Are you willing to get the Covid vaccine when offered?

I think it's fair that people who don't get the vaccine cannot get a transplant. But also that means fat people don't get transplants either, and if you made the decision to smoke you don't get transplants as well. Also, no transplants for people who destroyed their liver due to heavy drinking. They are all choices to put yourself in that situation.

That's exactly what it means. That's why boards of people review factual information to evaluate recipients so that all risk factors are considered prior to selection.

It's not a vindictive process like we might make it sound, but a considered evaluation of how to best allocate a scarce resource among alternative ends.