This Invited Commentary discusses the effectiveness of state policies to encourage organ donation and transplantation in the United States.
In 1987, when the United Network for Organ Sharing began keeping records, there was a gap between supply of organs and demand. With time, that gap has become a chasm. Last year, more than 120 000 people were in need of a kidney, liver, heart, or lung; roughly 7000 of them died while waiting.
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