Organ doning is good for your soul
Certainly not cruel or heartless. It is heartless when governments ignore the crisis which causes the cruel situation . We have the means to transform the lives of those who are waiting for transplants. A government with courage could change the system. It should be automatic that any suitable organs should be available unless the person was carrying an opt out of doning card.
In China organs are recovered from executed criminals, what a great way to bring good out of people who choose the wrong path.
And reality shows are good for exposing the bits of crappy behaviour which need to be dealt with not swept under the carpet.