Here is a story that deserves more attention.
They don’t get paid. This is Communism. People do this for the sake of the cause, it says here.
There is a book on this: Bloody Harvest. It was published in 2009. It received little publicity.
When the state has the power to extend life to the privileged few, take a look for losers in the system. There will always be losers.
There are no free lunches. There are no free heart transplants.