First of all I was responding to the comment: "a hospital that sends out its own online advertisement" and now you say: "Wake up and smell the coffee -- we don't "advertise" -- we EMAIL AVAILABILITY. " Maybe YOU should wake up and smell the coffee and maybe READ what people are replying to before you tell others to "wake up". In response to your comment, any hospital that is worth anything would never rely on something as unreliable as email to let people know of the availability of a perishable organ. They use faxed notices as well as telephone follow-ups and message boards where it's quite easy to see if you are blocked or not. For the main reason that e-mail itself has never been nor will it ever be reliable enough. Servers go down. It's a fact of life. They can't just send out an e-mail and hope everything is up along the way to the hospitals. As for "EMAIL AVAILABILITY", are you saying that they send this out and they assume that all doctors will have the time to waste sorting through hundreds of spam letters to try to find the one that may say if there is an organ available? A brilliant method of notification I must say.