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The case of the nearly 7k missing pancreases


Need a pancreas transplant? Organ Procurement Organizations (OPOs) make it difficult to get the life-saving surgery you need. Here’s how.

For some time now, independent analysts and investigative reporters have argued that OPOs are underusing deceased donor organs by the tens of thousands. In 2019, President Donald Trump issued a quite good executive order instructing the Centers for Medicare and Medicaid Services (CMS), which oversees OPOs, to change the way they’re evaluated. A narrow 2004 law allows researchers running clinical trials to conduct transplants of islet cells (the parts of the pancreas that produce insulin) as a potential cure for diabetes.

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