KIM LAWTON, correspondent: It’s early morning at Washington Hospital Center and time for a quick prayer before Flavia Walton heads into surgery. For eight years, Flavia’s husband, Bill, has had severe kidney disease, and Flavia is donating a kidney. But her kidney isn’t going to Bill. They weren’t compatible enough—at least when it came to kidneys. So Bill had to be put on the transplant list.
BILL WALTON: You are placed on the list, and then the wait begins, and it goes on and on and on, and your only hope is you can check the list on the Internet and see if the numbers are getting any smaller. But they never do.
LAWTON: Then Bill and Flavia heard about a program known as a paired kidney exchange, where Flavia could donate her kidney to somebody else, and in exchange Bill would get a kidney from another donor who was a perfect match.
BILL WALTON: Bottom line here is you’ve got to give one to get one.
LAWTON: The Waltons were part of the world’s largest kidney swap to date, sponsored by Washington Hospital Center and Georgetown University Hospital. It involved a complex chain of 28 surgeries at four different hospitals. Most of the donors gave a kidney in order to benefit a friend or family member. But a couple of donors did it out of a sense of altruism, with no particular recipient in mind. In the end 14 patients who had been particularly hard to match received kidney transplants. The donors and recipients were introduced to each other at an emotional news conference.
RALPH WOLFE (kidney donor speaking at press conference): I love this guy. I don’t even know him, but I love him.
GARY JOHNSON (kidney recipient speaking at press conference): You can’t imagine how fortunate I feel that somebody from somewhere in the universe came and gave me a kidney.
FLAVIA WALTON (speaking at press conference): To see someone that you love most in the world deteriorate is a sense of helplessness and powerlessness that you just cannot comprehend unless you’ve been there. But to be able to do something is so empowering, but it is such a blessing.
LAWTON: More than 100,000 Americans are currently on the waiting list for an organ transplant, the vast majority of them waiting for a kidney. Over the last decade, an estimated 60,000 people died while still waiting for a transplant. Given those numbers, many experts say there is a moral obligation to encourage more people to become organ donors.
PROFESSOR ROBERT VEATCH (Kennedy Institute of Ethics, Georgetown University): Just a little nudge would do enormous amounts of good in terms of saving lives and making sick people’s lives better.
LAWTON: The incentive for Flavia Walton to become an organ donor was clearly to benefit her husband of 42 years.
FLAVIA WALTON: If God could give his son for me, or for us, I could certainly give a kidney to keep someone else alive. And I certainly want to keep him around as long as possible. I don’t know if he wants to keep me around that much longer.
BILL WALTON: No, I got no complaints.
FLAVIA: Okay, okay. But no, it was not a hard decision at all.
LAWTON: Living donors are screened psychologically to ensure they are not being unduly pressured into the surgery. It is major surgery, but because of medical advances the risks to the donors are quite low. Because of these factors, Professor Veatch at Georgetown University’s Kennedy Institute of Ethics says there are few ethical problems with kidney swaps such as the one the Waltons were part of.
VEATCH: If we can get a living donor we get a better kidney, a more viable kidney, and it shows up in the survival-rate statistics.
LAWTON: His main ethical concern with the swaps is making sure that kidney patients without a loved one willing to donate are not pushed lower on the waiting list, particularly those with hard-to-match blood types.
VEATCH: We at least want to be fair with the people on the wait list who don’t have a family member available. Being fair might mean waiting a trivial extra amount of time, but we certainly don’t want to make those people wait years extra just because of the swap arrangements.
LAWTON: While the swap program has been successful, some other strategies to encourage organ donation have run into roadblocks because of the National Organ Transplant Act, which forbids any monetary compensation for organ donation. Twenty-five years ago, Veatch testified in support of that law, but he’s now urging that it be revisited. He’s calling for experimentation with some token financial incentives. For example, he would support a modest discount on driver’s license renewals for people who sign up to be organ donors. Or, he says, there could be a question on income tax returns asking people to be donors, and even offering a tax deduction for those who say yes.
VEATCH: It sort of taints the altruism of organ donation. On the other hand, real human lives are at stake here, and I would be willing to compromise the altruism at the margins if we can really save some lives.
LAWTON: Veatch also says the religious community should do more to promote organ donation.
VEATCH: It’s considered an altruistic, charitable act, and all the major religions look favorably upon that behavior.
LAWTON: Veatch tries to counter one theological concern he hears among some conservative Christians, especially in the black church, who believe individuals will be bodily resurrected in the end times, and therefore they worry about the implications of organ donation.
VEATCH: The doctrine is when you are resurrected you will be resurrected to look like you, but with all the bad stuff fixed. So if you had cancer, the cancer won’t be there, and if organs had been procured, or consumed by fire, you will get a new version of the body.
LAWTON: Flavia Walton, who is a member of the African Methodist Episcopal Church, says she tries to address that theological issue in her community as well.
