Opinion | The U.S. organ transplant system is broken. But the latest fix will make it worse.

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Opinion | The U.S. organ transplant system is broken. But the latest fix will make it worse.
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Opinion: The U.S. organ transplant system is broken. But the latest fix will make it worse.

By David Von Drehle David Von Drehle Columnist focusing on national affairs and politics Email Bio Follow Columnist April 2 at 5:20 PM Access to organ transplants is a broken system in the United States — and everyone involved knows it. If you need a lifesaving transplant, your hopes depend on where you live and how much money you have. And there’s no justice in that.

Compounding the regional disparity is the ability of wealthy patients to move around the country to improve their odds — a strategy unavailable to poor patients. Thus, California’s Steve Jobs, the late Apple billionaire, received a liver transplant in Tennessee, where organ donations are common. And at the same time, sick patients from the Bay Area who lacked money to relocate died on the waiting list.

New York’s organ-donation system, in particular, is an appalling wreck. The agency in charge of organ donations for New York City has been on the verge of losing its contract for years — yet no matter how poorly it performs, the contract continues. Until recently, the state placed hurdles in the way of drivers who wanted their licenses to record their desire to donate.

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