The Spanish Model of organ donation: an organisational answer, not a legal one

Since dedicated institutions were created in 1989, Spain has led the world in deceased organ donation - 114.8 transplants per million people before the pandemic, against 7.6 in the lowest-ranked EU country - while spending below the EU average on health. The exportable part is administrative: three tiers of coordination and a trained coordinator inside every procuring hospital. The presumed-consent law usually credited for it was passed a decade before the rise began.