The US organ transplant system is outdated – and costing lives. An overhaul is underway.

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The Biden administration announced a plan to modernize how patients are matched to organs, seeking to shorten wait times, address racial inequities and reduce deaths

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The plan will also increase accountability and transparency by opening up more contracts to operate the Organ Procurement and Transplantation Network (OPTN) and sharing data more openly

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The OPTN is currently run by a single contractor, the United Network for Organ Sharing (UNOS), which has been criticized for poor oversight, wasted organs, serious errors and patient deaths

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The plan will also revise the geographic boundaries that determine how organs are allocated, which have been blamed for creating disparities and inefficiencies

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The plan will also implement new performance standards and incentives for organ procurement organizations (OPOs), which are responsible for recovering organs from deceased donors

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The plan will also support living organ donation by expanding reimbursement for donor expenses, increasing public awareness and education, and improving data collection and reporting

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The plan will also invest in research and innovation to improve organ preservation, transplantation outcomes, and artificial organs

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The plan is expected to save thousands of lives and billions of dollars in health care costs over the next decade

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