From January 2010, the Japan Organ Transplant Law has been revised, with somewhat mixed effect, to permit donors to give priority to their relatives in receiving donated organs. The new law also abolishes the prior minimum age of 15 for donors, so organs from children may now be used. Also, while the prior law requires donors to express in writing while they are alive their intent to donate, the revision permits other family members to make such decision if there is no written choice by the donor. According to the Daily Yomiuri , the prior law was so strict that it was ridiculed as “the law for impeding organ donations,” and the changes are intended to make the practice in Japan much like that of other advanced nations. The major difference is the focus on giving relatives priority, even where there are other patients with more urgent needs, and whether the public will view this as a fair system. Also, it is currently unclear what degree of family relationship will apply and of course in Japan this will generate exhaustive bureaucratic study before any decision is made.