Bingo.
We can't sell our own organs, but the hospital can.
To me this seems more like a case of a greedy, self-promoting, jerk who probably rationalized to himself that the patient was going to die anyway. I’m not sure how the renumeration is calculated for a transplant surgeon at a managed care facility like Kaiser-Permanente, but his motivation may have been more focused on getting his (and the programs) transplant numbers up.