Clinicians must avoid violating professional ethical principles and patients’ legal rights and they may not ever discriminate. So, what does that mean in practice?

Undocumented immigrants treated with isoniazid (INH) for latent tuberculosis infection should be covered for transplant for INH-related liver failure.

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

AMA Journal of Ethics theme editor Natasha Dolgin, an MD/PhD candidate at the University of Massachusetts School of Medicine, interviewed Dorry Segev, MD, PhD, about organ allocation policy and geographic disparities in access, possible ways to maximize equity, and advice physicians should give their patients between policy changes.

Transplant physicians must respect indecisive patients’ autonomy while continuing to educate them during their progress towards transplantation.

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.

Equal access is a goal even when patients present with taboo illnesses. But, the date of a patient’s last drink still matters.

Although organ donation conflicts with self-interest, because donation is vital to the community, interventions to increase it are ethically justified.

Some technological and policy strategies for increasing organ supplies are ethically and legally proven to work. Consider best next steps for global education efforts to raise organ donation awareness.