Missouri and Kansas residents who need donated livers, kidneys, hearts, lungs, and pancreas are waiting much longer for organ transplants since Federal regulations mandated that organs get shared outside the geographic area they were donated. Author Henry B Randall, MD, MBA, Executive Director, Division Chief, Professor of Surgery at SSM Health, Saint Louis University Abdominal Transplant Center, St. Louis, Missouri, discussed this disturbing trend in the May/June 2021 issue of Missouri Medicine: The Journal of the Missouri State Medical Association. Instead of most of the organs staying in Missouri or Kansas, they are allocated nationally to the sickest patients. This means that Missouri and Kansas patients are waiting longer while metropolitan areas like Chicago, Memphis, and Nashville with much larger populations and thus more ill patients are receiving more organs from Missouri and Kansas. On a per capita basis, people from the Midwest donate organs at a higher rate than those on the coasts.