Intended for healthcare professionals

Letters Presumed consent

What about mandated choice?

BMJ 2010; 340 doi: (Published 16 June 2010) Cite this as: BMJ 2010;340:c3165
  1. Hugo Wellesley, SpR anaesthesia and intensive care1
  1. 1Gloucestershire Royal Hospital, Gloucester GL1 3NN
  1. hugowellesley{at}

    Bird and Harris argue for a move to presumed consent for organ donation.1 As Harris has previously noted, “presumed consent is a fiction. Without the actual consent of the individual, there is no consent.”2 This bypassing of respect for autonomy, one of the cornerstones of modern medical practice, could alienate a large proportion of the public.

    The resulting lack of support is thought …

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