What reason or reasons lead to Ken Duke's heart transplant sparking a controversy?

A) Ken Duke was a prisoner at the time of the transplant.
B) The state of California ended up paying the estimated $1 million cost of the transplant.
C) If the transplant had not been done, Ken Duke's estate could have sued the state.
D) all of these choices

All of the choices are reasons why Ken Duke's heart transplant sparked controversy. As a prisoner, many people questioned whether he deserved such a costly procedure that was paid for by the state of California. Additionally, the fact that the state paid for the transplant led to criticism from taxpayers who felt their money was being used inappropriately. Finally, some argued that if the transplant had not been performed, Ken Duke's estate could have sued the state for denying him medical care.