As a person who is on dialysis and waiting for a kidney now for a couple years, I think it would be GREAT for the government to pay people to give up a kidney for use by someone who needs one. This practice is already going on in third world countries for much less money, and at the expense of people who have much less sophisticated medical care to take care of any crises. Those countries see the United States' as coming in and harvesting kidneys and that practice probably doesn't improve our reputation world-wide. The idea of harvesting kidneys in our own country keeps the money here, helps out people who may need money to buy back their mortgages, and supports the American brother-help American brother idea. As for the ethical-moral questions, those should be left up to individuals who have these kind of choices in front of them. Most of the organized religions have already made statements supporting the giving of organs. Many of the patients awaiting kidneys will take the organ now and wrestle with their religion, if needed, later.
Now, some people might say that paying for an organ is just not right... but, trust me... when it is your medical situation and you find yourself wasting away in dialyville, you make choices that keep you on the planet. I say harvesting and paying for kidneys is a win-win proposition for people who need a kidney and for people who could use a fairly safe 60 K.