Organ transplant surgeon receives offer of declined kidney from the same deceased donor due to surgeon’s preference, contemplates taking a chance on it for a patient in need. Discusses high discard rates of organs in the US, logistical challenges in organ allocation, and congressional hearings on organ procurement failures. Proposes a system where high-risk organs are offered to transplant centers for selection of appropriate patients, with penalties for centers with high decline rates. Advocates for accountability, efficiency, and ensuring precious organs are not wasted. Reflects on the importance and impact of organ transplants in saving lives and honoring donors.
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