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What do you mean he couldn't get a transplant? He'll buy homes in every state to jump the list like Steve Jobs did after ignoring medical advice.
He can surely buy a transplant - he will surely find a nice African or Central Asian fellow who will donate him one out of generosity and then the same fellow will find a bit of money on the street. Or a less nice Chinese citizen with reduced freedom to live.
But that doesn't change the fact that transplants need tissue to connect to. You usually connect a kidney transplant directly to the bladder,but in some cases you can use a bit of a ureter. But: For that to work you need uninflammed, structurally sound tissue.
Which often not present in these cases it seems. So...he can get a transplant organ but it won't work surgically. In theory you can also connect the new ureter to the rectum - but that,combined with immunosuppressive medication is a no-go as well.
So... It's likely he wouldn't be able to get a surgically sound and midterm successful transplant. Just like Jobs couldn't be saved back then.
I doubt he'd accept organs of a different race.
Using someone for parts would be in character. They're not people, they're objects to him.
Good point. But I think he still will find either a techbro or a poor white fellow from the Caucasus or something for it.
Or asks Putin for one ...
I think he means that the ureter itself cannot be transplanted, so the root cause is not solvable. A kidney transplant would be like putting in a new lightbulb in a defective lamp.