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Unlike organ donation, where a heart or kidney goes straight from a donor to a recipient, tissue goes through many steps.

Is tissue taken from the body at the hospital, a funeral home or morgue? There’s a facility fee. Is the body moved? There’s a transportation fee. A procurement team takes the body parts. That’s another fee. Then companies take the parts and turn them into scores of medical products.

“And no one talks about, you know, the gorilla in the room. And the gorilla is how much money everybody’s making. I’m just being honest,” Mastromarino says.

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