Under such a policy, hospitals would harvest organs from people who never gave permission for this to be done.
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More than a few people object to the idea of presuming anything when it comes to such a sensitive matter. For these reasons we think that the best choice architecture for organ donations is mandated choice.
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The false assumption is that almost all people, almost all of the time, make choices that are in their best interest or at the very least are better than the choices that would be made [for them] by someone else,