We need more organ donors, but presumed consent is not a magical fix GlobeDebate
by the Scottish government of the relevant science on this issue concluded there is “little firm evidence that opt-out legislation in isolation causes increases in organ donation and transplantation.”
Organ donation takes place within the context of a complex system. It requires many actors working in a co-ordinated manner in order to optimize both donation rates and successful transplantations. The implementation of an opt-out scheme addresses just one aspect of the system: consent to donate. And even here, the adoption of an opt-out approach may not bring the desired clarity.
Despite the equivocal evidence and the inevitable complexities surrounding the operationalization of the framework, I favour the Nova Scotia law. Given the great need for more organs and our inability to increase donation rates in Canada through education and system tweaks alone, some kind of unique policy move seemed necessary. Best-case scenario: The initiative works and Nova Scotia will stand as a model for other jurisdictions.
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