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From the experts: Organ donation

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About 10 per cent of families in Britain oppose organ donation.Photo: Corbis

The British Medical Association has recently suggested that patients should be kept alive using elective ventilation, or life support, to facilitate the harvesting of their organs for donation.

But this is useless if the patient's family vetoes his or her wish to donate. In fact, this problem is the main hindrance to organ donation, with at least 10 per cent of families in Britain refusing permission.

There is of course a much simpler way to solve this problem: getting doctors to do their jobs.

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Doctors who heed the family's veto deny the patient's last wish to help the world. The family has no legal grounds to override the deceased's wishes if that person clearly wanted to donate, such as by carrying an organ donor card.

It is true that the situation causes families emotional distress, and doctors may be willing to respect a veto to avoid upsetting them further. One solution is so-called advance commitment, where donors designate a family member in advance to confirm their decision when the right time comes.

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The failure to overrule the veto and to respect the wishes of the deceased is a classic case of doctors giving in to psychological pressure without considering the wider effects on others.

The doctor causes deaths by omission and greater distress to other families whose relatives will die because they failed to get an organ transplant. When a doctor encounters resistance from a patient's family, he can either leave them alone or persist in ensuring the organ donation.

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