Reconsidering the Ethical Framework of DMV-based First-Person Authorization for Organ Donation

This article critically examines the ethical dimensions of utilizing Department of Motor Vehicles (DMV)-based First Person Authorization (FPA) for organ donation. While ostensibly designed to uphold patient autonomy, DMV-based FPA raises significant ethical concerns due to its lack of informed consent and limited impact on organ donation rates. Drawing on principles of autonomy, informed consent, and medical ethics, this article argues for a reevaluation of current practices and proposes alternative approaches that prioritize genuine informed decision-making.