<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2594-2166</journal-id>
<journal-title><![CDATA[Medicina y ética]]></journal-title>
<abbrev-journal-title><![CDATA[Med. ética]]></abbrev-journal-title>
<issn>2594-2166</issn>
<publisher>
<publisher-name><![CDATA[Universidad Anáhuac México, Facultad de Bioética]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2594-21662019000100121</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Donación de órganos y consentimiento tácito. Objeciones a su implementación en México]]></article-title>
<article-title xml:lang="en"><![CDATA[Organ donation and presumed consent. Objetions to its implementation in Mexico]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ortiz Millán]]></surname>
<given-names><![CDATA[Gustavo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad Nacional Autónoma de México Instituto de Investigaciones Filosóficas ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Mexico</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>03</month>
<year>2019</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>03</month>
<year>2019</year>
</pub-date>
<volume>30</volume>
<numero>1</numero>
<fpage>121</fpage>
<lpage>180</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S2594-21662019000100121&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S2594-21662019000100121&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S2594-21662019000100121&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen En abril de 2018 se aprobó en la Cámara de Senadores en México una iniciativa para modificar el sistema de donación de órganos. Se intentaba pasar de un modelo de consentimiento explícito, en el que quien desee donar un órgano tiene que inscribirse en el registro de donadores, a uno de consentimiento tácito, en el que todas las personas mayores de edad serían donadores presuntos, a menos que manifestaran su negativa a serlo. Sin embargo, la iniciativa se frenó en la Cámara de Diputados por la reacción adversa de especialistas, así como de parte de la opinión pública. Aquí se analizan algunas de las razones que se dieron y se hace un balance crítico para defender la implementación del modelo de consentimiento tácito en México.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract In April 2018, the Mexican Senate approved an initiative to modify the organ donation system. The intention of this initiative was to pass from an opt-in or explicit consent model, in which someone who wishes to donate an organ has to register in the donor registry, to an opt-out system, in which all adults would be presumed donors, unless they expressed their refusal. However, the initiative was stopped in the Chamber of Deputies by the adverse reaction of specialists and part of the public opinion. Here I analyze some of the reasons that were given, and I criticize them in order to defend the implementation of the opt-out system in Mexico.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[donación de órganos]]></kwd>
<kwd lng="es"><![CDATA[consentimiento tácito]]></kwd>
<kwd lng="es"><![CDATA[autonomía]]></kwd>
<kwd lng="es"><![CDATA[desconfianza]]></kwd>
<kwd lng="en"><![CDATA[organ donation]]></kwd>
<kwd lng="en"><![CDATA[presumed consent]]></kwd>
<kwd lng="en"><![CDATA[autonomy]]></kwd>
<kwd lng="en"><![CDATA[distrust]]></kwd>
</kwd-group>
</article-meta>
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