4--It is unethical to allocate organs to people according to their occupation or

their wealth status. In the US, patients must show that they have the finanical
capacity to afford the surgery and all associated fees and medications; but
large personal net worth is not an allocation criteria.
In the US there exists a policy called "multiple listing". This means that
patients can be wait-listed for organs at several hospitals at the same time. In
theory, this can increase the odds of receiving a donor organ. If the hospitals
are separated by large distances, the patient must be able to quickly travel to
the hospital by plane when notifed that the organ is available. For this reason,
generally, wealthier people have the ability to multiple list because they have
the ability to travel at a moment's notice to any transplant center at which
they are listed.
Also, many insurance companies will only pay for the patient's evaluation
costs associated with one hospital. If a patient desires to be wait-listed at
multiple hospitals, the patient might have to pay for each additional
evaluation using personal funds. As above, this generally means that
wealthier people have the ability to accomplish this.