Every donation should be a gift freely given — and every gift deserves the highest standard of care.

Organ Donor Justice advocates for ethical, transparent, and accountable organ procurement practices across the donation and transplant system.

Overview

Organ Donor Justice works to ensure that the process of procuring organs from deceased donors is conducted with rigorous safety standards, full transparency, and unwavering respect for donor families — so that every organ transplanted into a patient in need carries with it the integrity the system promises.

But today, that system is broken.

For decades, the U.S. organ donation system has been run by monopoly taxpayer-funded contractors. Many of these organ procurement organizations are wrapped up in a rampant circle of fraud, waste, and abuse. Medicare is the largest funder of this multibillion-dollar network, and for too long the taxpayer's open checkbook has been exploited.

The generosity of Americans is the cornerstone of the U.S. organ donor system, but federal and state investigations have made it clear that this generosity has been abused by the very organizations entrusted to honor it.

Our Mission

Thousands of people are alive today because someone, in their final act, chose to give. That gift is sacred — and it deserves a system built on trust.

Organ Donor Justice advocates for ethical, transparent, and accountable organ procurement practices across the donation and transplant system, working to eliminate Medicaid fraud, close gaps in oversight, strengthen consent protocols, and ensure donor families are treated with dignity at every step.

We believe that a system that fails to earn public trust costs lives, and that the more ethical and transparent the process, the more people will feel confident saying yes to donation.

Justice for donors and access for patients go hand in hand.

What We Do

Eliminating Medicaid Fraud

We are focused on identifying and rooting out Organ Procurement Organizations that commit Medicaid fraud.

Safeguarding Consent

We advocate for clear, informed consent processes that honor donor and family wishes without ambiguity or pressure — ensuring that “yes” always means yes, on the donor's terms.

Strengthening Oversight

We push for stronger accountability among Organ Procurement Organizations (OPOs), transparent reporting standards, and independent audits that catch problems before they cost lives or erode public trust.

Supporting Donor Families

We work to ensure grieving families are treated with compassion and clarity throughout the donation process — never rushed, never confused about what they've agreed to.

Advancing Equity

We advocate for procurement and allocation practices that are free from bias, ensuring that access to transplantation — and the treatment of donors — is fair regardless of race, income, or geography.

Public Education

We help the public understand how organ donation works, dispel myths that discourage registration, and build informed trust in the system.

In the News
Why It Matters
100,000+

More than 100,000 people in the U.S. are currently waiting for a transplant. Every day, the gap between need and availability costs lives — but so does a system that fails to earn public trust.

Whether you're a donor family, a transplant recipient, a healthcare worker, or simply someone who believes that the gift of life should never be exploited — your voice matters.