One nonprofit has had monopoly power over the organ transplant system for decades. It's had problems like discarding or damaging too many organs during transit, as well as using faulty technology.
, a transplant hepatologist and Intermountain Health’s liver transplant medical director, welcomed the new guidelines in an email to, but stressed that the proposal brought up more questions, namely if a new system can fix issues and immediately manage the complexities of organ donation.
“If appropriately listed for a transplant, patients either get a transplant or they die. For liver transplants, the very sickest patients are the first on the allocation run,” said Gilroy. “But with that, the sickest patients also need to be well enough to survive post-transplant. A lot of people die or are removed from the list before they get a chance at a transplant.”
Gilroy added that the current policy has created waste and diminished efficiency in organ placement and increased costs overall, which harms outcomes across the board. “As physicians, we strive to help all patients and want everyone to get a life-saving opportunity. Increasing the number of donors is critical to that goal,” said Gilroy. “However, a process that ensures equity in access to a waiting list is more important . Healthcare equity is needed now.”
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