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Controversies in Internal Medicine
September 8, 2003

Rebuttal by Dr Neuberger

Author Affiliations


Arch Intern Med. 2003;163(16):1885. doi:10.1001/archinte.163.16.1885

NOT surprisingly, there are few differences between our points of view. There is a clear agreement that all potential candidates for liver transplantation should have equal access to the pool of donated cadaveric livers, regardless of nonmedical criteria. (Here, the United Kingdom model of health care, by no means perfect, does offer significant advantages over an insurance-based system, which is in part dependent on the person's ability to pay.) I would argue that candidates should not be listed unless there is a strong likelihood that they will undergo transplantation, which means that access to the list must be controlled.

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