U.S. Sens. Jerry Moran and Roger Marshall, both Kansas Republicans, are traveling to Poland and Germany with a 10-senator delegation to gather insight into NATO activities in light of Russia’s invasion of Ukraine. (Screen capture by Kansas Reflector)
TOPEKA — U.S. Sens. Jerry Moran of Kansas and Roy Blunt of Missouri expressed outrage at evidence of bias in the United Network for Organ Sharing’s policy of distributing livers from states with high donor rates to areas of the country underperforming in donation of lifesaving organs.
The Republicans said UNOS’ policy resulted in patients from Kansas, Missouri and other Midwestern or Southern states having to wait longer for liver transplants.
In the 1980s, Congress made UNOS the exclusive contractor for organ procurement and allocation for the U.S. Department of Health and Human Services.
The senators said court-ordered disclosure of UNOS communications demonstrated the process relied upon to craft the nation’s liver transplant policy was “deliberately designed to deny patients in the South and Midwest their fair chance at a lifesaving liver transplant.”
UNOS unsuccessfully fought disclosure of emails among top-level personnel and outside policymakers, arguing a decision publicizing their communications could open floodgates to plaintiffs using “Trojan horses for irrelevant material.” Documents released as a result of a November decision of the 11th Circuit Court of Appeals included emails that featured disparaging comments about people living in the South.
“These newly released emails are disgusting and absolutely unacceptable,” Moran and Blunt said in a statement. “They show clear collusion by UNOS and several organ procurement organizations prior to the liver allocation policy being announced, leaving no doubt that the liver allocation policy must be overturned.”
Blunt and Moran said the federal Department of Health and Human Services should reverse the liver allocation policy adopted by UNOS.
UNOS spokeswoman Kelly Roberts said the organization’s liver allocation policies expanded equitable access to organs for patients on the national waiting list. The liver allocation policy adopted in February 2020 saved “more of the sickest patients,” Roberts said.
“A few emails nearly five years old have no bearing on these positive outcomes,” Roberts said. “UNOS advocates on behalf of all wait-listed patients, not just a specific hospital’s service area, and data analysis shows the policy is working as intended by providing transplants to the most critically ill liver patients first.”
Several hospitals and transplant centers filed lawsuits that claimed UNOS policy made it more difficult for people outside urban areas, most significantly socioeconomically disadvantaged individuals, to access organs.
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