3.2.1 Mandatory Listing of Potential Recipients. All candidates who are potential recipients of deceased organ transplants must be listed on the Waiting List.
3.2.1.1 Prohibition of Listings by Non-Members. Only Members will be permitted to have access to the Waiting List. Members may not add candidates to the Waiting List on behalf of
transplant centers which are not Members.
....
3.2.1.3 Prohibition for Non-Approved Programs. No Member shall add a candidate to the Waiting List for a transplant procedure for which Member has not received approved program status. Nor shall a Member add another Member's candidate to the Waiting List for a transplant procedure for which the other member has not received approved program status.
3.2.1.4 Prohibition for Organ Offers to Non-Members. Members shall not provide organs to nonmember
transplant centers except to transplant centers in foreign countries as described in Policy 6.4 (Exportation and Importation of Organs - Developmental Status).
So, members of the club can't go outside the club. But that doesn't make another club illegal, although it certainly may make another club impractical.
Also: could tribes be a "foreign country" under 3.2.1.4?
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