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In cases where patients present with both end-stage heart failure and end-stage liver failure, it is advisable to consider combined heart-liver transplantation, as isolated organ transplantation may not yield improved prognostic outcomes (196)

Theyre making the case, which is not widely shared by specialists in the health care field, that its not the job of taxpayers and Medicaid to pay for all this stuff outside the traditional heath care system. Although states have not received formal guidance to end their social experiments, Peterson and other health policy researchers expect the administration not to renew waivers, which typically run in five-year intervals