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This paper demonstrates the magnitude of the problem of organ shortage and identifies possible causes. The current UK legislation regarding consent to organ transplantation is analysed and compared with other jurisdictions. The hypothesis of changing the legislation to a system of presumed consent in order to address the organ shortage is explored. The main issues surrounding a change in the legislation are considered, and the effects on society and the individual are discussed. This paper argues that there is not enough convincing evidence to support a change in the legislation to a system of presumed consent at this time. Instead, an increase in organ donations could be achieved by improving the effectiveness of the current system of organ donation, and by improving the public's awareness and understanding of organ transplantation issues.<\/jats:p>","DOI":"10.1258\/msl.2010.009016","type":"journal-article","created":{"date-parts":[[2010,5,27]],"date-time":"2010-05-27T17:50:32Z","timestamp":1274982632000},"page":"84-94","source":"Crossref","is-referenced-by-count":12,"title":["Do we need to change the legislation to a system of presumed consent to address organ shortage?"],"prefix":"10.1177","volume":"50","author":[{"given":"Constantinos","family":"Simillis","sequence":"first","affiliation":[{"name":"School of Law, MA Health Care Ethics and Law by Distance Learning, University of Manchester"},{"name":"Department of General Surgery, Queen's Medical Centre, Nottingham, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2010,5,27]]},"reference":[{"key":"bibr-MSL-09-16C1","first-page":"68","volume":"21","author":"Cameron S","year":"2001","journal-title":"Nefrologia"},{"key":"bibr-MSL-09-16C2","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.312.7037.989"},{"key":"bibr-MSL-09-16C3","doi-asserted-by":"crossref","first-page":"281","DOI":"10.1111\/j.1399-0012.1994.tb00253.x","volume":"2","author":"Matesanz R","year":"1994","journal-title":"Clin Transplant"},{"key":"bibr-MSL-09-16C4","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhealeco.2006.01.003"},{"key":"bibr-MSL-09-16C5","doi-asserted-by":"publisher","DOI":"10.1016\/S0167-6296(00)00065-5"},{"key":"bibr-MSL-09-16C6","unstructured":"Human Tissue Act 2004"},{"key":"bibr-MSL-09-16C7","unstructured":"House of Lords, European Union Committee.Increasing the Supply of Donor Organs within the European Union. 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