Grigoras I, Condac C, Cartes C, Blaj M, Florin G
University of Medicine and Pharmacy, Iasi, Romania.
Transplant Proc. 2010 Jan-Feb;42(1):144-6. doi: 10.1016/j.transproceed.2009.12.006.
In November 2007, a legislative initiative regarding the presumed consent for organ donation was proposed for parliamentary debate in Romania and was followed by public debate. The study aimed to asses public opinions expressed in the Romanian media.
An Internet search was made. The pro and con reasons, the affiliation of parts involved in the debate and suggested future direction of action were identified.
The Internet search had 8572 results. The parts involved in the pro and con debate consisted of governmental structures, physicians, ethicists, politicians, media, religious authorities, nongovernmental associations, and lay persons. The main pros were the low rate of organ donation and the long waiting lists, enhancement of organ procurement, avoidance of wasting valuable organs, avoiding responsibility, and the stress imposed to the family in giving the donation consent, humanitarian purposes (saving lives), going along with the scientific progress, and less bureaucracy. The main cons were an unethical issue, violation of human rights, denial of brain death, unethical advantage of public ignorance, unethical use of underprivileged people, little results in terms of organ procurement, but huge negative effects on public opinion, public mistrust in transplant programs and impossibility of refusal identification due to particularities of the Romanian medical system.
The con opinions prevailed. For the moment, Romania seems to be unprepared to accept presumed consent. A future change in public perception regarding organ transplantation may modify the terms of a public debate.
2007年11月，罗马尼亚一项关于器官捐赠推定同意的立法倡议被提交议会辩论，并随后引发了公众辩论。该研究旨在评估罗马尼亚媒体所表达的公众意见。
进行了一次互联网搜索。确定了赞成和反对的理由、参与辩论各方的隶属关系以及建议的未来行动方向。
互联网搜索有8572条结果。参与赞成和反对辩论的各方包括政府机构、医生、伦理学家、政治家、媒体、宗教当局、非政府协会和普通民众。主要的赞成理由是器官捐赠率低和等待名单长、增加器官获取、避免浪费宝贵器官、避免责任以及在给予捐赠同意时给家庭带来的压力、人道主义目的（拯救生命）、顺应科学进步以及减少官僚作风。主要的反对理由是一个伦理问题、侵犯人权、否认脑死亡、利用公众无知的不道德优势、对弱势群体的不道德利用、在器官获取方面收效甚微，但对公众舆论有巨大负面影响、公众对移植项目的不信任以及由于罗马尼亚医疗系统的特殊性无法确定拒绝情况。
反对意见占上风。目前，罗马尼亚似乎尚未准备好接受推定同意。公众对器官移植看法的未来变化可能会改变公众辩论的条件。
