Post-Mortem Organs and Tissue Through a Property Law Lens: How Principles of Property Law Can Guide Lawmakers to a Better Organ Donation Framework
Date
2021-04-28
Authors
Journal Title
Journal ISSN
Volume Title
Publisher
ORCID
Type
Thesis
Degree Level
Masters
Abstract
Across Canada, transplant waitlists far outweigh the organs and tissue made available by the current post-mortem donation system. Every transplant donor is critical to alleviate the ever-growing demand for organs and tissue and there is significant potential for increased donations. Every donation statute in Canada invokes an exception to the deceased’s prior consent being binding. The next of kin’s power to veto decisions concerning post-mortem donations violates donor autonomy and neither the common law nor statutes explain how this veto should be interpreted and applied. The result is a system of organ donation that depends significantly on the altruism of surviving family members and ignores the need for increased donations. Issues with the current donation frameworks are illuminated by a wills and intestacy analogy.
Basic principles of property law can and should guide lawmakers to meaningful reform of the donation systems. Post-mortem donative instructions should be viewed as sacrosanct, much like the testator’s instructions are viewed in the law of wills. Our choices concerning where our post-mortem body parts go are not safeguarded by the same protections afforded to our choices concerning property. This thesis explores the evolution of the common law of ownership regarding the human body and body parts, as well as the historical development of Canada’s donation legislation and the meaning of property in theories of jurisprudence. The enforceability of ownership rights in organs and tissue is consistent with popular definitions of property and substantiated further by ostensibly contrasting theoretical views of jurisprudence. This thesis contrasts presumed consent and mandated choice systems of organ donation and proposes an improved system of presumed consent that carefully qualifies the role of family, safeguards individual autonomy, and balances those components with the public need for increased donations.
Description
Keywords
Law, Policy, Organ donation, Post-mortem organ donation, Inter-vivos organ donation, Organ and tissue transplantation, Human tissue legislation, Post-mortem dispositions, Property law, Personal property ownership, Property in the body, Law reform, Consent, Informed consent, Medical self-determination, Medical decision-making capacity, Substitute decision-making, Autonomy, Public policy, Wills and intestacy, Testator intention, Adverse possession law, Abandonment law, Human rights, Canadian Charter of Rights and Freedoms, Legal rights, Presumed consent, Mandated choice, Jurisprudence, Legal theory, Natural law, Legal positivism
Citation
Degree
Master of Laws (LL.M.)
Department
Law
Program
Law