Opt-out organ donation fails without strict rules and limited family power

Many countries use "opt-out" systems for organ donation, assuming it increases donor rates. It turns out these systems only work if governments strictly enforce them and limit families from overriding the decision.

Governments often adopt opt-out systems hoping for an easy boost in organ donations. This paper shows that simply changing the default is not enough. It means that effective opt-out policies require politically difficult choices: building strong enforcement mechanisms and potentially limiting family veto power.