Improvements in organ donation/procurement networks in the USA are needed. "In 2020, 21.3 percent of procured kidneys were not transplanted," per https://www.washingtonpost.com/health/2022/08/03/transplant-... and https://onlinelibrary.wiley.com/doi/epdf/10.1111/ajt.16982 We should not let an unknowable and unachievable "perfect" be the enemy of better.