If the patient was without private insurance, he should still qualify for Medicare if he had paid into his taxes. Even so, Medicare covers about 80% and 2 surgeries could cost approx. $380,000 or more, so he would be responsible for the balance of $76,000. On top of that, Medicare only covers anti-rejection meds for 3 years, so a patient needs to ensure their coverage for a long time, and they cost $1200 a month. So the way it is now, some people do not qualify for a transplant due to their financial situation.