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His parents both died of COVID while he was in the coma. While I’m sure you’re very correct in everything you’re saying, he was basically a “ward of the State” at that point, considering his “family” was now deceased. He was already on SSI when this happened, and his parents dying kind of fucked up a lot of things because suddenly he had an inheritance and Social Security cut off his SSI funding because now he had technically too much money to qualify.
That’s fucked up. It must have been horrible to wake up to all of that.
As a ward of the state, he would have been assigned a case worker who would have been in charge of his care and end of life decisions. The TCs would have still tried to find next of kin or any family that could provide consent (and a medical and social history). Besides the legal implications, there’s also a PR consideration. Transplant organizations are keenly aware of the public perception, and they will go to any lengths to avoid the narrative that the state killed someone to steal their organs. If there was a third cousin in Germany, they would have gotten a phone call before decisions were made.