Opt-out, mandated choice and informed consent

A number of authors criticise opt-out (or ‘deemed consent’) systems for failing to secure valid consent to organ donation. Further, several suggest that mandated choice offers a more ethical alternative. This article responds to criticisms that opt-out does not secure informed consent. If we assume...

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Κύριος συγγραφέας: Saunders, Ben (Συγγραφέας)
Τύπος μέσου: Ηλεκτρονική πηγή Άρθρο
Γλώσσα:Αγγλικά
Έλεγχος διαθεσιμότητας: HBZ Gateway
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Fernleihe:Fernleihe für die Fachinformationsdienste
Έκδοση: Wiley-Blackwell 2023
Στο/Στη: Bioethics
Έτος: 2023, Τόμος: 37, Τεύχος: 9, Σελίδες: 862-868
Σημειογραφίες IxTheo:NCH Ιατρική Ηθική 
ΧΑ Δίκαιο
Άλλες λέξεις-κλειδιά:B presumed consent
B mandated choice
B Consent
B Organs
B Donation
B opt-out
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Περιγραφή
Σύνοψη:A number of authors criticise opt-out (or ‘deemed consent’) systems for failing to secure valid consent to organ donation. Further, several suggest that mandated choice offers a more ethical alternative. This article responds to criticisms that opt-out does not secure informed consent. If we assume current (low) levels of public awareness, then the explicit consent secured under mandated choice will not be informed either. Conversely, a mandated choice policy might be justifiable if accompanied by a significant public education campaign. However, if this entitles us to assume that members of the public are informed, then an opt-out system would also be justified in the same circumstances. The alleged advantages of mandated choice seem to rest on an unfair comparison, between mandated choice with a public education campaign and an opt-out system without one. While it may be that some countries with opt-out systems should do more to inform their publics, I see no reason to assume that this cannot be done. Indeed, advocates of mandated choice seem committed to thinking it possible to raise awareness. If opt-out systems adopt the same methods, such as writing to every individual, this should also address concerns about whether consent is informed.
ISSN:1467-8519
Περιλαμβάνει:Enthalten in: Bioethics
Persistent identifiers:DOI: 10.1111/bioe.13228