Are Hoosiers the first consideration in organs available in Indiana or is it a national need basis?

Yes, Hoosiers are first in line for Indiana-recovered organs. There are special circumstances, however, in regards to kidneys that mandate when a kidney matches a recipient's tissue type and all antigens exactly. Then we are obligated through policy to send the kidney to the person that matches it perfectly, even if that means California. If we didn't place it this way, it would be like having an identical twin and denying the other person to receive the perfect kidney match. Identical matches have much higher success rates.