united-states medical us-president
Is the President at the top of all organ waiting lists?
<p>In the United States, people can often wait for years on organ lists before receiving the organ they need. Does the President automatically move to the top of these lists, should they find themselves in need of an organ, or do they have to wait like everyone else?</p>
<p>Edit: Is there a legal mechanism in place for getting the President an organ, should they suddenly need one?</p>

<p>There isn't any rule which would prioritize the President, as far as I can tell.  Generally, organ allocation is required to be based on medical criteria, not on factors such as the occupation or societal role of the patient.</p>
<p><a href="https://www.law.cornell.edu/uscode/text/42/273" rel="noreferrer">42 USC 273</a> specifies that organ procurement shall be administered by &quot;qualified organ procurement organizations&quot; and sets up ground rules for their operation, one of which is:</p>
<blockquote>
<p>have a system to allocate donated organs equitably among transplant patients according to established medical criteria.</p>
</blockquote>
<p>Further regulations implementing this law are to be found at <a href="https://www.ecfr.gov/cgi-bin/text-idx?SID=bb60e0a7222f4086a88c31211cac77d1&amp;mc=true&amp;node=pt42.1.121&amp;rgn=div5#se42.1.121_18" rel="noreferrer">42 CFR 121</a>.  121.8(a)(1) specifies that allocation policies &quot;[s]hall be based on sound medical judgment&quot;.</p>
<p>The actual policies that have been created can be found at <a href="https://optn.transplant.hrsa.gov/governance/policies/" rel="noreferrer">https://optn.transplant.hrsa.gov/governance/policies/</a>.  The OPTN policy document is very long, and the criteria are different for different organs, but everything I could find seemed to be of a medical nature.  Moreover 5.4.A says:</p>
<blockquote>
<p>Allocation of deceased
donor organs must not be influenced positively or negatively by political influence, national
origin, ethnicity, sex, religion, or financial status.</p>
</blockquote>
<p>The part about &quot;political influence&quot; would seem to rule out giving special consideration to the President.</p>

<p>This really kind of expands on what an &quot;organ waiting list&quot; is and how they work (and why rich people like Steve Jobs get transplants quickly)...</p>
<p>When somebody who is an organ donor dies, the organs are removed and they have a very limited lifetime. Typically they are made available to local hospitals within a certain range. This means for a recipient they need to be able to get to an appropriate hospital within a very short period of time.</p>
<p>For most people, this means registering at a local hospital and waiting it out. However there is nothing saying that you <em>can't register at multiple hospitals</em>, even ones that are a significant distance away as long as you can prove that you can get to the hospital within the specified time period.</p>
<p>So rich people who need organs will register on multiple lists all over the country and then charter an aircraft to be on stand-by for when the call comes in, provided you are the next highest person on the list (according to scoring criteria).</p>
<p>So, given that the President can be anywhere in the country in a matter of hours, if he registered at multiple transplant centers and had the highest score at the time an organ was available, he would get it. Steve Jobs did the same thing when he got his liver transplant, he had to fly nearly 2000 miles to get it, but because he was registered at multiple transplant centers and had a very high score, he got selected for one in Tennessee and was able to travel there when notified.</p>
