I don't, but I also want every measure to be taken to ensure I survive. With the corruption and dishonesty we've seen from the police all the way to the highest levels of government, I no longer believe my best interests will be honored. I used to be a donor, but I've lost faith in our institutions, especially when it comes to Healthcare. Do you trust insurance companies? If so, why?
How do you know that in some small village somewhere the local government isn't so corrupt as to make sure the organ donation process gets 'speeded up' to serve the need of some wealthy/influential organ recipient in waiting?
If you honestly have so little faith in local government that you believe they would change the care options of a patient to "speed up" organ donation, what makes you think they wouldn't disregard the patients preferences on organ donation and just remove the relavent item after death and before handing the body over to the family?
b) "deliberately poor care" or "generous amounts of painkillers"? The alternative phrasing is exactly how assisted suicide works in societies where it is not legal.
And here some story reported in 2012, in Germany (English article, though): http://www.spiegel.de/international/germany/organ-transplant...
If the system has broken down to where doctors will kill patients for the nearby wealthy person, why not just kill you outright to steal your organs?
And, if someone thinks the system is so corrupt that those processes aren't followed, I'm not sure what laws etc. will make a difference.
You argument makes sense if a state made organ donation mandatory, but I don't think any country has such a law.
If you seriously fear for your life as a registered donor, it should be not too much work to check one box.
"The state isn't invading your corporeal sovereignty". It is, in the most fundamental and intimate way possible. If you support opt-out at least be honest about what it is. I carry an organ donation card but this is a line I think should not be crossed. There are alternative which don't make your body ownership opt-in (like doctors guidelines about approaching families etc).
Straw man argument. People don't die with immediate effect for lack of public data.
> "The state isn't invading your corporeal sovereignty". It is, in the most fundamental and intimate way possible. If you support opt-out at least be honest about what it is. I carry an organ donation card but this is a line I think should not be crossed. There are alternative which don't make your body ownership opt-in (like doctors guidelines about approaching families etc).
You are dead. What rights do you really need and how are they violated?
I see two possibilities. One, the state of my body affects what will happen to me. Two, I am mostly dead, and cryonics (and some future tech) could save me.
The first requires something supernatural. My probability: "no way in hell". The second requires cryonics to work. In theory, in practice, economically, and for me in particular. My probability: "one hell of a long shot".
Even if my organs do matter to my dead being, doctors still have lives to save…
(by the way, I'm pretty sure that's what inspired the live heads in jars in Futurama.)
I'm not sure I need my heart, kidneys etc. for future reconstruction. Important information might be located in the gut, but I'm sure we can extract many organs without touching those neurons.
Even then, I may be willing to sacrifice my hope of resuscitation to save lives today. And that's if I even bother registering for cryonics —as tempting as it is.
I'm also good with door number two. If you are to be cryonically preserved then you should not even need to opt-out as you are not "dead".
> The state isn't invading your corporeal sovereignty
Basically, that IS what's happening. The obvious sane solution would be to force people to make a choice, for example, when you request a new ID card you must register your preference. But now the default choice is already made for you. And that's of course exactly what they're aiming for, just as software vendors do with opt-out schemes.
Personally, I side with the supervillain on this one. Hurt feelings (including religious delusions) are nothing compared to the good you can make with a person's organs.
That said, I still (reluctantly) support the possibility to opt out. Forcing people to give up their body after their death is likely to have consequences I don't want to deal with.
I don't know the number of people who don't want to donate their organs but even more strongly don't want to be on the "Selfish Assholes List" (which will inevitably be leaked (increasing distrust between citizens is a nice "cyberwarfare" play)), but I suspect it's non negligible. Maybe social pressure is for the greater good, but it is a tradeoff you should be honest about.
The real solution is artificial organs.
[0] https://imgur.com/a/qoeUR charts taken from https://www.organdonor.gov/dtcp/nationalsurveyorgandonation....
[1] http://bmcmedicine.biomedcentral.com/articles/10.1186/s12916...
From a society's perspective opt-out makes perfect sense. If you are really against organ donation, just register yourself as such; it takes all of five minutes. I don't even care why you would want to keep all your organs after death, it's not my call.
The reason to go for opt-out rather than opt-in is because a lot of people simply don't register their preference, even when they are, rationally speaking, all for organ donation — that's the critical point. Thinking about your own mortality sucks, and visiting the website where you can register yourself as a donor (necessary for the opt-in model) is something that hovers somewhere on the eternal to-do list, but somehow they never get around to it. Because it is never you that suddenly dies in a freak accident.
If you are against organ donation, you will however register that preference the moment such a bill is passed into law.
That's it. Statistics and psychology (and saving lives) are the reason states consider opt-out over opt-in. The state isn't invading your corporeal sovereignty, you are not being harvested for organs the moment you enter a hospital (well, not in France or The Netherlands at least), and you still get to decide.