Organ Donation After Death — Should I Decide, or Should My Family?

Who should decide about organ donation after death, the individual or the family? This paper examines why this practical question can be difficult to resolve. A comparison is made between standard decision-making in medicine and decision-making about organ donation. The questions are raised of the connection of the dead body to the person, and of who properly has autonomous control over the dead body. To understand the issues, an exploration of autonomy is needed, but at the same time this shows that a resolution depends on addressing complex spiritual and cultural issues, and questions about the autonomy of the individual versus that of the group.