The number of individuals in the United States who are on waiting lists for a kidney transplant far exceeds the number of available organs. It typically takes years for patients with end-stage renal disease to receive a transplant.

Various strategies have been tried to boost the number of available donor kidneys, including kidney paired donation and the use of expanded criteria donor kidneys.

Some individuals have suggested that monetary payments be used encourage live donors to offer a kidney, although buying organs is currently prohibited by federal law.

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