In 1968 in apartheid South Africa, a young black man named Clive Haupt suffered a brain bleed while picnicking with his family. He was admitted to a Cape Town hospital under the care of Dr. Raymond Hoffenberg. Later that night, Dr. Hoffenberg was approached by the transplant team and was asked to pronounce Haupt dead. Initially, Dr. Hoffenberg refused, as he was troubled at the thought of pronouncing someone with a beating heart dead.