Ethically, should addicts and alcoholics receive organ donations?

Yes: Yes but this is contingent on sobriety I have taken care of patients who where sober and received a organ and managed to stay sober. But on the flip side also the misfortune of those who relapse after receiving a organ and subsequently have that organ deteriorate. The desicion should be made on a case by case basis.

Only if abstinent: All humans are imperfect. Some people with drug and alcohol abuse histories have committed to sobriety, acknowledged their own responsibilities and succeeded in changing their lives in favorable directions. General txp requirements are at least 6 months abstinence and ongoing rehabilitation. Those patients meeting these requirements who receive txps have equal outcomes to all other patients.