Title

Family refusals of registered consents: the disruption of organ donation by double-standard surrogate decision-making

Date of this Version

2-1-2013

Document Type

Journal Article

Publication Details

Citation only

Bramstedt, K. A. (2013), Family refusals of registered consents: the disruption of organ donation by double-standard surrogate decision-making. Internal Medicine Journal, 43, 120–123

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© Copyright The Author, Internal Medicine Journal, & Royal Australasian College of Physicians 2013

2013 HERDC submission. FoR code: 220106

ISSN

1445-5994

Abstract

Some countries such as Australia, Spain, Norway, Italy and Canada allow next of kin to override the consent of registered organ donor candidates if they personally do not concur with the donation desire of their relative. This form of surrogate decision-making represents a double standard in terms of the principle of substituted judgment (the surrogate's duty). Further, double-standard surrogate decision-making in the setting of organ donation is a slippery slope to unethical surrogate decision-making while patients are alive. Concerns about family distress and donor candidate revocation of consent can still be managed without permitting double-standard surrogate decision-making.

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This document has been peer reviewed.