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During the past twenty years organ donation has transformed from being a futuristic possibility to a present-time reality for thousands of people each year.  However, despite the advances in technology, lists of ailing patients needing transplants continue to get longer.  For some, the hope of getting a donor organ is almost zero.  Will further advances in technology alleviate the problem or make it worse?  What ethical issues surround organ donation in the 21st century.