I bet there are already cases like this, either in the US, or in the dystopia that is China.
Fuck, I mean, there's already people out there who drug people and harvest their kidneys in a bathtub of some dirty motel somewhere. If there are people doing this shit on the black market, then there's definitely sociopaths that would do this shit in the hospitals if they thought they could get away with it, which is just what the organ donor checkbox opens the door to.