It costs an insane amount of money.

1) there is a large infrastructure around organ donations that needs to be maintained

2) it generally requires the organ (and some times doctor) to be flown on a private jet from where the organ comes from to the person receiving the transplant

3) transplant surgery is a very long procedure requiring multiple specialists

4) recipient is on a lifelong course of drugs (literally like a handful of expensive drugs every day) that suppresses their immune system so the body doesn’t reject the organ

Source: wife is a doctor at research hospital

I'm a little bit surprised about these comments. One of my friends is a doctor at a Hospital in Bilbao with 30 years of experience. He tells me that this is the first year he has seen livers availabe for transplant that were not transplanted because no patient needed them. His argument is that more and more hepatitis C patients are receiving the antivirals and do not need a transplant anymore.

May be someone has data from other European countries with a strong public health sector

Do you have a source for this?

I think he means we're all born with a liver. And transplanting your liver is a matter of walking.