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I'm having trouble with trusting such a system...
I mean if a politician or some rich dude is in need of an organ that you happen to have... I don't trust the doctors to not just... let you die...
Like in House of Cards...
I don't trust it here in the US, I mean look at the politics.... so corrupt.
And I definitely-definitely don't trust this for China... the way my parents decribe their interactions with doctors in Mainland China... like the most sketchy people you could meet... I mean... these are the heathcare workers that would perform abortions against the mother's will if the government told them to... (during the One Child Policy stuff...) so yeah they'd happily let you die if it meant some government official can get their organ. Nope. There's no way people there would trust it... so much 碰瓷 ("broken vase" scams), low-trust society...
For the most part, I'm unconcerned. Especially in a country where organ donation is opt-out, there are plenty enough people dying already; the rich don't need to kill me specifically for my liver. There's another one floating around somewhere out there. Any potential corruption would take the form of the rich and powerful placing themselves at the top of the recipient list, a problem which is also reduced if organ donation is opt-out—more organs floating around means that even if the rich and powerful put themselves at the top of the list, more people will still get the organs they need.
Re: China, that's a different situation entirely. I don't think those forced abortions were opt-in or opt-out. The Chinese government doesn't seem to give its subjects many opts at all
The best argument I have against that happening is that the people saving lives are not the people who manage the donor list. If you're in a car accident and paramedics arrive, they see an injured person, and they treat the injuries. They don't see the list of who needs an organ, they probably don't even check your ID until theyve stabilized you. They will take you to the hospital, where someone else will attempt to stabilize you, or determine that you cannot be saved. And even then, they'll send you to someone else to harvest the organs, and send those to someone else who determines where they are needed.
There is no single person who decides if your organs are worth more than your life. And if one person does try to make that call, there are a lot of others involved they may not let it happen, and acting out of procedure will raise a lot of questions.
Okay fine maybe for the US where the free press still seems to be okay (barely limping through)
In China... all info is controlled. They can sweep irregularities under the rug. Censorship...
I mean look at how they handled covid... they tried to jail doctors who tried to blow the whisle.
So I still wouldn't okay an "opt out" system for China until they start becoming more transparent.
Possibly. I can't speak to how things work over there, but you shouldn't have to worry in the US.