If Italy really and truly doesn’t want a DNS server that is doing this to be accessible in Italy, go after Italian network service providers

They’re already doing that for blocking IPs, and ended up blocking Google Drive and some Cloudflare CDN IPs.

A slightly better metric to train it on would be chances of survival/years of life saved thanks to the transplant. However those also suffer from human bias due to the past decisions that influenced who got a transpant and thus what data we were able to gather.