The prologue is divided into three subsections. The first subsection introduces the reader to the author's personal motivation to solve the world organ allocation shortage: at age 10 months her son was diagnosed with kidney cancer definitively necessitating an immediate left nephrectomy and potentially necessitating a future kidney transplant. The second subsection explains how her academic evaluations of "compensated organ donation" when she was the director of bioethics studies at the Cato Institute ultimately led to her trip to study firsthand (the first Westerner to accomplish this task) the Iranian kidney procurement system. The third subsection specifies Dr. Fry-Revere's goals for her book. Interspersed into all three subsections are common criticisms levied by opponents of "compensated organ donation".
The LIBERTARIAN BIOETHICS BLOGger also feels compelled to mention the "guilty pleasure" he experienced when reading the second subsection of the prologue, in which Dr. Fry-Revere relays the disturbing circumstances that led to her resignation from the Cato Institute. Delight ensued because I have been highly suspicious of the "libertarian" credentials of Cato for years and the author's story provided additional evidence for my skepticism. I was also thrilled to learn that the administration of Cato imagines the Institute has a "reputation as a serious Washington player", because delusional thinking typically precedes the collapse of any organization.