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I don’t think it’s a matter of poetic license. You’re making an empirical claim that if specialists actually believed kidney donation had no long-term side effects, they would be lining up to donate their kidneys and we would see a much higher rate of kidney donations in the US. I think this claim is wrong because the inconvenience of surgery is substantial enough to block people from donating their kidneys even in the absence of long-term side effects.
The use of the word “evil” sneaks in an assumption that most people would be happy to make this tradeoff to improve a stranger’s life at the cost of some inconvenience to themselves, but I think this claim is actually false. So the fact that this doesn’t happen gives very little evidence that specialists don’t take claims about the small long-term health effects of kidney donation seriously.