She did not receive the heart because a doctor felt sorry for her.

She did not receive it because Caleb negotiated some private exchange.

She received a donated organ through a medical process in which Caleb’s expressed wish could be considered only within the system’s requirements.

I needed that knowledge because grief invents horrifying alternatives.

Did someone give up on Caleb because another patient needed his heart?

No.

Was my son somehow worth more as a donor than as a patient?

No.