RT Journal Article SR Electronic T1 Join the club: a modest proposal to increase availability of donor organs. JF Journal of Medical Ethics JO J Med Ethics FD BMJ Publishing Group Ltd and Institute of Medical Ethics SP 199 OP 204 DO 10.1136/jme.21.4.199 VO 21 IS 4 A1 R Jarvis YR 1995 UL http://jme.bmj.com/content/21/4/199.abstract AB 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.