So I read this question here, gave my answer, then did my duty and went into background research of the other answers. And @gorillapaws posted a link to a TED talk that I went to. And that presentation was amazing!
In my original answer, I said that organ donation should be based on opt-out (which would result in automatic organ donation in most cases, obviously). I blamed the reason people do not choose to donate as “the fact most people are too lazy, scared, or superstitious to want to donate their organs. Sometimes they’re just too lazy to sign the little form.”
Dan Ariely, in the link Gorillapaws posted, said the reason is ”...because we care, it’s difficult and it’s complex; and it’s so complex that we don’t know what to do. And because we have no idea what to do, we just pick whatever it was that is chosen for us”
(He’s explaining why people skip the opt-in-to-donate portion of their drivers licenses in states that have that; and comparing that to the fact that people skip the opt-out-to-donate box in European countries where that is available).
Meaning: Most probably it would be good public policy to automatically harvest organs upon a person’s death unless they opt-out to that previously.
And to the people who don’t like government taking rights away: I don’t like heavy handed governments, either! I don’t want to touch your life in any way whatsoever, so long as you abide by the human code of Do No Harm.
But… governments are here for 2 reasons: Defense and Making Logical Things Easier that are harder done without an organizing single force.
Some people may “feel like” its better for them to drive on the wrong side of the road. So should they be allowed to do so if they’re good at it?
Or what if there’s a severe drought and many are starving of thirst; And someone’s hard-earned personal property has a well on it that can quench the thirst of 10,000 people a month, but he refuses to tap it for no real reason, except “he feels like it”? Sure if it damages his living area, or threatens his own ability to drink, then he should be left alone. But if there’s no compelling reason? And he’s just being stubborn? Well at that point, civics and platitudes of property rights will (and should) go out the window, and someone’s gonna take over that mofo’s well.
Each situation is unique, and no logical course of action should be prevented due to fears of a precedent or a slippery slope.
The torture and pain people go through when their loved ones die takes 100% precedence over people’s claims to their own dead bodies. Organs should be harvested upon death unless its clear the person or their family (such as Jehova’s Witnesses) don’t want it. But by making it opt-out, instead of opt-in, we can save thousands of lives, relieve the suffering of millions of people, and harm no one. That’s what civilized governments are for, is to arrange stuff like this.
Politics and fleshy claims to the body beyond life, and civics, and property rights…. all that stuff goes out the window in the grand scheme of things. The tools we have in our lives (such as our governments) should be used lovingly and creatively. But that doesn’t mean catering to those who selfishly cling to what they have zero use for.