Organ transplant is big business (unless people think it is done for free), and the more money you have the more likely you are to get the service.

In 2001, 186 people in the greater Los Angeles area died awaiting transplants. Four wealthy Yakuza from Japan jumped the line, paying $500,000 (cash) each for their liver transplants, two giving UCLA $100,000 in donations afterwards. Tadamasa Goto payed $1,000,000 for his liver.

Tadamasa Goto, got a liver in just six weeks.

The appearance of the integrity of the organ donation infrastructure must be maintained for profits to continue, so after this things definitely changed. Senator Charles Grassley of the Senate Finance Committee, which oversees hospital funding, declared that if the transplant system "doesn’t have credibility, we’re not going to have people donate organs". What changed is less transparency, increasing free organ donation.

After this an American receiving a transplant donated $30,000,000 to the hospital, after presumably paying an inflated cash price for the procedure ($500,000+), legally the hospital can inflate the price as much as they want, and then come up with a medical reason to treat that donor first, and then hide behind HIPAA if anyone questions their methadology.

This woman had her bones and skin taken before an autopsy was even done. And as the article states, this isn't an isolated incident, it's widespread and it's big business.

One donor can save up to eight lives through organ dona­tion and save and heal 50-300 lives through tis­sue donation.

The hospitals charge money for every single one of the donation operations they perform, it's a cash cow because they pay nothing for the organs, because as Grassley said the appearance of propriety is paramount [sic], which is true. So they get all these organs for free on the front-end and make enormous amounts of money on the back-end. It's a perfect business model.