Unvaccinated patients are getting kicked off organ transplant waitlists

If they trust science enough to get a transplant they can trust science enough to get vaccinated.

>catching the infection is also very unlikely now

It isn't. In the US, the daily infection rate is currently 3 people per 10,000 per day. That's 1% per month - higher than the June 2020 peak.

If I needed a transplant for anything, I sure as hell wouldn’t trust my body on its own because “COVID’s kill rate is very low”. That’s not to mention the rate and severity of permanent lung damage and lingering heart issues.

It’s also a matter of resource scarcity, so the vaccination becomes a layer of filtration that helps maximise the chance of success. It’s much like the dilemma of unvaccinated COVID patients, they take up resources and often elected not to take the vaccine for no good reason, when they turn they have a much lower chance of making it through compared to a breakthrough vaccinated patient. The first in best dressed attitude is not compatible with optimally saving as many people as possible in a resource scarce environment. Hence the increased triaging

"Odds of survival have long been factored into prioritizing who will get donated organs. And requiring vaccinations against devastating infectious diseases is also standard. Organ recipients are already generally required to be vaccinated against hepatitis A, hepatitis B, influenza, and tetanus, among others diseases."

None of those diseases have high kill rates. Kill rates aren't the justification being used.

It's about maximizing success of the transplant. This is just one more vaccination in a list of vaccinations.

This isn't surprising to anyone remotely familiar with eligibility requirements for organ transplants. There are all sorts of choices a patient can make that would make them ineligible.