by Jeroen Bouterse
We are fortunate to live in an equitable society, with high levels of trust and excellent administrative transparency. Many old diseases have been eradicated, and most people live healthily to old age. However, our utopia has been suffering for a long time from a peculiar and cruel illness, about which after a century of research the following is now known with moral certainty.
Everyone has a one in five chance of falling victim to this disease. No genetic or lifestyle factors predict it in any way, and it is undetectable until you are exactly thirty years of age. At that point, there are two days during which it is symptomless but detectable with advanced medical equipment, after which it is irreversibly fatal and kills rapidly. There is no cure except one: during these crucial two days, tissue from the vital organs of one healthy peer can save with certainty the lives of five diseased people. However, the required procedure inevitably kills the donor.
A few decades ago, a voluntary association was formed. If you sign up, you commit to reporting to a hospital when you turn thirty, together with thousands of peers who have turned thirty on the same day. You get tested. If you are healthy, there is now a 5% chance that you will be randomly selected as a donor, which means you will die. If you have the disease, you will be saved. For both groups, the procedure is painless. You can decide whether you want to be informed of your predicament at any point, but you cannot opt out after entering the hospital.
This ‘5-to-1’-scheme reduces every participant’s chance of dying at thirty from 20% to 4%. This being an enlightened age, by now almost everyone has realized this is the sensible thing to do. The healthy participants who die as donors are not remembered as murder victims, nor praised as heroes, but mourned as casualties of the disease itself – their deaths regarded as equally indiscriminate and senseless, but fortunately fewer in number than they were in the past. Read more »




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Sughra Raza. Found Playground Art, Essex Junction, VT. May, 2026.
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