The welfare of the donor, and the potential for harm and exploitation within donation practices, should be a key determining factor when considering the ethical acceptability of any system for encouraging people to come forward as donors. While proper consent procedures, underpinned by sufficient information, are clearly essential in order to protect those coming forward as living donors, consent alone may not be sufficient to justify particular donation practices if such practices might put other potential donors, or wider communal values, at risk. Decisions about deceased donation should be based on the known wishes of.
