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The giving and receiving of a gift of enormous value is the most significant meaning of human organ transplantation. This extraordinary gift exchange, moreover, is not a private transaction between the donor and the recipient. Rather, it takes place within a complex network of personal relationships that extend to the families, the physicians, and all the members of the medical team who are involved in the operation. Within the network of these relations, a complex exchange occurs through which considerably more than the organ itself is transferred.... The donation of an organ is one of the most dramatic and supreme forms of gift giving extant in contemporary society.

A proposed solution to the present organ donation crisis based on a hard look at the past.