It is easy to see how enabling live-donors to donate HLA-incompatible kidneys to those awaiting transplant can greatly improve the discrepancy between organ need and availability that Dr. Orandi spoke of in response to my prior question. I also know that for many people who have loved ones with kidney disease, an opportunity to be a donor will be seen as an immense privilege. However, I can imagine that in relationships where there is a power inequity between potential donor and hopeful organ recipient, the fact that HLA-compatibility is no longer necessary for donation can lead to intense pressure on the donor. Do you foresee this being an important risk in the future of transplant? Are there currently and/or should there be more safeguards put into place to protect people from donating against their will?
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