美国特朗普政府宣布启动程序关闭肯塔基州器官捐献组织Network for Hope，理由是其存在持续的安全失误[1]。卫生部长Robert F. Kennedy Jr.将该组织称为"坏苹果"，指责其"持续存在安全失误"[1]。Network for Hope对此表示强烈反对并将提出上诉[1]。
该组织曾因重大医疗事故引发全国关注。2021年，Network for Hope的前身曾向医院施压，要求继续实施从一名出现苏醒迹象的药物过量患者身上撤除生命维持装置并采集器官的计划，该患者最终存活[1]。类似事件导致全国数千人撤销了器官捐献登记[1]。
Network for Hope是约55个器官采购组织（OPO）之一[1]。美国目前有超过100,000人在器官移植等待名单上，去年进行了逾49,000例移植手术，创历史新高[1]。肯塔基州最近通过法律规定实施暂停机制，联邦器官采购和移植网络也在制定新规则要求全国所有OPO实施此机制[1]。
The Trump administration has initiated proceedings to shut down Network for Hope, a Kentucky-based organ procurement organization, citing persistent safety lapses [1]. Health and Human Services Secretary Robert F. Kennedy Jr. characterized the organization as a "bad apple" and accused it of "ongoing safety failures" [1].
The action follows a 2021 incident in which the organization's predecessor pressured a hospital to continue removing life support from and harvesting organs from a drug overdose patient who showed signs of consciousness; the patient ultimately survived [1]. This case and others prompted thousands of Americans nationwide to withdraw from organ donation registries [1]. Network for Hope has vehemently opposed the shutdown order and indicated it will appeal [1].
Network for Hope is one of approximately 55 organ procurement organizations operating in the United States [1]. The nation currently has more than 100,000 people on organ transplant waiting lists, with last year seeing a record-high 49,000 transplant surgeries performed [1]. Kentucky recently enacted legislation establishing a pause mechanism for organ procurement procedures, and the federal Organ Procurement and Transplantation Network is developing new rules requiring all organ procurement organizations nationwide to implement similar safeguards [1].