(Quote) Many prisons administrators are pondering over whether an inmate should receive a transplant in a life or death situation. (Quote1) The reason why is because of the cost and eligibility of such medical procedure. (Quote1) Also, whether if prisoners are allowed or should be allowed to donate their organs if they chose too. (Quote1) The cost of this type of procedure can cost the prison millions for dollar, which the state is, required to pick up 40% of the overall cost. (Quote1) Another cost that prison will have with prisoners who receive organs transplant is the monitoring. (Quote1) Most transplant patients require monitoring and daily medications to prevent their body from rejecting the new organ and for fight infections. (Quote1) Overall, the cost for a prison to receive an organ transplant is very costly. (Quote1) Communicable diseases are a concern in every confinement situation due to three factors: 1) Confinement lends itself to the spread of infectious organisms whether by airborne or direct contact. (Carlson & Garrett, 2008) 2) Prior needle drug use, which is high in the prison population, predisposes inmates to certain infectious diseases (e.g.,