Kidney transplant curious

This is really odd.  I have this friend.  He’s perfectly healthy, never smoked, never drank, never even been high.  

He was real religious when we were young.

Well… he had this high school friend who’s wife was on dialysis.  They could not get a kidney donor.

So he volunteered?!!  

They tell her to lose 30 lbs.  she DOES NOT?!!  

She passes away long after he had been approved.

So.  Sort of odd.  That she either could not or would not lose the weight.  

So a couple of years go by.  His own Neice suffers some sort of kidney failure.  

So back he does to IU or Methodist, or…. Someplace?

Gets screened and approved again.  And they don’t do HER, because she had a big history of drug abuse and either wouldn’t or could not go through a drug rehab program.  

SHE passes away.  

Now, a couple MORE years go by.  Someone from some social media group hears about this.  They approach him.

He tentatively agrees to donate again.  

And come to find out? The transplant operation costs like, 600,000 dollars or something crazy.  And they have insurance but their deductible was like, a 100 grand!!!   And they could not raise it.  That person is still waiting but I’m not sure HOW they’ll solve that.  

It just seems odd.  I thought these kidney transplant deals were hard to get done, but here’s a guy that was obviously a good candidate but I FEEL like the  system sort of s rowed all these people around?

Anyway, has anyone heard anything like this before? I thought someone willing to donate a kidney would have an easier route. It seems like doctors…. Maybe have too much power. Any comments?