There is no way a person can buy higher priority on the waiting list. The exception to the listing process is direct donation such as a donation between living related donors. If a qualified recipient is not found locally, the service then turns to the national list. Every effort is made to find recipients as close as possible to the donation site. Transplants don't work.
Survival rates are impressive.
Also, if you consider the chances of survival without a transplanted vital organ are usually zero, you see the true benefit of transplantation. If you're willing to be a donor, the doctors might let you die or not try as hard to save your life. All possible efforts to save the life of the patient must be tried before donation is even considered. The goal of hospitals and donation organizations is to save lives, so donation is not even considered until all efforts have been made to save the life of the patient. Also, the physician who attends a patient at the time of death is in no way involved with the transplant program and the transplant team is in no way involved with the prior medical care of the donor.