ABSTRACT

In October of 1986, Dr. Thomas Starzl of the Presbyterian-University Hospital in Pittsburgh successfully transplanted a liver into a 76-year-old woman. The typical cost of such an operation is over $200,000. He thereby accelerated the extension to the elderly of the most expensive and most demanding form of high-technology medicine. Not long after that, Congress brought organ transplantation under Medicare coverage, thus guaranteeing an even greater extension of this form of life-saving care to older age groups.