Refusing to vaccinate is reasonable grounds for refusing a transplant, just because it shows that the person involved won't follow medical advice. The science behind vaccines is proven many times over and has complete support from the vast majority of the medical community, so if a patient can look at all that and go nope, i know better then no one would trust them to follow post transplant protocol either. I mean, someone literally died to make those organs available and other people will die waiting for their name to come up - no one is going to waste that gift on someone who may well turn around afterwards and decide colloidal silver and echinacea is all they need, or whatever nonsense they spout.
As for her substack - lol. "For anyone who has ever said 'your words are magic' this one is for you"...yeah. Magic words Leila, lmao.