 Of course, if opt-out organ procurement policies are justified, it is not necessary that one justify them in terms of consent (presumed or otherwise) as long as one is prepared to argue that sometimes, certain values defeat individuals’ consent rights. In the case of organs from the deceased, the primary pull for making consent not refusal into the default may well be the huge benefit to the organ recipient and the far lower harm to the deceased. Together, these factors may make high-quality informed consent less urgent.