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Reply #51 - 2012 October 10, 2:01 am
Surreal Member
From: Sweden Registered: 2009-05-18 Posts: 325

The point is to push people to make the conscious decision 'no' or 'yes' instead of leaving it up to them to take personal initiative. I've heard about surveys done in Sweden that show that many more people would actually say yes to that question than there are people who have signed up as organ donors, even a few times more. Naturally what I'm suggesting isn't perfect since a lot of people haven't matured mentally when they hit legal age nearly as much as they will have when they're say 25. So they might not give the question much thought and only want to avoid thinking about it. But still, it's way better than never asking IMO and it makes sense since it will no longer be in their parents' power whether their organs are donated should they die.

qwertyytrewq Member
From: Gall Bladder Registered: 2011-10-18 Posts: 529

Surreal wrote:

Can we agree on a less extreme policy? I suggest that it should be standard to send out letters asking about whether you want to give up your body for organ donation on death as soon as you are of legal age. I don't think that arguments about it being "rude", "creepy" or "taboo" are strong enough to make that a bad idea.

The problem with an "opt-in" policy is that people are lazy. They probably won't even read the letter and throw it away in the the bin.

If we want to make quick and effective change regarding organ donation, I believe there are two policies of consideration:

1) The aforementioned police-state dystopian-society style forced organ donation upon death. Although people would complain about the lack of freedom to choose not to donate, this policy would do more good than harm (more lives saved). However, there is a second option:

2) An "opt-out policy." In other words, by default, you implicitly agree that your organs are up for donation upon your death, UNLESS you opt-out of the policy beforehand. This policy takes into account laziness while still allowing freedom for those who want it. Most people wouldn't care about this policy like they wouldn't care about most policies, so they wouldn't opt-out of it. However, for those vocal few who care enough to whine about their perceived lack of freedom, they have the option of opting-out of this policy.

I can't see any disadvantages about option 2. Can anyone?

vix86 wrote:

That won't affect the kind of change that qwerty wants. Its already that simple in the US in most places. All you have to do is stick a sticker on your driver license and generally your body will be treated as an organ donor should paramedics find you dead at an accident or something.

For my proposed opt-out policy, let's make that sticker go on the driver license by default. Let's also make that sticker extra sticky and hard to peel off so that only those who feel strongly about NOT donating organs will have the motivation and time to peel the sticker off completely, instead of giving up a few seconds in ("nah I don't want to donate my organs *scratch* *scratch* damn this sticker is so hard to peel off. Oh what the hell, my organs won't be of any use to me when I'm dead anyway").

Last edited by qwertyytrewq (2012 October 12, 10:27 am)

vix86 Member
From: Tokyo Registered: 2010-01-19 Posts: 1469

The only thing about opt-out is that it would never fly in the US. Which ever side decided to push the issue would be tared and feathered for over reaching their bounds. It would never fly with libertarians either because the best system would be opt-in. By making it opt-out you have the issue forced on you and in order to get it reversed you have to jump through hoops and everything.

I also think you under estimate how people would feel about this. You think that the reason why no one does opt-in is because they are lazy. However, I suspect the real reason no one does opt-in is more to do with the fact that many people are not simply keen on the thought of having their body hacked to pieces as soon as the doctor goes "Yep, he's dead! Cut'em up!"

Last edited by vix86 (2012 October 12, 12:02 pm)

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Reply #54 - 2012 October 14, 2:38 am
qwertyytrewq Member
From: Gall Bladder Registered: 2011-10-18 Posts: 529

vix86 wrote:

However, I suspect the real reason no one does opt-in is more to do with the fact that many people are not simply keen on the thought of having their body hacked to pieces as soon as the doctor goes "Yep, he's dead! Cut'em up!"

If that's the case, then as long as they (anti-organ donating people) realize that they are being selfish with the knowledge that they could have given so much to someone else (life) while giving so little or nothing (their organs which are of no use to their lifeless corpse).

Reply #55 - 2012 October 14, 6:01 am
vix86 Member
From: Tokyo Registered: 2010-01-19 Posts: 1469

qwertyytrewq wrote:

If that's the case, then as long as they (anti-organ donating people) realize that they are being selfish with the knowledge that they could have given so much to someone else (life) while giving so little or nothing (their organs which are of no use to their lifeless corpse).

Then the problem isn't selfishness its ignorance. Because I suspect that many think that they will be cut up rather than have many attempts at resuscitation. No one is educated that organs are harvested only on true brain death and even then, I imagine some hold some idea that even then they may be brought back. There is a very fine window for organ harvesting on death and you can't wait very long.

