Memorandum
To: Peer Review Committee/ Board of Trustees
From: Tammy Gonzalez
CC: Major Hospital
Date: February 5, 2016
RE: Heart Transplant Decision
As the Lead Surgeon and the person responsible for making the decisions for the
transplant cases in the hospital, it often creates circumstances in which I have to make difficult
ethical decisions. Currently, I have three people waiting for a heart transplant, but I only have
one heart that has recently become available. From an ethical perspective, all candidates are
equally deserving of the heart despite any past or current actions that may have contributed to
