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There are indeed. Judging 'death' is a difficult and contentious issue with organ donors - particularly 'brainstem death'. Also if the potential donor has not made their wishes made (whether to be a donor or not), their next of kin have to guess at what they would have wanted. That can be problematic. With transplanation, you have to list people by some kind of criteria as to "who should get the next available organ?" which is morally challenging (luckily the guidelines are strict, but coming up with those guidlines must be challenging). Also, if the transplant does not work, there is the issue as to whether they should be relisted for a transplant or not, since there's not enough organs to go around.

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