Can people please understand how transplantation works before spouting nonsense? because UNFORTUNATELY transplantation is an area of medicine that works in a constant state of oversaturation with more patients than organs available, this means that some people will unfortunately die while waiting for an organ because we cannot cure all.
So how do we decide who gets an organ and who doesn't? There has been a huge internal debate in the scientific community about this but it has been decided that we treat preferentially those who could get THE MOST YEARS out of an organ (basically until the donated organ fails due to long term reject but we got better at managing this) and have the most advanced stage of a malady. Is it a horrible thing to say? YES, we all recognize it, if we had unlimited organs we wouldn't have to do this but unluckily this is not the case.
the reason we do those types of research is to do the exact opposite of what you thing they are doing, we are asking "Is obesity GRADE III (not being fat) enough of a detrimental factor during and after surgery to LOWER transplant candidacy without prior loss of weight?"
And do you know why HIV+,HBV+ people (many times they get organs with HBV or HIV because it won't worsen their condition) and those with diabetes are higher in the list in general? Because those are UNMODIFIABLE conditions, but if properly treated and at full regime have low risks, while obesity IS a modifiable factor, as it is smoking, alcohol consumption, sedentary life.
Also complications CAN and ARE different both DURING and AFTER surgery and some complications have LOWER RELATIVE RISK.
The reasoning is simply "How much of the population having X conditions is going to survive the most years after transplant?" and we go from there, with a PANEL of people we consult to get approval for the organ transplant.
AND THAT'S WHY we do this type of research, to be able to say "Yes, this condition is a risk for graft failure and death but not as much as to drop a patient" and we are working to reduce those issues (wound complications, lymphoceles and comoborbidities development post surgery) and point to a weight loss post transplant that can HEAVILY improve graft functionality and survival.
We are not unhuman to ask those questions, we ask them to have a way to better treat people.
HOW DO YOU ALL THINK SURGICAL PROCEDURES AND MANY LIFESAVING DRUGS ARE STUDIED IN POPULATIONS?
We have people that are blindly divided in two groups those that get normal procedures/treatment/placebo and those that get the experimental thing and we watch which ones survive the most and have less complications. Medicine is a complex and many times HORRIBLE field, but this is how we got advancements because the scientific method is still less horrible than what we did before.
We need data, and for us to have data we need to test (yes on humans too). There were patients that literally got their liver explanted, filled with a BoronChemiotherapic, PUT IN THE NEUTRON BEAM OF A NUCLEAR REACTOR and reimplanted to see if it was a better treatment for disseminated liver cancer.
