People call it a conspiracy. But Black fear of organ donation comes from history and outcomes. When Black people talk about organ harvesting, it gets dismissed as paranoia. But here’s what gets left out. Black Americans are more likely to need organ transplants, especially kidneys. We make up a disproportionate share of transplant waitlists. Yet Black patients: • Wait longer for organs • Are less likely to receive a transplant once listed • Have higher death rates while waiting At the same time,