The Organ Procurement Organizations are separate entities and have their own incentives. It’s their representatives who are pushing for organ retrieval in dubious cases.
You have to love American brand of capitalism, where it is illegal to sell your own organs, but legal to sell someone else's.
Yeah that's not great. Why do procurement organizations have "incentives" at all? Are employees there actually getting compensated on number of transplants performed? That's a bit gross IMO. It's a non-profit. You work there for a below-market salary and a feeling of doing something good in the world.