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This may or may not be the case. As the case unfolded, Jerry Ewen, Camilo's father admitted to knowing the donor, and in fact, it was reported that she had been in the process of a workup in Canada when “she became unhappy with the ‘grueling and undermining interrogation that felt dehumanizing and made her feel like a criminal,’ says the family's statement.”Google Scholar

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citing the family's statement. This created much controversy because it meant that the transplant could have been performed in Canada and paid for by the Canadian health system. Camilo's parents, instead, sought altruistic donations, and had collected about $240,000. The Variety Club of British Columbia had collected $140,000. It offered to return all the money it raised to help the family when these facts came to light. See Galashan, S., “Public Funeral Planned for Baby Camilo: Six-Month-Old Died After U.S. Transplant Surgery,” The Vancouver Sun, April 10, 2001,): at A1.Google Scholar

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The actual distribution of organs under UNOS reveals that current policies do not treat organs as a true national resource. Organs are distributed by an algorithm that gives added weight to the local population. While there are some clinical advantages to local versus national distribution because of shorter cold ischemia times, there have been some recent policy recommendations that would encourage a more national approach. In fact, the Clinton administration ordered UNOS to revamp its system so that organs are shared more broadly across city and state lines. Federal guidelines were published in April 1998 (see 63 Fed. Reg. 16296, Rules and Regulations, Department of Health and Human Services, Health Resources and Services Administration, 42 C.F.R. pt. 121, Organ Procurement and Transplantation Network, Part II), but UNOS complained so vigorously that Congress delayed the regulation and asked the Institute of Medicine, an arm of the National Academy of Sciences, to investigate. See Stolberg, S.G., “Organ Transplant Panel Urges a Broad Sharing of Livers,” The New York Times, July 21, 1999,): at A14.Google Scholar

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