US prisoner at centre of heart transplant row

doi:10.1136/bmj.324.7341.808/c

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Deborah Josefson

Nebraska

A Californian man has become the first prison inmate in the United States to receive a heart transplant, sparking a debate over the allocation of organs.

The case received widespread media attention, both because the patient's status as a prisoner made him eligible to go on the transplant waiting list and because the transplantation itself and the before and after medical care were funded by the taxpayer.

To qualify for a transplant, patients in the United States must first show their ability to pay for the procedure or have …