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In 2021, the policy change coincided with the highest number of livers discarded in nearly a decade—949. Experts said increased travel time contributed to this.
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The algorithm that determines who gets a life-saving liver transplant was changed three years ago. Proponents said the change was meant to get the sickest patients a liver no matter where they lived. Malena Carollo: The change entrenched long-standing inequities, taking livers away from areas that already struggle with access to health care.

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