People need kidneys to clean the blood.
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Kidneys have significant excess capacity, such that one healthy kidney easily possesses the capacity to handle all elimination needs which may need to be processed through the urinary system. Since thousands of dollars can be obtained, by a donor, for a kidney that has a "match" for the recipient, people who perceive that the monetary benefits (which they may or may not desperately need) outweigh the loss of one kidney, sometimes make the decision to donate. It must be remembered that fees for kidney donation are regarded by many countries as illegal.
If you're planning on living, no, not really. But you can sign up for this thing and if you die theyll give them to some one in need.