Leading article: The case for presuming consent

Share
Related Topics

More than 17 million people have now registered to donate their organs after their death. This welcome rise comes thanks to public education programmes and the appointment by many hospitals of specialist transplant nurses to liaise with families when death seems imminent. Unfortunately it does not meet the constantly increasing need. Transplants rose by 5 per cent last year to a record 3,706 organs. Yet there are still nearly 8,000 people on the waiting lists. The number of people needing new livers alone increased 11 per cent last year. Three people die every day, on average, for want of a transplant.

There are tricky ethical issues about increases to incentives. To pay for organs, like kidneys, might tempt the poor to risk their lives. The idea that a donor should be given priority if they require a transplant later in life raises problems of need versus desert. The British Medical Association and the British Heart Foundation both want to switch to a system of presumed consent, where it is assumed everyone is willing to donate unless they opt out. In the past that idea has met with hostility, partly out of squeamishness, partly because many feel the state is untrustworthy to administer these matters. But countries that use this system have 25-30 per cent more organs available for transplant. Surveys show that 90 per cent of Britons support organ donation and yet the law currently assumes the opposite. Since only 23 per cent of the population have registered their wish to donate, thousands of bodies are buried or cremated with viable organs simply because people never got around to making their wishes known. The decision falls to the family when they have just been told their relative has died or is dying.

A system of presumed consent would allow distressed families to override default permission. But it would routinely relieve them of the burden of decision-making at a time when they are perhaps least able to make a balanced judgement. It would be good for those who need a transplant, good for those who support donation and good too for those who oppose donation because their wishes could be formally recorded and made mandatory. It is time the idea was floated with the public again.

React Now

Latest stories from i100
iJobs Job Widget
iJobs General

Market Administrator (1st line Support, Bloomberg, Broker)

Negotiable: Harrington Starr: Market Administrator (1st line Support, Trade Fl...

Service Desk Analyst (Windows, Active Directory, ITIL, Reuter)

£35000 per annum: Harrington Starr: Service Desk Analyst (Windows, Active Dire...

Data Support Analyst (Linux, Solaris, Windows Server, Reuters)

Negotiable: Harrington Starr: Data Support Analyst (Linux, Solaris, Windows Se...

Helpdesk Support Engineer (Windows, MS Office, Exchange)

Negotiable: Harrington Starr: Helpdesk Support Engineer (Windows, MS Office, E...

Day In a Page

Read Next
 

Letters: The West flounders in the Middle East morass

Independent Voices
David Tennant as Hamlet  

To vote no or not to vote no, that is the question... Although do celebrities really have the answer?

David Lister
All this talk of an ‘apocalyptic’ threat is simply childish

Robert Fisk: All this talk of an ‘apocalyptic’ threat is simply childish

Chuck Hagel and Martin Dempsey were pure Hollywood. They only needed Tom Cruise
Mafia Dons: is the Camorra in control of the Granite City?

Mafia Dons: is the Camorra in control of the Granite City?

So claims an EU report which points to the Italian Mob’s alleged grip on everything from public works to property
Emmys look set to overhaul the Oscars as Hollywood’s prize draw

Emmys look set to overhaul the Oscars as Hollywood’s prize draw

Once the poor relation, the awards show now has the top stars and boasts the best drama
What happens to African migrants once they land in Italy during the summer?

What happens to migrants once they land in Italy?

Memphis Barker follows their trail through southern Europe
French connection: After 1,300 years, there’s a bridge to Mont Saint-Michel

French connection: After 1,300 years, there’s a bridge to Mont Saint-Michel

The ugly causeway is being dismantled, an elegant connection erected in its place. So everyone’s happy, right?
Frank Mugisha: Uganda's most outspoken gay rights activist on changing people's attitudes, coming out, and the threat of being attacked

Frank Mugisha: 'Coming out was a gradual process '

Uganda's most outspoken gay rights activist on changing people's attitudes, coming out, and the threat of being attacked
Radio 1 to hire 'YouTube-famous' vloggers to broadcast online

Radio 1’s new top ten

The ‘vloggers’ signed up to find twentysomething audience
David Abraham: Big ideas for the small screen

David Abraham: Big ideas for the small screen

A blistering attack on US influence on British television has lifted the savvy head of Channel 4 out of the shadows
Florence Knight's perfect picnic: Make the most of summer's last Bank Holiday weekend

Florence Knight's perfect picnic

Polpetto's head chef shares her favourite recipes from Iced Earl Grey tea to baked peaches, mascarpone & brown sugar meringues...
Horst P Horst: The fashion photography genius who inspired Madonna comes to the V&A

Horst P Horst comes to the V&A

The London's museum has delved into its archives to stage a far-reaching retrospective celebrating the photographer's six decades of creativity
Mark Hix recipes: Try our chef's summery soups for a real seasonal refresher

Mark Hix's summery soups

Soup isn’t just about comforting broths and steaming hot bowls...
Tim Sherwood column: 'It started as a three-horse race but turned into the Grand National'

Tim Sherwood column

I would have taken the Crystal Palace job if I’d been offered it soon after my interview... but the whole process dragged on so I had to pull out
Eden Hazard: Young, gifted... not yet perfect

Eden Hazard: Young, gifted... not yet perfect

Eden Hazard admits he is still below the level of Ronaldo and Messi but, after a breakthrough season, is ready to thrill Chelsea’s fans
Tim Howard: I’m an old dog. I don’t get too excited

Tim Howard: I’m an old dog. I don’t get too excited

The Everton and US goalkeeper was such a star at the World Cup that the President phoned to congratulate him... not that he knows what the fuss is all about
Match of the Day at 50: Show reminds us that even the most revered BBC institution may have a finite lifespan – thanks to the opposition

Tom Peck on Match of the Day at 50

The show reminds us that even the most revered BBC institution may have a finite lifespan – thanks to the opposition