I had a classmate who was horrified to learn I checked the organ donor box in my driver's license. Their parents told them if you check that box, the medical staff will be more likely to let you die so they can reuse your parts. I did't have any authoritative answer but the point is there are people out there with fears that sound rational but are completely in the realm of conspiracy theory.

Sadly these fears in the UK are well-founded:

* https://en.wikipedia.org/wiki/Alder_Hey_organs_scandal

* https://www.chroniclelive.co.uk/news/north-east-news/missing...

There were quite a few other similar scandals, particularly in England. The medical profession in this country, for a very long time, has had a remarkable contempt for the lives of people, probably steeped in the classism and elitism traditionally entrenched in university education in Britain. This might be different today (Alder Hey, in particular, triggered new legislation about organ handling in 2004), but it's hard to shake off such a history.

I used to carry a organ-donor card and I'm probably still on some register somewhere, but over the last decade I've kinda soured on the idea. As a clear outsider and a bit of a loner, living in the downtrodden North of England, there would likely be nobody who would oppose an over-eager doctor from pulling the plug on me without even trying to help first, just so that a few waiting lists can be shortened and he can look good with his boss.

If you think that doctors aren't likely to do their level best to save your life and to act in your best interests, you surely have larger problems that you, being braindead at the time, having your organs potentially used to save the lives of others?

>you surely have larger problems

Maybe, but that's one more incentive, and not a small one either. Even the definition of "braindead" is somewhat controversial in many circumstances, nowadays, with doctors having the power to make some pretty radical choices - occasionally even against the explicit wishes of patient and family.

https://en.wikipedia.org/wiki/Alder_Hey_organs_scandal

We don't call them that anymore. The new term is "spoiler alert"

In fact your classmate is correct, you also need to be 'alive' for your organs to be harvested, there's an entire ongoing field of debate in the medical community about the ethics of this, which a quick peruse of the literature will get you upto speed on.

If you see them as victims of the system, doesn't refusing to donate your organs literally making things worse for them?

It feels like you're saying "I could save your life, but I won't because the system isn't the way I want it."

Is that a reasonable summary, or am I misunderstanding what you mean?

Distancing, not going to parties etc etc