J Med Ethics 21:199-204 doi:10.1136/jme.21.4.199
  • Research Article

Join the club: a modest proposal to increase availability of donor organs.

  1. R Jarvis
  1. University College of Swansea, Swansea.


      The shortage of suitable donor organs is the most significant single limiting factor in transplant programmes. More lives could be saved or immeasurably improved if more organs were available. I look at two traditional solutions to the shortfall, and suggest that they are ineffective and/or offensive, and consider the features common to any answer to the problem. I then suggest a third solution: that admission to future transplant lists be conditional on registration as a potential organ donor, outlining its benefits, and defending it against one possible objection.