The difference here is that you are in a teaching facility and I'll bet they do transplants. They have patients sitting in the building that need organs and they can control the donor's care much more effectively once brain death has been declared. Once brain death has been declared the patient is dead, legally, thoroughly dead.....so you are right insurance companies do not pay. The organ bank and facilities share the cost of the care of the donor. I this case the hospital itself which is partially covered in the transplant itself.....or in grants or the transplant charges/costs itself......or classify the costs as losses, a write off so to speak.
Also, there is no travel time for the organs to arrive at the recipient's location. When the donor is in the community setting the care costs are minimally recovered. The transplant teams have little to NO control over the care of the donor and you have to count in travel time of the removed organ to get to the recipient.....so time limits will be VERY different.
I think you new facility being a teaching facility are not only trying to appease the families but they are trying to save several lives that are physically near by. I will tell you I have dealt with families that definitely vacillate more than others due to cultural beliefs and they can be very trying and time consuming to deal with......but I am sure your facility is just trying to save several lives with one tragic death and have the skill and know how to accomplish this goal.
I know it seems ridiculous to you in the length of time they are allowing these families to vacillate.....but I'll bet they know what they are doing. Peace