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Thursday, October 29, 2026Oct 29

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Hospitals face difficult choices: If resources are limited, who should live and who should die?

photo Rex Parton and his wife, Nancy, at Vanderbilt University Medical Center.

Rex Parton couldn’t believe what his doctors at Vanderbilt University Medical Center were telling him.

The 71-year-old Athens, Tenn., resident was suffering from heart and kidney problems and “I couldn’t walk 25 or 30 feet without sitting down on the ground because I couldn’t breathe anymore,” he said Friday.

Doctors had inserted an LVAD – left ventricle assistive device – in the left side of his heart to help pump blood. But it was not working, and Parton’s health was failing.

“They said, ‘Mr. Parton, you really need a transplant, but you’re past the age,” he said. “My wife and I looked at them and said, ‘What do you mean, past the age? You’re telling me I may live two more weeks.'”

But the doctors insisted they were only following hospital policy – patients over 70 years of age were not eligible for heart transplants because surgeons believed it was unlikely they would survive the operation. There were only a limited number of hearts available for transplant, and they needed to be used in cases in which they were most likely to keep a patient alive for many years. And Parton needed both a heart and a kidney.