The Organ Procurement Organizations are separate entities and have their own incentives. It’s their representatives who are pushing for organ retrieval in dubious cases.
Yeah that's not great. Why do procurement organizations have "incentives" at all? Are employees there actually getting compensated on number of transplants performed? That's a bit gross IMO. It's a non-profit. You work there for a below-market salary and a feeling of doing something good in the world.