The public debate on organ donation and presumed consent in Denmark: Are the right issues being addressed?

Scand J Public Health. 2020 Jul;48(5):480-485. doi: 10.1177/1403494819833797. Epub 2019 Apr 11.

Abstract

The legal framework for organ donation in Denmark is informed consent. But due to the unsatisfactory number of organ donors, Denmark is considering changing legislation to presumed consent. This article discusses the public debate on organ donation and presumed consent in Denmark, and asks whether the right issues are being addressed in the quest towards more available organs and better donor rates? Basing our considerations on the various arguments in the debate and on scientific findings, we question the potential benefits of presumed consent and challenge some of the assumptions and rationalizations that characterize the discussions in Denmark regarding public support, public trust and the role of the family in donation decisions.

Keywords: Denmark; Organ donation; donor families; presumed consent; public debate; public health; transplantation.

MeSH terms

  • Denmark
  • Dissent and Disputes*
  • Humans
  • Presumed Consent*
  • Public Opinion*
  • Tissue and Organ Procurement / legislation & jurisprudence*