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Mandated Choice for Organ Donation-Reply

Thomas H. Murray, PhD; Stuart J. Youngner, MD
JAMA. 1995;273(15):1177-1178. doi:10.1001/jama.1995.03520390034027.
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In Reply.  —Dr Block laments the large number of people waiting for organ transplants and urges "[p]rompt institution of definitive policy." Precisely because we share his concern we called for judicious trials of mandated choice, along with research to understand the empirical and ethical dimensions of donation decisions. Theoretical musings about individual autonomy and speculation about why families and health professionals behave as they do have served us poorly thus far.Drs Glasson and Orentlicher claim that we suggest that the Council supports financial incentives because they impose new legal liabilities. We made no such suggestion. We reported this implication of future contracts for organs because it is prominently mentioned by the most vigorous advocate of future contracts for organs,1 and it was excluded from the Council's report.2 We believe that physicians have a legitimate interest in knowing about such a significant implication of a policy being proposed


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