The U.S. Should Embrace France’s Approach and Default Every Citizen to Organ Donation

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Recently, my 10-year-old was rummaging through my wallet and found my driver’s license. After having a good laugh at my picture, he checked the details and asked a rather serious yet funny question, “Mom, are you an organ donor like it says here?” I replied, “Absolutely.” A moment of silence followed, and then he hit me with the big one: “Which organs have you donated?”

This sparked a lengthy conversation about organ donation, filled with his typical 10-year-old humor and zombie jokes. Yet, I was grateful for the opportunity to discuss such an important topic with him. Most importantly, I was glad he understood my intention to donate my organs after my death, which is something our family should discuss openly.

In the U.S., we operate under an “opt-in” system for organ donations. This means that individuals must actively sign up to be donors, either through state registries or when obtaining state-issued ID cards or driver’s licenses. Meanwhile, other countries, such as France, have adopted an “opt-out” system. As of January 1, all French citizens are presumed to be organ donors unless they explicitly state otherwise, either by joining the National Rejection Register or by putting their wishes in writing. The French biomedicine agency emphasizes that this system is rooted in national solidarity, asserting that everyone is a donor unless they’ve opted out.

Despite multiple attempts, U.S. lawmakers have yet to successfully implement similar legislation. Countries with opt-out systems generally see a rise in organ donations. However, medical ethicists caution that family dynamics play a crucial role in organ donation decisions. Arthur Caplan, a medical ethics expert, points out that regardless of what laws are in place, families often influence the outcome. A 2013 study by the Department of Health and Human Services found that while 95% of Americans support organ donation, 60% of those not registered would be willing to sign up. With presumed consent, these individuals would automatically be considered donors, making the process smoother if they’ve communicated their wishes to their families.

According to the United Network for Organ Sharing, someone is added to the national transplant waiting list every 10 minutes, and tragically, 22 people die each day waiting for a transplant. One donor can potentially save up to eight lives, highlighting the significance of organ donation.

If you haven’t yet signed up to be an organ donor, it’s a quick and straightforward process. Grab your spouse and kids, and check out the United Network for Organ Sharing website together. Make sure to have ongoing conversations with your loved ones about your wishes. This way, if the worst happens, they will have peace of mind knowing your desires. Even with modern medical advancements, there remains a considerable gap between patients and available donors. Let’s bridge that gap—consider registering today to be an organ donor.

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In summary, the U.S. should consider adopting an opt-out organ donation system like France’s to increase donor registrations and save more lives. Having open conversations with family about organ donation wishes can ensure your intentions are honored.