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@The_Seldom_Killer
In seriousness, that's not going to be taken much notice of. Firstly anyone who is a habitual and current drug user isn't going to make it far enough up the transplant list to merit a donation. Secondly anyone who has damaged their organs through use of drugs or alcohol but is no longer using will be given equal consideration as the patient will be considered reformed.
Transplant boards are hard pressed to take into consideration a donors wishes because in such an intangible arena it is next to impossible to draw a reasonable ethical line. Afterall someone who has destroyed and organ through use of heroin may still be able to bring about world peace or discover a cure for cancer. Can't let them die because you're a bit picky.