Why Opt-Out Defaults Do Not Automatically Produce More Donors
Behavioral economics once held strong hopes for presumed-consent defaults, but organ recovery still typically involves the next of kin. Research finds little difference between opt-in and opt-out countries because an affirmative family decision remains central, while explicit registration provides clearer evidence of the deceased person's wishes.
- US organ donation requires an affirmative gift under current law
- Opt-out countries still consult next of kin
- Family consent can neutralize the expected default effect
- Explicit registration communicates the donor's actual wishes
- Observed donation outcomes show little opt-in versus opt-out difference
“There are many places where it works. Well, this is a case where it doesn't.”
“there just isn't a delta between the countries that use opt in and the countries that use opt out.”