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Fortunately, there is another possibility, called "mandated choice," under which people must indicate their preference.
Thus, mandated choice may achieve a higher rate of donations than presumed consent, and avoid upsetting those who object to presumed consent for whatever reasons.
Three defaults in organ donation systems are compared: mandated choice, presumed consent and explicit consent.
Hypothetical choices from a national survey of 2069 respondents in May 2011 in the Netherlands – a country with an explicit consent system – suggests that mandated choice and presumed consent are more effective at generating registered donors than explicit consent.
While the underlying idea is often correct and families do default to 'no' when uncertain about the deceased's wishes, neither mandated choice nor its cousins seems likely to increase retrieval rates by much.
Wilcoxon signed ranks test: mandated choice vs. donor-only informed consent, p <0.001; mandated choice vs. donor-or-surrogate informed consent, p <0.001; mandated choice vs. presumed informed consent, p <0.001.
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To avoid the default, some writers would encourage people to decide about donation in a way others will know, for instance by paying them (De Wispelaere and Stirton 2010) and others suggest mandating choice by, for instance, withholding driving licenses from those who do not choose.
The selection of Zr in turn mandates the choice of its octandentate, siderophore-derived chelator desferrioxamine (DFO).
The structure of deregulation mandates a choice that determines where consumers stand on that pollution issue.
The suggestion that mandating the choice of a vegetable can be equated with mandating participation in the health care system (or pay a penalty) is offensive.
They've been so successful, in fact, that the role of government has become invisible — so much so that even members of Congress should be excused for believing the government has no business mandating your choice of light bulbs.
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