Surreal Member
From: Sweden Registered: 2009-05-18 Posts: 325

qwertyytrewq wrote:

Surreal wrote:

Can we agree on a less extreme policy? I suggest that it should be standard to send out letters asking about whether you want to give up your body for organ donation on death as soon as you are of legal age. I don't think that arguments about it being "rude", "creepy" or "taboo" are strong enough to make that a bad idea.

The problem with an "opt-in" policy is that people are lazy. They probably won't even read the letter and throw it away in the the bin.

If we want to make quick and effective change regarding organ donation, I believe there are two policies of consideration:

1) The aforementioned police-state dystopian-society style forced organ donation upon death. Although people would complain about the lack of freedom to choose not to donate, this policy would do more good than harm (more lives saved). However, there is a second option:

2) An "opt-out policy." In other words, by default, you implicitly agree that your organs are up for donation upon your death, UNLESS you opt-out of the policy beforehand. This policy takes into account laziness while still allowing freedom for those who want it. Most people wouldn't care about this policy like they wouldn't care about most policies, so they wouldn't opt-out of it. However, for those vocal few who care enough to whine about their perceived lack of freedom, they have the option of opting-out of this policy.

I can't see any disadvantages about option 2. Can anyone?

vix86 wrote:

That won't affect the kind of change that qwerty wants. Its already that simple in the US in most places. All you have to do is stick a sticker on your driver license and generally your body will be treated as an organ donor should paramedics find you dead at an accident or something.

For my proposed opt-out policy, let's make that sticker go on the driver license by default. Let's also make that sticker extra sticky and hard to peel off so that only those who feel strongly about NOT donating organs will have the motivation and time to peel the sticker off completely, instead of giving up a few seconds in ("nah I don't want to donate my organs *scratch* *scratch* damn this sticker is so hard to peel off. Oh what the hell, my organs won't be of any use to me when I'm dead anyway").

There are complications with people perhaps not finding out about the policy, due to no access to good education, having immigrated into a country and not understanding information given because of language difficulties etc.. It'd be virtually impossible to entirely avoid cases of people who would definitely have opted out, if they'd known they had to, getting cut up. I don't think that it would be possible to construct a fail-safe system. So yeah, even if the policy was implemented in one of the Westernized democratic countries of today, I think it would be repealed soon enough once lawsuits start trickling in. Opt-out is great in principle, but real issues with knowledge spreading mean that it cannot be implemented today, IMO.

gdaxeman Member
From: Brazil Registered: 2007-06-19 Posts: 278 Website

Surreal wrote:

So yeah, even if the [opt-out] policy was implemented in one of the Westernized democratic countries of today, I think it would be repealed soon enough once lawsuits start trickling in. Opt-out is great in principle, but real issues with knowledge spreading mean that it cannot be implemented today, IMO.

There are already countries that use opt-out policies for organ donation:

Opt-out legislative systems dramatically increase effective rates of consent for donation. For example, Germany, which uses an opt-in system, has an organ donation consent rate of 12% among its population, while Austria, a country with a very similar culture and economic development, but which uses an opt-out system, has a consent rate of 99.98%.
...
Some countries with an opt-out system like Spain (34 effective donors per million inhabitants) or Austria (21 donors/million) have high donor rates and some countries with opt-in systems like Germany (16 donors/million) or Greece (six donors/million) have effective donation lower rates. However Sweden, which has an opt-out system, has a low rate as well (15 donors/million). ... The president of the Spanish National Transplant Organisation has acknowledged Spain's legislative approach is likely not the primary reason for the country's success in increasing the donor rates, starting in the 1990s.

[Source]

I remember a user discussing this same issue in another forum, and he lived in a place where the policy was that everyone was a donor unless they opted-out (and those who were donors had higher priority in the line if they needed some kind of organ donation than those who were not), telling how the system they had was better than the opt-in of other countries, and how the habitants preferred it this way, so it's not so black-and-white, a "it would be repelled as soon as possible" kind of thing; it depends on the place. A dominance of certain religions and low trust in the doctors, such as a high possibility of them "killing" poorer people (in the sense of not making everything they could to keep them alive) so that their organs are available for the richer makes people oppose being donors, for example.

Last edited by gdaxeman (2012 October 14, 11:14 am)

Reply #58 - 2012 October 16, 4:59 am
Surreal Member
From: Sweden Registered: 2009-05-18 Posts: 325

Huh, I didn't know that. Cool. I wonder how they solve the possible issues I brought up. Like with immigrants who don't know the language very well.