At this time BC Transplant is not pursuing presumed consent legislation for a number of reasons including:
There is no evidence to suggest presumed consent legislation directly results in higher rates of organ donation. Many countries, such as Spain, that currently have presumed consent laws do not enforce them and the decision to donate ultimately rests with the families of the deceased. There is considerable evidence to suggest that the major reason for the variation in donor rates between countries is due to varying practices in the identification of potential donors rather than different legislation governing organ donation.
Research suggests that other strategies such as in-hospital transplant coordinators, education and training for medical professionals, and public education are more effective at increasing donor rates than presumed consent legislation. For example, in 2011 Spain achieved a deceased donor rate of 35.3 per million largely due to the use of transplant coordinators and a robust education program for health care professionals.