This is not newsworthy as the medical community has always prioritized potential organ recipients by behavioral risk. Heavy drinkers are at the bottom of the list for a liver transplant and smokers are highly unlikely to receive a lung transplant. Refusing to be vaccinated in a deadly pandemic is a behavior that often results in death, plus the requirement to take immunosuppressants would seem to be factors in the decision.
The patient doesn't understand and doesn't appreciate science. You give healthy organs to people who are healthy and live healthy so as to maximize the best outcome. His refusal to take the vaccine is in itself enough to disqualify him from organ transplantation. They aren't going to give someone like that an organ to have them just throw it away because they don't believe in science.