A new proposal for organ donation sparks concern
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But the idea is controversial for a variety of reasons, including because it goes against fundamental principles that have guided organ donation for decades. The Dead Donor Rule requires that patients must be dead before any organs are removed. Doctors also can't kill patients in the process of removing organs.

The rule has long generated intense debate, including disputes over how to precisely determine when a person is dead, as well as the development of new ways to extend the lives of dying patients and recover usable organs f or transplants .

At the same time, many countries, including Canada, the Netherlands and Spain, have made it legal for doctors to help patients die through euthanasia.

"What if they chose to be organ donors? The problem is that under current standards doctors must not cause death in the process of procuring organs for transplant," Truog says.

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