Organ donation: Presumed consent is a two-headed horse
Introduction There is a debate in progress surrounding the need to increase the organ supply, in particular for renal transplants. [1] , [2] There are currently 2 major fronts. One is the argument to increase the supply by allowing payment to donors for organs. Another is the argument for presumed consent recently raised by the Chief Medical Officer . Focusing on the latter argument it is possible to see that, in essence, it boils down to the choice between those who believe that the loss of something intangible but valuable in society is justified in light of the potential lives saved. The intangible social goods that are exchanged are: (1) the gift relation that currently exists between donor and recipient of a human organ and; (2) a power give to the state permitting it to harvest organs from those who have not declared their intentions in relation to personal donation. 2 positions within presumed consent The crux of presumed consent is that we are asked to accept the r...