Medical crowdfunding is a key supply of finance for people going through excessive out of pocket prices, together with organ transplant candidates. However, little is thought about racial disparities in campaigning exercise and outcomes, or how these relate to entry to care. In this exploratory nationwide cross-sectional examine, we examined racial disparities in campaigning exercise throughout states and the affiliation between U.S. campaigners’ race and ethnicity and crowdfunding outcomes utilizing a novel database of organ-transplant associated campaigns, and an algorithm to determine race and ethnicity based mostly on identify and geographic location. This evaluation means that there are racial disparities in people’ means to efficiently increase requested funds, with Black and Hispanic campaigners fundraising decrease quantities and fewer more likely to obtain their financial targets. We additionally discover that crowdfunding amongst White, Black, and Hispanic populations exhibit totally different patterns of exercise on the state degree, and in relation to race particular uninsurance and wait checklist additions, highlighting potential variations in fundraising want throughout the three teams. Policy efforts ought to think about not solely how inequalities in fundraising means for related prices influences accessibility to care, but in addition easy methods to determine medical want amongst minorities.