La valeur positive du refus de prélèvement

We argue the hypothesis that an effective policy to decrease refusal of organs donation needs to recognise the ethical value of refusal. The demand increases the conflicts of loyalty and personal and cultural tensions. In this context, decision is less a rational decision that a personal and existential meaning. So, professionals need to understand what their demand provocate to help families to take a free decision. So, the refusal must be interpreted and recognise like a positive and a free ethical decision. This attitude preserves the trust in the professionals and facilitates in a long-term this activity. So, we defend that a low rate of refusal can have a perverse effect for the efficient of organs donation.