John Gill of St. Paul's Hospital in Vancouver, BC, Canada, discusses various models for governing organ donation and which might be most suitable for implementation in Canada. The prevailing view is that organ donations should be anonymous and non-directed. According to Gill, however, that view creates a stumbling block for those trying to design policies that would increase the pool of available donors. His research shows that in Canada there is a sizable number of potential donors that are not being converted to actual donors. Canadian law prevents individuals from profiting from organ donation. To overturn this legislatively would be difficult, he says. According to Gill, other options might be to look at the model of Spain, in which consent is presumed, or Israel, in which monetary incentives are not allowed but registered donors receive priority in the event that they ever need an organ transplant themselves. All of the models currently in use have advantages and disadvantages.

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