Saunders B (2012) Opt-out donation and tacit consent: a reply to Wilkinson and De Wispelaere. Journal of Medical Ethics, 38 (2), pp. 75-76. http://jme.bmj.com/content/38/2/75; https://doi.org/10.1136/medethics-2011-100349
In this reply to Wilkinson and De Wispelaere, I argue that an opt-out donation system can be regarded as tacit consent. I first separate the opt-in/opt-out issue from that of the role that the family ought to play. I then argue that what De Wispelaere calls minimal approval-tracking is not obviously necessary and that, even if it were, opt-out schemes can satisfy this requirement.
Journal of Medical Ethics: Volume 38, Issue 2