In 1984, President Ronald Reagan passed the National Organ Transplant Act (NOTA) to create an organ national registry and prohibit the purchase and selling of specific organs. Despite the enactment, the kidney shortage remains. This leaves 13 people on the waiting list dying prematurely every day while waiting for a kidney donation. This revision of the amendment permits the selling and purchase of kidneys in order to decrease kidney organ trafficking and help alleviate the kidney shortage. An argument on why this amendment should be considered is explained through statistics, ethics, socioeconomic, market fundamentalism, and legislative history. These sections find ample support for amending the National Organ Transplant Act of 1984 to include the sale and purchase of kidneys.