Today I read online (Mail on line) about a woman in New York whose eyes opened when a hospital surgical team was about to harvest her organs. It seems that in Wales you are now automatically opted in. In the USA a little heart sign on your driver's license shows whether you want to opt in. In Singapore when members of my family became Permanent Residents they had to sign forms which included a question about organ donation. It was pointed out to me that if you refuse to give organs, you cannot receive organs either. It seems that the main reason allowed in their system is that you tick a box saying you opt out for religious reasons, in which case you can neither give nor receive organs.
1 My relative wanted to donate in the UK. Nurse could not locate any forms for him to sign. After he died and I had seen he was dead and unresponsive I asked about organ donation which he had wanted. I was told it was too late. After he had died his organs had started deteriorating and organs have different life expectancies after death and most or all are useless after 24 hours so you need to be there at the moment of death - or standing ready, or ....
2 First take water away from the patient so they are depressed and in pain and start to want to die. Then kill them. Then take organs. Do not allow family to benefit. Ensure doctors make money. My reaction is that the only fair way would be to give money to estate of anybody who signed a donor's form whether or not organs were used, like public lending right, divide all money between all donors, maybe while you are alive, like insurance. Doctors should get a salary whether doing operations or not, no bonus for removing organs, just time off for overtime. Obviously in each country citizens and medical personnel and legislators need to consider all the options very carefully, with continual reviews updating.
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