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There’s something truly disturbing happening inside the US transplant system, and it could be a lot darker than most people realize.

For years, Americans have been told that becoming an organ donor is some amazing, selfless act. They call it a final gesture of goodwill to humanity, and of course, there are countless amazing life-saving stories. But according to a chilling new investigative report by the New York Times, the system meant to save lives may now be taking them far too soon.

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In other words, it’s never been scarier or more dangerous to be an organ donor in America.

The report reveals that living, breathing people, some with full-blown signs of brain activity, and even some who are actually moving, are being sliced and diced for their organs.

Why is this happening, you might be wondering…

Well, according to this report, it’s because the system is in desperate need of organs. The demand is so high, and doctors are rushing to fill the orders. It’s become a federally backed transplant machine that prioritizes usable organs over human life.

And the truth is now starting to spill out.

This New York Times piece highlights many victims but kicks off with the story of a woman in Alabama named Misty Hawkins. But as the New York Times reveals, her case is just one example of a much larger, far more disturbing pattern. A pattern that raises serious questions about the ethics of “circulatory death” donations and the aggressive push by federally contracted organ procurement organizations.

Now, with hospitals under pressure and families misled by emotional appeals, patients who might otherwise be saved are instead being sacrificed for their parts.

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The New York Times piece kicks off with the story of Misty Hawkins, a woman from Alabama who was nearly cut open while she was still alive. But her case is just one of many. What’s really disturbing is that this appears to be a pattern of really rushed decisions, shady medical calls, and aggressive pressure from federally backed organ groups.

And all of it appears to center around something called “circulatory death” donation.

The New York Times:

Last spring at a small Alabama hospital, a team of transplant surgeons prepared to cut into Misty Hawkins. The clock was ticking. Her organs wouldn’t be usable for much longer.
Days earlier, she had been a vibrant 42-year-old with a playful sense of humor and a love for the Thunder Beach Motorcycle Rally. But after Ms. Hawkins choked while eating and fell into a coma, her mother decided to take her off life support and donate her organs. She was removed from a ventilator and, after 103 minutes, declared dead.

A surgeon made an incision in her chest and sawed through her breastbone.
That’s when the doctors discovered her heart was beating. She appeared to be breathing. They were slicing into Ms. Hawkins while she was alive.

Across the United States, an intricate system of hospitals, doctors and nonprofit donation coordinators carries out tens of thousands of lifesaving transplants each year. At every step, it relies on carefully calibrated protocols to protect both donors and recipients.

But in recent years, as the system has pushed to increase transplants, a growing number of patients have endured premature or bungled attempts to retrieve their organs. Though Ms. Hawkins’s case is an extreme example of what can go wrong, a New York Times examination revealed a pattern of rushed decision-making that has prioritized the need for more organs over the safety of potential donors.

In New Mexico, a woman was subjected to days of preparation for donation, even after her family said that she seemed to be regaining consciousness, which she eventually did. In Florida, a man cried and bit on his breathing tube but was still withdrawn from life support. In West Virginia, doctors were appalled when coordinators asked a paralyzed man coming off sedatives in an operating room for consent to remove his organs.

Stories like these have emerged as the transplant system has increasingly turned to a type of organ removal called donation after circulatory death. It accounted for a third of all donations last year: about 20,000 organs, triple the number from five years earlier.
Most donated organs in the United States come from people who are brain-dead — an irreversible state — and are kept on machines only to maintain their organs.

Circulatory death donation is different. These patients are on life support, often in a coma. Their prognoses are more of a medical judgment call.

They are alive, with some brain activity, but doctors have determined that they are near death and won’t recover. If relatives agree to donation, doctors withdraw life support and wait for the patient’s heart to stop. This has to happen within an hour or two for the organs to be considered viable. After the person is declared dead, surgeons go in.

The Times found that some organ procurement organizations — the nonprofits in each state that have federal contracts to coordinate transplants — are aggressively pursuing circulatory death donors and pushing families and doctors toward surgery. Hospitals are responsible for patients up to the moment of death, but some are allowing procurement organizations to influence treatment decisions.
Fifty-five medical workers in 19 states told The Times they had witnessed at least one disturbing case of donation after circulatory death.

Workers in several states said they had seen coordinators persuading hospital clinicians to administer morphine, propofol and other drugs to hasten the death of potential donors.

“I think these types of problems are happening much more than we know,” said Dr. Wade Smith, a longtime neurologist at the University of California, San Francisco, who frequently evaluates potential donors and has studied donation after circulatory death.
A recent federal investigation — prompted by the case of a Kentucky man whose organs were pursued even as he shook his head and drew his knees to his chest — found that the state’s procurement organization had ignored signs of increasing consciousness in 73 potential donors.
In interviews with health care workers, as well as a review of internal records, audio recordings and text messages, The Times confirmed 12 additional cases in nine states that troubled medical workers or were being investigated.

Most of these patients ultimately died, so it is impossible to know what they experienced. Doctors expressed worry that some patients might have recovered if given more time on life support. Other patients may have felt pain or emotional distress in the last hours of their lives.

This is real, on-the-record, NYT-verified horror, and it’s happening quietly across the country, in hospital rooms just like the ones your loved ones may someday end up in.

The report isn’t about stopping organ donation. But it is about demanding boundaries, oversight, and accountability. No one should be rushed off life support because their liver is needed somewhere else.

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If you’re an organ donor, or if you’ve ever considered becoming one, we implore you to read this entire piece. You can do so by clicking here.

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