Delaware News Journal Robert Little Eagle Smith could be sent home from the hospital on hospice care this week because he can’t afford a heart transplant. “If you don’t have the money, you don’t get an organ, you don’t get put on the list. That’s just how it works,” said his stepdaughter, Katrina Fetterolf Delgado. “When I read that I said ‘Wow,’ and when they said that regarding my dad I said, ‘That just sounds crazy. That can’t be right.’ ” A heart transplant in the U.S. costs about $1,382,400, according to the nonprofit National Foundation for Transplants. Insurance usually covers around 80% of that, leaving Smith and his family with an estimated copay of over $260,000.