In Reply Our 2-step process for obtaining authorization for organ donation when death is unexpected was proposed to expand the pool of organ donors. Our proposal was informed by extensive stakeholder engagement during design and evaluation of our pilot UDCDD program in New York, New York.1 During the course of that effort, we addressed concerns similar to those raised by Drs Weiss and Miller and Dr Bramstedt. Yet despite initial hesitancy and the lack of realizing any organs for transplantation, primarily from restricting eligibility to previously registered donors, stakeholders supported the program and have repeatedly asked when our revised proposal might be implemented.2
Wall SP, Plunkett C, Caplan A. Organ Donation After Circulatory Death—Reply. JAMA. 2015;314(15):1646–1647. doi:10.1001/jama.2015.11444
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