Yes, there is, in my opinion. There's fine tuning that needs to be done. Some parts of it are not as clear-cut as others.
One of the particular issues is the amount of time from the behaviour to the date of the proposed transplant, but obviously my position is to err on the side of caution and inform the recipient of the best knowledge available, so that they can make the decision about receipt. But essentially, yes.
It gives me a quick opportunity to respond to the point about the increase in women. Of course, there's an increase in women, a very concerning increase in women. How many of those women are not women who have used intravenous drugs or had sex with someone infected with HIV, hep C, or hep B, or are at serious risk of that? The numbers again go lower. If the day comes when the prevalence of women as a population who have sex with men or with women increases to a significant rate, then there may be room to add them to the list.
I always envisioned a country where we were working towards reducing the infection rates in all of these populations and getting people to understand the importance of safety in sexual encounters, in drug-use encounters, etc., so that we could lift the ban on everybody. Unfortunately, the stats tell us we're not headed that way. We're actually in a reverse trend, where we're going to be adding more people to these lists and not removing them.