In fact, the truth is surprisingly simple: much depends merely on what happens if people don’t make a decision, something called a no-action default, or simply a default. The countries on the left of the graph ask you to choose to be an organ donor, and those on the right ask you to choose not to be a donor. If you do not make an active choice, you are, by default, a nondonor in Germany and a donor in Austria.
Dan and I wanted to understand this. We started by asking a sample of Americans whether they would be donors or not by presenting them with a choice on a webpage. One group, the opt-in condition, was told that they had just moved to a new state where the default was not to be an organ donor, and they were given a chance to change that status with a simple click of a mouse. A second group, the opt-out condition, saw an identical scenario, except the default was to be a donor. They could indicate that they did not want to be a donor with a mouse click. The third group was simply required to choose; they needed to check one box or the other to go on to the next page. This neutral ques-tion, with nothing prechecked, is a mandated-choice condi-tion; it’s important, because it shows what people do when they are forced to choose.
The effect of the default was remarkably strong: when they had to opt in, only 42 percent agreed to donate, but when they had to opt out, 82 percent agreed to donate. The most interesting result was from those forced to make a choice: 79 percent said they would be a donor, almost the same percentage of donors as in the opt-out condition. The only difference between the group that was asked to opt out and those who were forced to make a choice was that we forced the respondents in the mandated-choice condition to pick either box before they could go forward. It shows that if forced to make a choice, most participants would become donors. Otherwise, if they were given a default, most simply took it, whatever it was.
From Elements of Choice by Eric Johnson
It’s more complicated than the one example, and he covers it further, but as a rough guideline, it looks like forced choice and opt out are similar in this case. Which would make sense because the opposition is mostly religious and strict religious people are more motivated to opt out.
todd_bonzalez@lemm.ee 1 week ago
Personally, I don’t really see that much value in the affirmative consent of the dead. Viable organs are hard to get, and save lives. I think it’s worth it to keep it opt-out.
imaqtpie@sh.itjust.works 1 week ago
I agree, but it raises an interesting argument regarding the definition of consent. I don’t necessarily believe in free will so I like to mention it in situations where you can easily see that people are more accurately described as reacting to their environment than making any kind of conscious choice.
Simply by changing from opt-in to opt-out, you mostly reverse the observed behavior of a population. Lots of applications for this sort of thinking, like with voting for instance.
leisesprecher@feddit.org 1 week ago
Germany is currently considering a third way: they ask you.
Everyone in Germany has health insurance, so the idea is that the health insurance simply asks you directly to decide. Most people are in favor of organ donation, but never actually get an organ donor card or talk to their relatives. Asking them to decide won’t get anywhere near the donor rates of an opt-out scheme, but it could drastically increase them.
imaqtpie@sh.itjust.works 1 week ago
That sounds promising, I think you’re right that it would be a significant improvement in donor rates over the opt-in system.
ryannathans@aussie.zone 1 week ago
Necrophilia has entered the chat
iii@mander.xyz 1 week ago
How do I opt-out?
PapaStevesy@lemmy.world 1 week ago
Cremation
Scubus@sh.itjust.works 1 week ago
How do I opt in?