Females with Higher MELD Scores Have Less Access to Liver Transplant than Males. In the MELD era, the disparity in transplant rates between men and women was visible only in those candidates with MELD scores greater than 15. As the MELD scores increased, the deficit between men and women widened. These lower transplant rates were not accompanied by any changes in the adjusted relative rates of any other waiting list events, including death, removal, or inactivation.