There are times, when a person might want to become a living kidney donor to help a younger family member with kidney disease, but by the time this family member actually needs the transplant the potential living kidney donor would be too old to donate. Jeffrey Veale at the University of California, Los Angeles, started a novel scheme in 2014 that would allow such kidney donors to donate to strangers and in return get a ‘family voucher,’ which could be later used by a named younger relative when they needed it. In 2019, the scheme was expanded to enable the donor to name up to five recipients for the voucher even if they did not have kidney disease. This was to target people who wanted to be altruistic kidney donors to strangers but were apprehensive that a family member might later require a kidney transplant. The voucher was an “inheritance” that the family could utilise if needed in the future. A recent review of the first 250 living kidney donors who requested family vouchers has enabled kidney exchanges resulting in 573 transplants. It was also found that the waiting time for the kidney transplant was one to five months for the six people who have used their voucher. This is in contrast to a waiting time of several years for a deceased donor kidney transplant.