Following a very similar logic as the lawsuit recently filed by six patients currently waiting for livers, HRSA repeatedly asserts that geographic boundaries have no place in organ allocation without extreme justification. Current liver allocation is based much more on where patients live than their medical need, in direct contravention of NOTA.
OPTN has until December to jettison the current policy and adopt one that is fair to patients and complies with the law. Organs are a national resource and should be allocated so that the patients who need them most can receive them for transplant. Soon, OPTN will be posting a new policy for public comment. Please stay tuned to our website for more information and the situation evolves.