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From how the bill reads, the system is already privatized and has been run by one single non-profit for the past 40 or so years. Now it can be operated by more than one organization, but I can't immediately find information on if the the non-profit organization requirement has been changed or not.
UNOS has issues, but the organization is not the cause of most of them. The lack of competition is not the source of their problems. They need a modernized infrastructure, and there should be more transparency in the policy decisions. We should expand access to transplants and improve healthcare across the board.
This bill claims to fix all of those things, but doesn't. It merely removes the guardrails in contract allocation and amounts. It won't be immediate, but give it ten years, and the system will be ridiculously corrupt, incompetent, and entirely partisan.
Like everything else the government does,