Quote:
Originally posted by SmokeyTheBear
no thats not what i meant. He gets money for doing the operation..
Like, example.
A rich guy comes in with loads of money to spend , his liver is failing and he will soon die. Liver transplants cost $ XXX,XXX.
Joe-Crackhead comes in with an overdose, no money no insurance no job.
If the doctor saves him, he will most likely be back again and again making the doctor no cash whatsoever and eventually will ruin his liver to the point its not even usable if he dies.
If the doc lets him die, he not only saves himself and the hospital money because the guy wont come back every week overdosing. He will also make money from the trasplant to the rich guy , and not only that he will be able to RE-BILL the rich texan forever on the new liver.
If the texan ever tries to CHARGEBACK his liver transplant the doctor can make even more money.. 
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An organ has to be tissue matched so the recipient gets an organ that is less likely to be rejected. So you can't just say let's give rich texan dude this liver.
The tissue match information is fed into a database and the recipient is found based on criteria like quality of match, length on list, current health etc.
It is then transported to this match, there are international registers so sometimes the organ would go out of the country.
Also the Doc who deals with the crackhead off the street will never be a transplant surgeon
