Arguments Against Mandatory Donation

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Some individuals who strongly oppose the mandatory donation argue that this policy defeats the purpose of autonomy and that the decision to donate an organ should be that of an individual not the government (Griffith & Tengnah, 2010). Also, others contend that the rule of the Double effect may be used in mandated consent. Specifically, life shortening acts may be considered by health care providers if there is a potential availability of organs that will save the lives of many and if they have a reason to believe that the benefit outweighs the risk. Clearly, this holds that it may be permissible to cause harm to an individual for the mere reason of doing good to many others (Slaughter et al., 2012). Unfortunately, this can lead to the loss …show more content…
A survey reported by Koffman & Singh (2011) compared countries using the mandated consent model to countries using the opt-in model; statistical analysis showed that there was an increase of 25 to 30% in donation rates. In particular, the opt-out policy will increase the availability of organs for transplantation and will in turn have a major impact on the survival rates of individuals with failing organs. More specifically, it reduces the incidence of Futile care in patients with failing organs because there will be more availability of organs to save lives. Although, further studies of the mandated choice model showed no correlation with increased organ donation, as reported by a study in 2006 (Abouna, 2008); It is apparent that slight changes to the opt-out laws to favor the values and norm of the people increases the chances of success of this policy. For example, in Belgium the majority of citizens are in favor of the opt-out organ donation. Consequently, when their organ donation laws where changed to a mandated choice with the option to opt out, kidney donation rates sky-rocketed from 18.9 to 41.3 per million populations per year over a three-year period, as referred to in Appendix C. Therefore, mandated policy law will increase the availability of organ donation if managed properly to

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