Read the eloquent words in this newspaper today of Frances Downey, who was plucked from the shadows of death by a last minute heart transplant, and then wonder why we still have not taken the decision to reform our organ donation scheme. Frances, from Belfast, literally owes her life to someone with the generosity of spirit to be an organ donor. Only 32% of people here have signed the organ donor register, but that figure could be greatly increased if we moved to an 'opt out' system, where people were presumed to be in favour of donating their organs after death. Families would still have the final say. There are people like Frances in Northern Ireland whose only hope of survival is an organ transplant. Why do we continue to deny them that chance?