I wish I was at home so I could type out a full reply. I have lots of thoughts on this as I found out my kidneys were failing a short time ago. At least for kidneys I think we need to attack the problem well before it reaches transplant stage. Better proactive screening would help a lot. Some simple medicines would help a bit it given earlier. There is some research on alternatives to transplants. UCSF has plans for an artificial kidney but they are still looking for more funding. There is also some early work to use stem cells to heal kidneys. This stuff needs more research. With a little bit of assistance many could stretch their weakened kidneys through their lifetime. Transplants are not a cure. One has to live with a life of anti rejection drugs with their risks.