for all organ approaches 90,000 individuals; yet the number of cadaver donors has stalled at approximately 6000 each year. Many die each year while waiting for an organ transplant.

Because supply and demand are so far out of balance, consensus on fairness and utility in allocation alogorithms is increasingly more difficult to achieve. Vocal articulate advocates of particular points of view have lobbied Congress and HHS for changes in the allocation rules. Dramatic stories in newspapers, magazines, and television have become commonplace.

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