South Dakota
‘The very best in humanity’: How a stranger gave a South Dakota boy new life
When her infant son began showing signs of jaundice following a full-term, healthy pregnancy, Sarah Beckstrom soon began a journey from fear, anger and sadness to eternal appreciation for a perfect stranger.
But the Mitchell mother and LifeSource, the region’s primary organ procurement organization that helps connect donors and recipients like baby Charlie — now a healthy and active teenager — say continued education around organ donation is necessary to ensure more families can feel what the Beckstroms have for the last decade.
“He was just not thriving. He couldn’t absorb, you know, milk. He was just kind of a not content child,” Beckstrom recently said in an interview with The Dakota Scout, recalling the early signs of the rare genetic liver condition — alpha-1 antitrypsin deficiency — that threatened her son’s life before his first birthday.
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Charlie was placed on the organ waiting list at 7 months old. Three months later, the call came.
A 13-year-old donor had died, and his liver was a match.
Today Charlie is also 13 — a healthy, energetic one. But for Beckstrom, joy exists alongside grief — for the family who lost their child and ultimately saved hers.
“It was kind of like I wrote the donor’s family after, which was probably one of the most emotionally challenging, difficult things I’ve ever done,” she said. “That circle wasn’t closed for me. And I’m like, okay, I need to do more. Because they gave him a second chance at life.”
That’s why Beckstrom became a LifeSource ambassador, sharing Charlie’s story in hopes of encouraging more people to check the “yes” box on their driver’s license. The organization oversees the donation system across Minnesota, North Dakota and South Dakota — responding around the clock when someone dies under circumstances that allow organ donation, supporting families, coordinating recovery and transporting organs to recipients.
“When I think about people who say yes to donation, who put donor on their driver’s license, I think that’s the very best in humanity because they’re helping another person,” said Susan Mau Larson, chief administrative officer for LifeSource.
Only about 1 percent of deaths occur in a hospital while the patient is on a ventilator, the criteria that’s typically required for organ donation. But in recent years, medical innovations have helped expand the donor pool nationwide. Perfusion devices can preserve organs longer. The federal HOPE Act allows organ donation between HIV-positive donors and recipients. Broader medical criteria are also increasing the number of viable transplants. Nationally, transplants have risen by about 50 percent over the past decade.
Surgeons say the emotional weight of the process is shared in operating rooms across the country.
Dr. Hassan Turaihi, who performs one or two organ transplants a month at Sanford Health, says the work is both devastating and beautiful.
“Thousands of people are waiting for a second chance at life… a functional heart, a healthy liver, or a working lung,” he said. “Their lives are on pause desperately hoping for a miraculous call so organ donation is a miracle. It’s the ultimate sacrifice.”
Up to eight people can benefit from a single donor — two kidneys, a heart, lungs, eyes, corneas, pancreas, small bowel and a liver, which can be split to help two patients.
“When I go in for those organ donations, it’s sad to hear the story of family and the donor who made the ultimate sacrifice, but at the same time you know you’re giving someone else the ability to have a new life and new chapter,” Turaihi said.
LifeSource leaders say South Dakota has long had one of the highest donor-registration rates in the nation. But in recent years the rate has slipped from about 60 percent to 57 percent. Mau Larson attributes the decline to national misinformation — claims that organs are lost in transit, that families feel pressured or that the process lacks oversight.
She pushed back on those narratives, emphasizing the accountability and transparency built into every step of the system.
The organization is also working to improve culturally responsive outreach, particularly among American Indian communities. Tribal engagement across South Dakota, including partnerships with Native chaplains and respect for beliefs surrounding keeping the body intact, are initiatives Mau Larson credits with donor rates staying strong in the state.
Data from the federal Organ Procurement and Transplantation Network show the number of American Indians receiving transplants in South Dakota was five in 2023, eight in 2024 and seven in 2025. The state has two kidney-transplant programs, but patients needing other organs — including hearts or livers — typically travel to Minnesota or Colorado. Meanwhile, the number of American Indian deceased donors in South Dakota fluctuated from six in 2023 to two in 2024 and five in 2025.
LifeSource operations are nationwide. In a three-state region that covers South Dakota, North Dakota and Minnesota, that means retrieval teams traveling frequently by air. Transporting organs involves specialized handling protocols, and recent federal changes have streamlined airline procedures and TSA requirements.
Despite ongoing budget negotiations in Washington, Mau Larson said LifeSource has avoided disruptions.
LifeSource leaders say they are grateful for South Dakota’s long record of donor registrations, and they continue answering questions for anyone unsure about what saying “yes” really means.
“We’re talking about helping another person,” Mau Larson said. “That’s the very best in humanity.”
(SOUTH DAKOTA SEARCHLIGHT) – Democrats are running for 46 of South Dakota’s 105 legislative seats — leaving 56% of seats without a Democratic candidate.
That doesn’t bode well for the party ahead of November, said Michael Card, professor emeritus of political science at the University of South Dakota.
“It doesn’t put them in a position to actually put forward their ideological policy preferences and have much of a success at getting those enacted,” Card said.
In the state Senate alone, Democrats have failed to field a candidate for 22 seats, which is nearly two-thirds of the chamber. In the House, Democrats have failed to field a candidate for 38 seats, which is 54% of the chamber.
There is only one Democratic legislative primary in the state: a state Senate race in District 26, which includes the Rosebud Reservation.
