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well thanks very much jen and um iamp;#39;ve been asked to talk about structure and culture in the health care system and i have the advantage of having kind of a 20-year view of how things evolved in our country and typical of people of my vintage uh history is a big part of this to really set the table for discussions and perhaps lessons learned as we go along well what are the sys what are these goals of an organ and donation and transplant system itamp;#39;s to increase the number and quality of transplants provide all patients and families the opportunity to donate without compromising the duty of care to the dying patient of living donor do it ethically legally safe and equitably and protect the trust and integrity of the system because the system is is fundamentally uh uh reliant on the trust of the public but also the trust of our health care providers um in the system uh there were have been many uh you know the organ donation transplant collaborative uh spearheaded by healt
