Medicine: Comeback for Heart Transplants

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The advent of cyclosporine, however, may aggravate some major problems already associated with heart transplants. The National Institutes of Health has estimated that 15,000 Americans need a new heart each year. But only 1,000 to 2,000 hearts are annually available for transplant. A second issue is money: a heart transplant can cost more than $100,000 and is not covered by most medical-insurance plans. Finally, cyclosporine will help make problematical procedures like heart transplants more competitive for scarce medical and financial resources.

Cooley is undeterred by the problems. "We have been waiting for something to come along and renew our interest in heart transplants," he notes. "I said twelve years ago that they were not gimmicks or stunts. Cyclosporine will lead to the rebirth of heart transplants in a really significant way."

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