title: Opt-out donation and tacit consent: a reply to Wilkinson and De Wispelaere.
abstract: In this reply to Wilkinson and De Wispelaere, I argue that an opt-out donation system can be regarded as tacit consent. I first separate the opt-in/opt-out issue from that of the role that the family ought to play. I then argue that what De Wispelaere calls minimal approval-tracking is not obviously necessary and that, even if it were, opt-out schemes can satisfy this requirement.
authors.affiliation: Philosophy, University of Stirling, Stirling, Scotland, UK. ben.saunders@stir.ac.uk
authors.forename: Ben
authors.initials: B
authors.lastname: Saunders
mesh_terms: D006801:Humans; D019724:Presumed Consent / Q000941:ethics*; D009927:Tissue and Organ Procurement / Q000941:ethics*