Organ transplant is the simplest form of healthcare rationing in the United States. The hard truth is there are more people who require transplants to survive than there are organs to save them. The result is a waiting list that claims 20 lives [organdonor.gov] each day. It is a supply and demand problem exacerbated by a disturbing bottleneck in the organ recovery system. The bottleneck is thanks to inefficient oversight governing organ recovery. It is a senseless problem that jeopardizes patient safety and frustrates clinicians.