplant, of which the donor got $10,000. According to the complaint, Mr. Rosenbaum said he had brokered such sales many times over the past 10 years.

“That it could happen in this country is so shocking,” said Dr. Bernadine Healy, former head of the Red Cross.

No, it isn’t. When I needed a kidney several years ago and had no donor in sight, I would have considered doing business with someone like Mr. Rosenbaum. The current law—the National Organ Transplant Act of 1984—gave me little choice. I would be a felon if I compensated a donor who was willing to spare me years of life-draining dialysis and premature death....

Congress must permit donors to accept third-party benefits for saving the life of a stranger. Otherwise desperate patients and donors will continue to be reluctant co-conspirators in crime.