considerably in all parts of the UK recently but there is also an increasing demand organs and education on donation, the question is whether the organ shortage potential donors and next of kin, ensuring that more organs are donated. In this view, Levitt Life Sciences, Society and Policy (2015) 11:6 DOI 10.1186/s40504-015-0023-1consent. Those few who are opposed would be able to make their wishes clear and the remaining majority will be passively enrolled.bers with donor cards and to encourage discussion within families, and, given the high percentage in favour of donation, we should consider an opt-out system of presumedsince the overwhelming majority of the British public are in favour of organ donation, to improve donor rates we could work on educating the public to increase the num-© c ocould ever be met. The increase in longevity, in rates of diabetes and obesity and in alcohol related liver disease all contribute both to increased demand for transplants, and re-transplants, and a reduction in the number of usable organs. It is unlikely that demand could ever be met, since, if supply was unlimited, the focus would move to financial resources and competing demands on the health care budget in a publicly funded health system. These factors point to the need to focus on ways of reducing, or at least stabilizing, demand where lifestyle factors contribute to the underlying disease.

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Accepted manuscript, peer reviewed version

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