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"I think we could solve our problems more easily through strength of character; but that's always been a commodity in extremely short supply."
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As far as I know, Niven was the first writer to really work with a topic that is just starting to become a problem, thanks to drugs that make transplantation viable.
What happens when the need for "spare parts" exceeds the supply - the organs that are produced by chance events, like car crashes? You could start with the criminals, like an organlegger who had stolen another person's life to make his body into spare parts. First, you cool the body to the point where preservation of delicate body structures is possible -
The term is a corruption of the word "bootlegger." This story is in several collections of Niven's works - highly recommended.
The ultimate danger, when a citizen could live for as long as possible if enough organs were available?
In Anne McCaffrey's 1990 novel Pegasus in Flight, street children are stockpiled for later use as organ donors:
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