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The final sentence made me unsure whether to laugh or cry.

Thank you! I knew where it was going the whole time. I'm glad it hit you as I hoped it would.

I wish I could say it's an unimaginable scenario but alas I cannot

For example, from the Harvard International Review:
The “Kidney Valley” of Nepal and Other Illegal Operations in Vietnam and Indonesia

The world is screwed up, indeed.

Goodness me! I remember reading somewhere a long time ago that everything that you can possibly imagine has already been done... and I can imagine some scary stuff indeed.