New liver transplant rules begin amid fight over fairness

WASHINGTON >> Wilnelia Cruz-Ulloa spent the last months of her life in a New York City hospital, waiting for a donated liver that never came. Doctors had urged the 38-year-old to move to another state that has more organs to go around. But she couldn’t afford to.

Where you live makes a difference in how sick you have to be to get a transplant. Now the nation’s transplant system is aiming to make the wait for livers, and eventually all organs, less dependent on your ZIP code. New rules mandating wider sharing of donated livers went into effect Tuesday despite a fierce and ongoing hospital turf war in federal court.

“Whoever’s sickest should have the greatest opportunity” for an organ, said Dr. Sander Florman, a transplant surgeon at New York’s Mount Sinai Medical Center who helped care for Cruz-Ulloa and pushed for the change. “This woman would be alive if the new rules were in place, or if she’d lived somewhere else.”