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Opt-out donation and tacit consent: a reply to Wilkinson and De Wispelaere
  1. Ben Saunders
  1. Correspondence to Dr Ben Saunders, Philosophy, Pathfoot Building, University of Stirling, Stirling FK9 4LA, UK; ben.saunders{at}


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.

  • Informed consent
  • philosophical ethics
  • enhancement
  • donation/procurement of organs/tissues

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  • Linked articles 100039, 100252, 100225.

  • Competing interests None.

  • Provenance and peer review Commissioned; internally peer reviewed.

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