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Excellent conversation, sign me up for organ reform advocacy!

One minor quibble, UNOS has the federal contract and they set the standards, the OPOs are actually regional entities some of which are garbage, but some do amazing work and shouldn't be tarred with the same brush.

I was also shocked you didn't address, what I think is the elephant in the ethics room. Many people who need kidneys are in that condition due to uncontrollable medical conditions (Type I diabetes say) but others are in that condition due to their own life choices (poor diet, lack of exercise).

I wonder if Glenn and Sally think that has any bearing on the ethics, or if it presents a moral hazard.

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