TY - JOUR T1 - Opt-out donation and tacit consent: a reply to Wilkinson and De Wispelaere JF - Journal of Medical Ethics JO - J Med Ethics SP - 75 LP - 76 DO - 10.1136/medethics-2011-100349 VL - 38 IS - 2 AU - Ben Saunders Y1 - 2012/02/01 UR - http://jme.bmj.com/content/38/2/75.abstract N2 - 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. ER -