of Death Act (UDDA) and provide legal, clinical, and ethical grounds for determining that death has taken place before organ recovery begins.

  1. The issue at stake in the determination of death is one of trust that the health care system will provide optimum end-of-life care regardless of the demands of organ procurement. Trust is a matter not only of facts and data, but also of attitudes and commitments. Trust depends on optimum end-of-life care for patients and families, donor and nondonor alike, as discussed in the following chapter.

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