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2 1Wits Donald Gordon Medical Centre, School of Clinical Medicine, University of the Witwatersrand, Johannesburg, South Africa; 2Steve Biko Centre for Bioethics, School of Clinical Medicine, University of the Witwatersrand, Johannesburg, South Africa Correspondence: Harriet Rosanne Etheredge Wits Donald Gordon Medical Centre, 1st Floor, Max Price Building, 27 Eton Road, Parktown, Johannesburg, 2193, South Africa Tel +27 113566395 Abstract: This paper argues that there is little difference between opt-in and opt-out organ donation systems for increasing donor numbers when used in isolation. I...