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More than 21,000 patients are in the waiting list for organs
in Malaysia, and around two of them die every day while
waiting. The extremely low number of deceased donors
is the prime reason behind this dilemma. However, the
case is not exclusive to Malaysia, as most countries also suffer from
organ shortage. However, countries like Spain and Croatia have been
reporting the highest number of donors. Some scholars argue that the
success of these countries is attributed by the implementation of the
presumed consent policy, in which everyone is deemed as a deceased
donor unless he or she stated otherwise during his or her lifetime.
Therefore, implementing the presumed consent system is suggested to
be the solution for organ shortage. However, other scholars argue that
the presumed consent system is not a magical solution for the organ
shortage, citing the low number of donations achieved in Chile and
Brazil after the implementation of a similar system.
Malaysia applies the informed consent system, wherein organs can be
procured from a deceased if he or she has registered his or her will to
donate during his or her lifetime. Some argue that the implementation
of a presumed consent system in Malaysia will enhance the number
of donors, while others argue that such implementation may worsen
the problem. Therefore, studying and understanding the potential
implications before implementing this system is imperative. This is
to answer the many questions that could be encapsulated in one
enquiry: will the presumed consent system improve deceased donation
in Malaysia? This book is the first of its kind to attempt to provide a
plausible answer for this question.

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