It took a couple paragraphs before I realized this wasn’t satire - or at least, the author didn’t intend it that way.
By his logic, it’s also “basically just immoral” to have 2 kidneys. Quoting except s/dollar/kidney/: “Because every kidney you have is a kidney you’re not giving to somebody else, the decision to retain extra kidneys is a decision to deprive others.”
Per https://www.kidney.org/news/newsroom/factsheets/Organ-Donati..., “There were 5,538 living donors in 2014.” Everyone else in the US, presumably including the author, is retaining more than they need.