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We read with interest "The Dallas Consensus Conference on Liver Transplantation for Alcohol Associated Hepatitis"1 , which strove to examine various aspects of early Liver Transplant (LT) for alcohol hepatitis (AH) by defining terms, outlining criteria and identifying issues related to early LT for AH, including payer coverage. Our patients are experiencing real life issues with payer coverage. In our program, only one out of 7 patients evaluated for transplant in our acute AH protocol is determined to be a candidate for transplant listi