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Presumed Dissent? Opt-out Organ Donation and the Exclusion of Organs and Tissues

It is often claimed that a legitimate approach to organ donation is an opt-out system, also known as ‘presumed consent’, ‘deemed consent’, or ‘deemed authorisation’, whereby individuals are presumed or deemed willing to donate at least some of their organs and tissues after death unless they have ex...

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Detalles Bibliográficos
Autores principales: Williams, Nicola J, O’Donovan, Laura, Wilkinson, Stephen
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9155628/
https://www.ncbi.nlm.nih.gov/pubmed/35171293
http://dx.doi.org/10.1093/medlaw/fwac001
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author Williams, Nicola J
O’Donovan, Laura
Wilkinson, Stephen
author_facet Williams, Nicola J
O’Donovan, Laura
Wilkinson, Stephen
author_sort Williams, Nicola J
collection PubMed
description It is often claimed that a legitimate approach to organ donation is an opt-out system, also known as ‘presumed consent’, ‘deemed consent’, or ‘deemed authorisation’, whereby individuals are presumed or deemed willing to donate at least some of their organs and tissues after death unless they have explicitly refused permission. While sharing a default in favour of donation, such systems differ in several key respects, such as the role and importance assigned to the family members of prospective donors and their preferences, and exclusions and safeguards which often specify the demographic groups, purposes, or organs and tissues that will remain outside the scope of the opt-out system. Using the recent shift to opt-out in England, Scotland, and Northern Ireland as case studies, and by reference to the key goals motivating this shift across the UK, this article asks whether and, if so, why, and how, opt-out systems for post-mortem organ donation should restrict the types of organs and tissues for which consent is deemed. In other words, ought opt-out systems for PMOD presume dissent regarding the donation of certain organs and tissues?
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spelling pubmed-91556282022-06-04 Presumed Dissent? Opt-out Organ Donation and the Exclusion of Organs and Tissues Williams, Nicola J O’Donovan, Laura Wilkinson, Stephen Med Law Rev Original Articles It is often claimed that a legitimate approach to organ donation is an opt-out system, also known as ‘presumed consent’, ‘deemed consent’, or ‘deemed authorisation’, whereby individuals are presumed or deemed willing to donate at least some of their organs and tissues after death unless they have explicitly refused permission. While sharing a default in favour of donation, such systems differ in several key respects, such as the role and importance assigned to the family members of prospective donors and their preferences, and exclusions and safeguards which often specify the demographic groups, purposes, or organs and tissues that will remain outside the scope of the opt-out system. Using the recent shift to opt-out in England, Scotland, and Northern Ireland as case studies, and by reference to the key goals motivating this shift across the UK, this article asks whether and, if so, why, and how, opt-out systems for post-mortem organ donation should restrict the types of organs and tissues for which consent is deemed. In other words, ought opt-out systems for PMOD presume dissent regarding the donation of certain organs and tissues? Oxford University Press 2022-02-16 /pmc/articles/PMC9155628/ /pubmed/35171293 http://dx.doi.org/10.1093/medlaw/fwac001 Text en © The Author(s) 2022. Published by Oxford University Press. https://creativecommons.org/licenses/by/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Articles
Williams, Nicola J
O’Donovan, Laura
Wilkinson, Stephen
Presumed Dissent? Opt-out Organ Donation and the Exclusion of Organs and Tissues
title Presumed Dissent? Opt-out Organ Donation and the Exclusion of Organs and Tissues
title_full Presumed Dissent? Opt-out Organ Donation and the Exclusion of Organs and Tissues
title_fullStr Presumed Dissent? Opt-out Organ Donation and the Exclusion of Organs and Tissues
title_full_unstemmed Presumed Dissent? Opt-out Organ Donation and the Exclusion of Organs and Tissues
title_short Presumed Dissent? Opt-out Organ Donation and the Exclusion of Organs and Tissues
title_sort presumed dissent? opt-out organ donation and the exclusion of organs and tissues
topic Original Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9155628/
https://www.ncbi.nlm.nih.gov/pubmed/35171293
http://dx.doi.org/10.1093/medlaw/fwac001
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