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EDITORIAL: Donors must not have wish denied

Courtesy of Hawke's Bay Today - http://www.hbtoday.co.nz/

22.02.2006
PAUL TAGGART

The proposal to change the organ-donor rules is likely to result in a long and vigorous debate. Organ Donation New Zealand is considering allowing the taking of organs from patients who are irreversibly brain-damaged, but not yet brain-dead.

The reason for the proposal is that New Zealand had a dire donor-organ shortage, with only 29 donors last year - the lowest in more than 10 years of records.

Allowing donations from patients who are irreversibly brain-damaged could boost organ supply by up to 20 percent.

The idea is worth exploring, although there is an ethical and medical minefield to cross before some of the changes proposed - such as the use of non-heart-beating donors as opposed to brain-dead donors - become reality.

 
 
However, there is a much bigger issue that needs to be addressed in tandem with Organ Donation New Zealand's ideas - the shamefully low number of donors under the existing rules.

Currently, an individual involved in an accident who has "donor" printed on his or her driving licence, can have that decision overturned by family members while the potential donor is brain-dead in hospital after an accident.

If the decision to become a donor is made by a person who is mentally capable of making such a call - which they must be if they are being issued with a driving licence - then that decision should be enforceable should the person meet a premature end.

It would require only a simple law change. It isn't ground-breaking. If a person's wishes expressed in a will are enforceable after death, even if family members aren't happy about it, then why not a decision to be a donor?

Once that change was made then it would be prudent to also change the emphasise when licences are issued, too. Rather than drivers opting to be donors, they should have to opt not to be.

There will be people with cultural, spiritual or other reasons for not wanting to donate, but everyone else should be prepared to help others.

New Zealanders are kind, considerate supporters of charities and help those in need. Why should that generosity of spirit not linger after they pass away?



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