I guess it's an empirical question.
Yes.
A death creates two kidneys. Are there usually two people on a waiting list who need the kidneys and would otherwise die?
Humans aren't lego. Yes, we can transplant but they don't always work and they don't always last indefinitely. We also don't just use them to flip a nice integer 'life saved' up by one. It's ok if the spare organ just increases someone's chances. Or extends a life for a while. Or drastically improves the quality of life for someone who was scraping by with other measures.
If I recall correctly kidneys are actually the easiest organ to transplant - the least likely to cause rejection. With the right donors it gets up into the 90s(%). But translating that into lives saved or 'years added to life' is a little tricky. Especially when we the patients also happen to require transfusions of donor blood throughout the process. We like to say the blood transfusions are 'saving a life'. There are only so many times you can count a life as 'saved' in a given period of time.
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Nitpick: When you mentioned the 2-4-6 experiment, I didn't know what it was, so I clicked on the link and read about it. That was unnecessary, because you immediately explained it ... but, somehow, the wording of the narrative didn't signal that the explanation was coming.
Could be just me.