{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,3]],"date-time":"2026-10-03T15:39:59Z","timestamp":1791041999692,"version":"4.1.0"},"reference-count":6,"publisher":"BMJ","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Med Ethics"],"published-print":{"date-parts":[[1998,6]]},"abstract":"<jats:p>Organs available for transplantation are scarce and valuable medical resources and decisions about who is to receive them should not be made more difficult by complicated calculations of desert. Consideration of likely clinical outcome must always take priority when allocating such a precious resource otherwise there is a danger of wasting that resource. However, desert may be a relevant concern in decision-making where the clinical risk is identical between two or more potential recipients of organs. Unlikely as this scenario is, such a decision procedure makes clear the interdependence of organ recipient and organ donor and hints at potential disadvantages for those who are willing to accept but unwilling to donate organs (free-riders). A combined opting-out and preference system weakens many of the objections to opting-out systems and may make the decision to donate organs on behalf of their deceased relatives easier for families.<\/jats:p>","DOI":"10.1136\/jme.24.3.166","type":"journal-article","created":{"date-parts":[[2008,11,6]],"date-time":"2008-11-06T00:48:04Z","timestamp":1225932484000},"page":"166-170","source":"Crossref","is-referenced-by-count":18,"title":["The subtle politics of organ donation: a proposal."],"prefix":"10.1136","volume":"24","author":[{"given":"S","family":"Eaton","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[1998,6,1]]},"reference":[{"key":"ref_1","article-title":"In practice many countries with opting-out systems still seek to obtain the authorisation of relatives for the use of organs for transplantation. See Haag BW, Stuart FP. The organ donor: brain death, selection criteria, supply","volume-title":"Principles of organ transplantation","author":"demand. In","year":"185.","unstructured":"In practice many countries with opting-out systems still seek to obtain the authorisation of relatives for the use of organs for transplantation. See Haag BW, Stuart FP. The organ donor: brain death, selection criteria, supply and demand. In: Flye MW, ed. Principles of organ transplantation. Philadelphia: W B Saunders Company, 1989: 185."},{"key":"ref_2","article-title":"Incentives for organ donation? Lancet 1991; 338: 1441 who report that organ donation in Belgium has increased by 119% in the three years since opting-out legislation was introduced","author":"DS, See Kittur; MM, Hogan; VK, Thukral; LJ, McGaw; JW, Alexander","unstructured":"See Kittur DS, Hogan MM, Thukral VK, McGaw LJ, Alexander JW. Incentives for organ donation? Lancet 1991;338: 1441 who report that organ donation in Belgium has increased by 119% in the three years since opting-out legislation was introduced."},{"key":"ref_3","article-title":"Organ transplantation","volume":"10","author":"West, R.","year":"1991","unstructured":"West R. Organ transplantation. London: Office of Health Economics, 1991:10."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"199","DOI":"10.1136\/jme.21.4.199","article-title":"Join the club: a modest proposal to increase availability of donor organs","volume":"21","author":"Jarvis, R.","year":"1995","unstructured":"Jarvis R. Join the club: a modest proposal to increase availability of donor organs. Journal ofMedical Ethics 1995;21:199-204.","journal-title":"Journal ofMedical Ethics"},{"key":"ref_5","first-page":"195","article-title":"On giving preference to prior volunteers when allocating organs for transplant","volume":"21","author":"Gillon, R.","year":"1995","unstructured":"Gillon R. On giving preference to prior volunteers when allocating organs for transplant [editorial]. J7ournal of Medical Ethics 1995;21: 195-6."},{"key":"ref_6","article-title":"Risk","author":"Adams, J.","year":"1995","unstructured":"Adams J. Risk. London: University College London Press, 1995."}],"container-title":["Journal of Medical Ethics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/jme.24.3.166","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,5,23]],"date-time":"2024-05-23T18:49:50Z","timestamp":1716490190000},"score":1,"resource":{"primary":{"URL":"https:\/\/jme.bmj.com\/lookup\/doi\/10.1136\/jme.24.3.166"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1998,6]]},"references-count":6,"journal-issue":{"issue":"3","published-online":{"date-parts":[[1998,6,1]]},"published-print":{"date-parts":[[1998,6]]}},"alternative-id":["10.1136\/jme.24.3.166"],"URL":"https:\/\/doi.org\/10.1136\/jme.24.3.166","relation":{},"ISSN":["0306-6800","1473-4257"],"issn-type":[{"value":"0306-6800","type":"print"},{"value":"1473-4257","type":"electronic"}],"subject":[],"published":{"date-parts":[[1998,6]]}}}