FLAVIA WALTON: I think that there’s some notion or some belief among many that feel that when we meet our maker, we have to meet our maker all in one piece. For me, it means I just want to meet the maker. I don’t think the maker cares whether I’m all in one piece or not. I don’t think that’s the issue.
LAWTON: The Waltons say organ donation is of particular concern to African Americans because more than 60 percent of patients who need transplants are non-white. At the same time, African Americans have a disproportionately low rate of organ donation. The Waltons hope their story can help change that.
BILL WALTON: Exposure is key, and the more we can expose to that population that it works and we’re examples of that, the more emphasis we can get out there that spread the word and let’s proceed.
LAWTON: After two years on dialysis, Bill says he can’t believe how great he feels now. He says the gift of someone else’s kidney has meant everything to him.
BILL WALTON: Life, basically. You can’t get any more basic than that—life with a little ginger thrown in, because it’s a life that is much more comfortable than what I had.
LAWTON: Flavia says donating a kidney turned out to be a spiritual experience for her, definitely worth the short time she spent recovering from surgery.
FLAVIA WALTON: Just feeling good that I’ve been able to do something and that hopefully I’ll be able to make a difference not only in the life of the recipient of my kidney, but hopefully it’ll spread, and hopefully I’ll be able to make a difference in helping other people make a decision to make a difference in the lives of others.
LAWTON: And as politicians and ethicists wrestle over how to encourage more organ donations, the Waltons hope stories like theirs will be the best incentive of all.
I’m Kim Lawton in Washington.

FAW: This music, Verdi’s lyrical Mass for the dead, is a full-throated testament to the majesty and judgment of God, profound even in this rehearsal at Washington’s Kennedy Center. But it was perhaps never more powerful or poignant than its performance on June 23, 1944 in the concentration camp, Terezin, just outside Prague. When Jewish prisoners sang the requiem to their Nazi captors, that Catholic Mass, says Terezin survivor Vera Schiff, gave prisoners a way to defy the Nazis.
EDGAR KRASA: Socially he was a wonderful person, but once he sat behind the piano he was a real tyrant.
KRASA: He told us about the danger and said if you—whoever is afraid, there is the door, and you can go. Nobody left.
FAW: The singing of Verdi at Terezin had a profound impact on the prisoners and singers, like survivor Marianka Zadikow-May, speaking recently at a symposium.
One of the reasons I’ve gotten into the
Medical Student: She’s a 12-month-old female who has a history of MRSA positive abscess, who was readmitted on Sunday and started on a five-day course of antibiotics. She’s been doing well. She’s been afebrile the entire time.
Mrs. Schorbel: I know.
Leann Schorbel: Yes, you are!
Nurse: This baby is 20 days old.
GLASSMAN: I started to put things together and realized that particularly adults were a little taken aback by me, and they really seemed a little afraid of me, and then I started realizing I knew more about them than they were telling me.
SEVERSON: And there are other similarities, she says.
JEFFRIES: Shortly after I purchased this house I heard about a Voodoo ceremony for the protection against hurricanes, so I went and out of curiosity it was really fascinating to me. So I ended up going back to all the bigger public ceremonies that Sallie Ann Glassman would hold.
GLASSMAN: If you were a slave living in captivity and hard labor, and your prospects were certainly very limited, this belief in an invisible world of great spiritual power would certainly be empowering, and if you were a slave owner intent on keeping a people down, oppressing them, and this belief would be terrifying and disturbing, and instead of saying that the situation or the institution of slavery was this terrible evil, it was much easier to say these people are evil and we’re just keeping them contained.
WARD: Sally has worked tirelessly here in the community. She makes the streets safer because that’s something the spirits can help us do if we ask them—make our streets and neighborhoods safe for us. Help people put on roofs after Katrina.
ABERNETHY: And the fact is, Kevin, the abuses happened, whatever the causes.
ABERNETHY: Do they have to report to law enforcement?
FAW: Nancy Murray’s nonprofit group rescues houses from commercial, road and hospital expansion as well as private donors who want to build larger homes. The houses are rebuilt and refurbished into energy-efficient green houses, as Josh Thompson learned when he moved into his Builders of Hope home.
FAW: People like Noah’s parents, Dana and Robbie Haynes.
MURRAY: There’s a verse in Matthew that states that you shouldn’t store your money up, you know, where moths and rust and decay set in, but to take that money and invest it in Kingdom work and to really be able to use it to make a difference in loving others and caring for others while we’re here on earth.
KENNIE BYNUM: I could see that they cared about not only just me, not focusing on let’s stop what we’re doing and care about Kennie, but let’s bring Kennie along and show him that he can be part of something that deals with caring about others. It’s a fellowship that I’ve never witnessed before or been part of before.
FAW: Finally, she says she put her fate in God’s hands to guide her to make the right decisions. It was then, she says, Builders of Hope took off.