Holland is, with Scandinavia, about the most ethical/politically correct country in this matter. Everybody got the same rights when it comes to things like this. All Dutch got the same basic insurance, which covers transplants 100%.
It's not my field of medicine, but some buddies of mine who are reliable told me that there really is a black market/out-of-the-list circuit...even in Holland. Let alone other countries.
But I am not a hypocrit...if my child can only survive with a transplant, I won't ask questions if I can buy something that will save his/her life.....c'mon.