We really can't promise both more transplants and better outcomes. The controversies over organ allocation really represent intellectual exhaustion in the face of a long series of inadequate policy responses to the decade-long trend of the kidney supply increasing only at the expense of organ quality and patient outcomes.

Unclear regulations and informal data gathering on immigrants who receive or donate organs can cause mistrust and suspicion of the organ allocation system and affect donation rates.

Although identical twin-to-twin skin grafting has resulted in excellent survival rates in burn patients, the nature and scope of ethical decision making in monozygotic sibling skin grafting needs further examination.

Standards for posttransplant graft/survival rates do not reward transplant centers for performing riskier transplants to increase population benefit.

Despite clear donor consent, health professionals must communicate clearly about death to family members to avoid confusion.

Social media platforms and organizational websites that facilitate organ procurement should respect potential donors’ autonomy and confidentiality.

The AMA Code of Medical Ethics’ opinions related to organ donors’ informed, voluntary decisions and equitable distribution of organs and tissues.

Organ allocation models that maximize the collective benefit of an organ rely on subjective criteria and might have unintended practical consequences.

Alcoholics should not be subject to deprioritization on a liver transplant waiting list if the belief is held that alcoholism is a disease and not an issue of moral failure for which the patient should be blamed.

Organ procurement organization representatives play a pivotal role in serving families of a deceased donor and mediating disagreements about the donation while physicians' involvement in these discussions is minimal.