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Although popularized in fiction (TV, films), it is extremely rare to have "direct donation" of hearts (e.g. from a dying relative or friend). The "elective donor" process is becoming a common procedure for kidneys and for sections of the liver, where the donor will continue living after the transplant. But the heart is almost always a total transplant, and has to come from a recently deceased donor, one who dies from something that does not damage the heart. Doctors cannot approve the deliberate death of a healthy person even if it means saving another.

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Q: Can you give your heart to somebody that has a bad heart?
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