{"id":1734,"date":"2012-04-23T11:16:58","date_gmt":"2012-04-23T10:16:58","guid":{"rendered":"https:\/\/blogs.bmj.com\/medical-ethics\/?p=1734"},"modified":"2018-08-19T13:01:46","modified_gmt":"2018-08-19T12:01:46","slug":"give-the-gift-of-giving-donate-someone-elses-organ-or-how-the-current-online-system-for-organ-donation-allows-you-to-sign-up-others-as-long-as-you-know-a-few-details-about-them-oops","status":"publish","type":"post","link":"https:\/\/blogs.bmj.com\/medical-ethics\/2012\/04\/23\/give-the-gift-of-giving-donate-someone-elses-organ-or-how-the-current-online-system-for-organ-donation-allows-you-to-sign-up-others-as-long-as-you-know-a-few-details-about-them-oops\/","title":{"rendered":"Give the gift of giving &#8211; donate someone elses organ or how the current online system for organ donation allows you to sign up others as long as you know a few details about them. Oops."},"content":{"rendered":"<p><strong>By David Hunter<\/strong><\/p>\n<p>Hattip to Nathan Emmerich for speculating about this on Facebook and then blogging about it here: <a href=\"http:\/\/nathanemmerich.org.uk\/blog\/organ-donation-why-isnt.html\">Organ Donation: Why isn\u2019t there an App for that?<\/a><\/p>\n<p>There are a number of ways you can volunteer to donate your organs when you die in the UK, you can sign up when you get a drivers license, you can even sign up when you get a rewards points card at Boots &#8211; a pharmacy chain.<\/p>\n<p>You can now sign up online to donate your organs directly at the <a href=\"https:\/\/www.organdonation.nhs.uk\/ukt\/how_to_become_a_donor\/registration\/registration_form.asp?campaignCode=-1\">NHS website<\/a>, but as Emmerich points out there seems to be a gaping hole in the current system&#8217;s security. It appears that the only information you have to provide to prove your identity is your name and date of birth &#8211; both relatively easy pieces of information to find out. This means that you could sign up anyone as long as you have this information. They do send out a letter to confirm their consent but seeing as you can enter any address this doesn&#8217;t seem to be likely to prevent potential abuses.<\/p>\n<p>I&#8217;m honestly surprised I haven&#8217;t heard about this already from the Daily Mail, it seems such an obvious and easily criticisable mistake for the NHS to make. Perhaps they don&#8217;t have any stock images of people looking confused as their organs are being removed&#8230;<\/p>\n<p>Still now that we are here let&#8217;s discuss organ donation. There is considerable debate about whether we ought to have an opt in or opt out system of organ donation &#8211; this appears to be a new option &#8220;an others opt you in system&#8230;&#8221; And there doesn&#8217;t seem to be any way to change your mind and opt out using the online system. This seems well short of any appropriate standard of informed consent, or a useful system for organ donation.<\/p>\n<p>Personally I suspect there is much to recommend changing the default setting to organ donation rather than not donating &#8211; think of it as nudging if you will. Certainly if this is all that respecting autonomy requires a robust opt out system will not violate it.<\/p>\n<p>That said I suspect rather than concentrating on the head line question of opt in vs opt out, a fair number of lives could be saved simply by refining and improving the current system.<\/p>\n<p>This also seems to present a moral dilemma for any consequentialists out there, think about all the lives you could save by volunteering your friends organs&#8230;<\/p>\n<p>So what kind of system should we have for organ donation?<!--TrendMD v2.4.8--><\/p>\n","protected":false},"excerpt":{"rendered":"<p>By David Hunter Hattip to Nathan Emmerich for speculating about this on Facebook and then blogging about it here: Organ Donation: Why isn\u2019t there an App for that? There are a number of ways you can volunteer to donate your organs when you die in the UK, you can sign up when you get a [&#8230;]<\/p>\n<p><a class=\"btn btn-secondary understrap-read-more-link\" href=\"https:\/\/blogs.bmj.com\/medical-ethics\/2012\/04\/23\/give-the-gift-of-giving-donate-someone-elses-organ-or-how-the-current-online-system-for-organ-donation-allows-you-to-sign-up-others-as-long-as-you-know-a-few-details-about-them-oops\/\">Read More&#8230;<\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1240,2144],"tags":[],"class_list":["post-1734","post","type-post","status-publish","format-standard","hentry","category-blogosphere","category-organ-donation"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.6 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Give the gift of giving - donate someone elses organ or how the current online system for organ donation allows you to sign up others as long as you know a few details about them. Oops. - Journal of Medical Ethics blog<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/blogs.bmj.com\/medical-ethics\/2012\/04\/23\/give-the-gift-of-giving-donate-someone-elses-organ-or-how-the-current-online-system-for-organ-donation-allows-you-to-sign-up-others-as-long-as-you-know-a-few-details-about-them-oops\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Give the gift of giving - donate someone elses organ or how the current online system for organ donation allows you to sign up others as long as you know a few details about them. 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