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Health, Longevity & Biohacking

America's kidney shortage could end if one in 10,000 adults donated

Lewis Howes School of Greatness · Side Hustle Expert: The Fastest Way To Make $10k/mo | Chris Koerner · July 8, 2026
America's kidney shortage could end if one in 10,000 adults donated
Lewis Howes School of Greatness
Lewis Howes School of Greatness
Side Hustle Expert: The Fastest Way To Make $10k/mo | Chris Koerner
"If one in 10,000 healthy adults donated their kidney to a stranger, no one would die waiting for a kidney. But today, like 5,000 people a year die waiting for a kidney. But it's needless. Like it's literally needless. That number could go to zero. One in 10,000 people."
Kerner revealed that 5,000 Americans die annually waiting for kidney transplants, but this death toll could be eliminated if just 0.01% of healthy adults became living donors. He argues the solution is simple mathematics rather than a medical limitation, noting that insurance companies would pay donors $50,000 if it were legal, saving them millions per patient.

About this episode

Serial entrepreneur Chris Kerner, who has launched 75 businesses with multiple reaching seven and eight figures, joined Lewis Howes to reveal unconventional paths to generating $10,000+ monthly income with minimal capital. Kerner challenged the conventional wisdom that starting a business requires money, instead advocating for immediate customer acquisition before building infrastructure. He shared striking real-world examples including TV mounting contractors earning $300,000 annually using only free listing platforms, VCR resellers making six figures through simple arbitrage, and his own multimillion-dollar e-commerce business built by reselling Buc-ee's products without permission. Kerner emphasized that the greatest barrier to entrepreneurship is not capital or skills but fear of others' perception of failure. He revealed his personal practice of learning iPhone repair on customers' devices in real-time, breaking phones occasionally but ultimately earning six figures by launching immediately rather than waiting for mastery. The conversation took an emotional turn as Kerner shared how his daughter's life-saving double lung transplant from a deceased nine-year-old donor inspired both him and his wife to each donate a kidney to strangers, timing the donations to honor the young donor's death and birthday. He disclosed that his financial life has never been better since the donation and advocates for policy changes allowing compensated kidney donation, noting that if just one in 10,000 healthy adults donated, the 5,000 annual American deaths from kidney shortage would drop to zero. Throughout the episode, Kerner maintained that entrepreneurial skills should be treated like emergency food storage and that serving others is the most selfish thing anyone can do because of its personal returns.

Key takeaways

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