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explanation that despite some potential ladies hats benefit to the patient, the liver graft will go to another patient with a greater expected benefit. The easier road is a conversation about the patient's individual risks and benefits, which cites to some degree, the futility of proceeding with retransplantation. However, in the vast majority of candidates, retransplantation is not futile and care decisions made on this basis can obscure an honest and frank discussion with the patient.

When considering candidate selection and allocation decisions in retransplantation, rationing provides a more practical and forthright construct than futility. Unlike other medical rationing, the indisputable gap between the supply and demand for scarce donor organs, makes rationing in transplant decision-making an inevitable reality. Although cost and capacity for higher volume within big hats transplant centers could also create a need to ration access to liver transplantation, the lack of sufficient.

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