There are no statewide Democratic primaries, after announced candidates for governor and U.S. House dropped out or failed to gather enough petition signatures to make the ballot, leaving one Democrat in each of those races.
Statewide candidates will have less name recognition than Republican candidates ahead of the general election, since they didn’t have primaries, Card said. In the Legislature, Card said Democrats “are guaranteeing they won’t get a majority.”
In contrast, Republicans have primary races for governor, U.S. House and U.S. Senate. Five legislative districts do not have Republican primaries, but do have Republican candidates. There is a Republican candidate running for every legislative seat, except for one House seat in District 27, which includes the Pine Ridge Reservation.
Card said there are several factors leading to poor candidate turnout among Democrats, including a self-fulfilling cycle of failure.
“A lack of winning makes fewer people willing to take a chance on running for office,” Card said. “Why run if I think I’m going to lose?”
Democrats haven’t held a statewide office since 2015, and they haven’t held a majority of either legislative chamber since 1994.
Joe Zweifel, deputy executive director of the South Dakota Democratic Party, said the organization worked “really, really hard” to convince Democrats to run for office.
“But you can’t force people to run for office,” said Zweifel, of Sioux Falls, who’s running for a legislative seat himself in District 12.
He’s heard the open seats called a “failure.” But he disagrees, choosing to focus on the Democrats who did step forward.
“We’re running quality, good candidates in those races,” Zweifel said.
The South Dakota Democratic Party hopes to build on legislative successes, such as a new law from Rep. Kadyn Wittman, D-Sioux Falls, that commits state funding to cover the family portion of reduced-price school meals.
“That specifically is a return on investment for our donors, and it shows that Democrats are doing good things for the people of South Dakota,” Zweifel said.
Wittman’s success helped inspire Democratic District 13 House of Representatives candidate Ali Rae Horsted, of Sioux Falls, to take a second run at the Legislature. Horsted ran unsuccessfully for the Senate against Sen. Sue Peterson in 2024, garnering 42% of the vote.
Horsted plans to build on that success and the name recognition she already has in the district. She hopes she’ll have “better odds” in this election, since there are two House seats for every district.
Horsted said it would better serve South Dakota if the state had a more balanced Legislature. While the latest Legislature was 92% Republican, 52% of voters in South Dakota are Republican. South Dakota has the lowest percentage of Democrats, 7.6%, in the Legislature nationwide.
“I think it’s important that people have options on the ballot,” Horsted said, “and people are able to vote for candidates that represent their values and their vision for the future of South Dakota.”
Makenzie Huber is a lifelong South Dakotan who regularly reports on the intersection of politics and policy with health, education, social services and Indigenous affairs. Her work with South Dakota Searchlight earned her the title of South Dakota’s Outstanding Young Journalist in 2024, and she was a 2024 finalist for the national Livingston Awards.
South Dakota Searchlight is part of States Newsroom, the nation’s largest state-focused nonprofit news organization.
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From East River to West River, South Dakota communities share a common goal: creating places where people of all ages can live, work and thrive. AARP’s Domains of Livability provide a framework to help communities do just that. Through the AARP Community Challenge grant program—designed to spark quick, impactful local projects—South Dakota communities are turning big ideas into visible, people-centered improvements.
Read the South Dakota Community Challenge Grant Report, which showcases grant-funded projects across the state designed to build more livable communities.
What Are AARP’s Domains of Livability?
AARP’s approach to livable communities is rooted in eight interconnected domains that together support quality of life at every age:
- Outdoor Spaces and Buildings – Safe, accessible parks, streets and public buildings
- Transportation – Affordable, accessible options for getting around
- Housing – A range of choices that support independence
- Social Participation – Opportunities to connect, learn and have fun
- Respect and Social Inclusion – Communities that value people of all backgrounds and ages
- Civic Participation and Employment – Meaningful ways to engage and contribute
- Communication and Information – Clear, accessible ways to stay informed
- Community Support and Health Services – Access to services that support well-being
These domains work best when addressed together—something South Dakota communities are embracing.
Turning Vision into Action with Community Challenge Grants
AARP Community Challenge grants fund short-term, “quick-action” projects that can ignite long-term change. Across South Dakota, these grants have helped communities pilot ideas, build momentum and demonstrate what’s possible when residents put people first.
Here’s how local projects are bringing the Domains of Livability to life:
- Outdoor Spaces and Buildings: Communities have used grants to enhance parks, create pop-up public spaces, add benches and shade and install wayfinding signs. These improvements invite people to linger, gather, and enjoy shared spaces—supporting both physical activity and social connection.
- Transportation: Small, thoughtful transportation projects can make a big difference. Community Challenge grants have supported safer crossings, improved walkability and bikeability around key destinations and the planning or installation of transit amenities like shelters and seating—especially important for older adults and people with mobility challenges.
- Housing and Community Support: Some projects focus on helping residents age in place by improving access to information about home modification resources or by testing neighborhood-level solutions that connect people to services. These efforts strengthen independence and peace of mind.
- Social Participation and Inclusion: Murals, community events and creative placemaking projects funded by AARP grants have sparked community pride and social connection. By involving residents in design and implementation, these projects foster respect, inclusion and a strong sense of belonging across generations.
- Communication, Civic Participation and Opportunity: From hosting community conversations to creating new tools for sharing local information, South Dakota communities are using grants to engage residents in shaping their future. These efforts elevate local voices and encourage ongoing civic participation.
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