A Dutch TV station says it will go ahead with a programme in which a terminally ill woman selects one of three patients to receive her kidneys.
Political parties have called for The Big Donor Show to be scrapped, but broadcaster BNN says it will highlight the country's shortage of organ donors.
"It's a crazy idea," said Joop Atsma, of the ruling Christian Democrat Party.
"It can't be possible that, in the Netherlands, people vote about who's getting a kidney," he told the BBC.
The programme, from Big Brother creators Endemol, is due to be screened on Friday night.
Viewers will also be able to send in their advice by text message during the 80-minute show.
Jep jep. Tää olis nyt vähän sanaton.