To quote from G.O. (Ms) No.288 dated 05.09.2008: “Considering the fact that cadaver donation is done with altruistic motives and in a generous charitable manner as a willing contribution to society, it is necessary that cadaver donation be governed by transparency on all fronts to ensure that the sentiments of the donor’s relatives are adequately respected. Hence, it is considered necessary that a certain degree of accountability is also insisted upon.”
The other reason is that the Transplantation of Human Organs Act (THOA) is but an enabling legislation as far as deceased donor transplantation is concerned. Some more steps need to be clarified to make it easier for hospitals to follow the rules and to share organs amongst themselves from the time brain-stem death (also called brain death) is identified in any hospital.