[Dan.]

***Not defending or decrying his position in any way***

Specifically in the case of organ donation, I believe your friend's position is that he favors equal opportunity to organs, not that he favors some sort of necessary balance.

For example,

Policy 1: 11 people are saved (11 wealthy, 0 poor), but the names are chosen by a random generator

Policy 2: 11 people are saved (11 wealthy, 0 poor) but the wealthy all out-bid the poor people for the organs.

I'm sure your friend would agree with Policy 1 greatly over Policy 2, having nothing to do with the number or "quality" of people saved but rather the means.