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To me everyone should be. Think it's kind of selfish to let viable organs go to waste when people are in need for them.

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[-] lemon@sh.itjust.works 1 points 2 hours ago

Fwiw I’ve always liked it being opt-out over here in Belgium. In fact, among the European countries it’s just Germany and a handful of others that don’t do it that way.

Being an organ donor isn’t a big deal when everyone is. On the political level it’s just a given.

When my dad died he gave three other people an extended lease on life. It helps me to think about that sometimes.

I can ‘get’ people feeling weird about getting picked apart once they’re dead. But the thing is, you won’t notice much. And they’re going to cut you open at the funeral home anyway. So you might as well go out paying it forward.

[-] Abyssian@lemmy.world 1 points 2 hours ago

Not only will I need mine, I'll need as many extras as I can get.

[-] dsilverz@catodon.rocks 4 points 4 hours ago

To me everyone should be

Have you ever pondered about the logical implications of this way of thinking?

Have you ever pondered about who has the "easiest" access to organs? It's gazillionaires like Bryan Johnson who dream of "immortality" (Death Herself entered the chat: "LOL"). Needless to say, a humble human being like us in need for an organ is very unlikely to afford it than a gazillionaire does, you probably know it.

So imagine if there were some kind of law requiring everybody's organs to be donated: who do you think would benefit from such a law?

Furthermore, this kind of law would inevitably become a fundamentum for a new law in the lines "every person should give birth yearly" so gazillionaires could get plenty of organs to choose from a broader "genetic pool" (sic). And, suddenly, world would become a dystopian, Matrix-like human farm, harvesteable by a few "powerful", a world where biological human existence got reduced, through the force of the corporations-states joint venture, to being born, raised and indoctrinated by the capitalist system for the legally-enforced purposes of working and reproducing yearly, until, say, the wannabe-god Jeff Bezos in his 300th anniversary demands another liver from the "peasantry" because he took too much whiskey during his last weekend's trip to his Blue Origins LEO Stargate Resort and he needs so badly to be alive next week so he can order another round of "mandated peasantry breeding & layoff programme" at Amazon.

Don't get me wrong: I'm not against organ donation, much to the contrary; I'm well aware there are humans in need for organs and, given I don't really care (or at least I want not to care) about the fate of this biological garment I've been compelled to wear, I'd happily give mine away (if my organs were still functional despite my unhealthy habits)... except, of course, to gazillionaires; unfortunately, I wouldn't be physically around to refuse a rich my organs, best I could do as a disembodied dæmonic entity would be haunting to hell their mansions and resorts.

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[-] CADmonkey@lemmy.world 1 points 2 hours ago

This is a line of thought I had not considered.

[-] Patnou@lemmy.world 2 points 3 hours ago

That's why I would ask could I meet the person it is going to? Or ask how old they are or something.

[-] dsilverz@catodon.rocks 1 points 2 hours ago

In a volunteer-based organ donation, this is pretty feasible for a donor to know who's gonna receive their organs. However, in a scenario such as the one you implied with your "To me everyone should be (organ donors)", together with the increasing ~~enshittification~~ automation of every aspect of society (e.g. a computer system for organ matching with few or no humans in the loop), organ donation would end more like an "IRS tax declaration" system wherein you interface with a piece of code, in order for the organ transplant system to deal with such a sheer amount of donors and receivers. In other words, both the donors and the receivers would likely become mere "matching numbers" inside a DBMS and you, as a donor, would only get a machine feedback "Status of your request: ready for donation" or something in these lines.

Maybe I'm being too pessimistic, but I've heard and seen several cases of inequality of access to healthcare. In my country, for example, a rich and famous presenter (Fausto Silva / Faustão) from a big TV station (Rede Globo) got to receive FOUR transplants in less than two years through our public organ transplant system ("Sistema Nacional de Transplantes") in less time than expected, while less-famous people have literally died waiting for heart and kidney transplants.

Also, and I'm not sure about the veracity of this specific news case I'm linking here, because I was unable to find any other sources confirming this specific case, but it seems to me that there's the possibility that both the donor and the recipient can be simultaneous victims of a fraud from the administration of an hospital: https://timesofindia.indiatimes.com/city/jaipur/organ-transplant-scam-uncovered-in-jaipur/articleshow/112053902.cms

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[-] flandish@lemmy.world 2 points 7 hours ago

because the hospital makes a profit off of donated organs.

[-] Treczoks@lemmy.world 3 points 9 hours ago

Chronical illnesses. For different reasons, both my wife and I are "unfit" both for organ and blood donations.

[-] FreshParsnip@lemmy.ca 9 points 16 hours ago

I am an organ donor myself but there are a few different reasons people are not

  1. superstition and religious beliefs. Some religions are against it.

  2. a belief that doctors won't try as hard to save them if they can use their organs to save more people

[-] Redditmodstouchgrass@lemmy.zip 2 points 2 hours ago

Mine is reason 2. Ideally yes, the system is set up to not allow for that, but I think we all know that corrupt people tend to find ways around "foolproof" systems.

Mind you, my organs probably aren't worth a darn anyway, but again, some people won't care about that.

[-] FreshParsnip@lemmy.ca 1 points 2 hours ago

Some people do put way too much faith in those in authority following rules

[-] aceshigh@lemmy.world 4 points 8 hours ago
  1. Opposite of 2, you’ll be in pain longer because they want to keep your organs alive.
[-] Apytele@sh.itjust.works 2 points 8 hours ago

My worry that I'm probably going to write into my AD next time I revise it is that they won't anesthetize me enough to soothe whatever dregs are left of my brain into it's good night.

[-] jaycifer@lemmy.world 10 points 20 hours ago

My dad was an organ donor when his brain died. The next day after the 24 hour period to confirm brain death, I was sitting with my brother and stepmother waiting to have the plug pulled when a lady walked into the room and introduced herself "as part of my father's care team." I don't remember much of what she said because I was focused on waiting for the end and she wasn't wearing scrubs so I didn't really care what she had to say, but she left and after another couple hours I learned that she was from the Organ Procurement Organization (OPO) for our State, my dad was a donor, and they weren't pulling the plug until they took him to a different hospital for organ harvesting.

The rest of that day was a blur but my stepmom was pissed, the next morning my dad's body was in the same room, that lady was apparently fired, there was a new guy and gal as well as their boss to talk with us, they told us they weren't going away. Eventually they agreed to perform the harvesting surgery there so we could walk to the OR with him. We were asked if we wanted a "hero walk" where the nurses and doctors take time away from actually helping people to clap for a corpse being walked down the hall, which was the dumbest fucking thing I'd ever heard of.

I wasn't there when my dad's brain died in the middle of the night. I thought I'd be there as his body functions shut down over the course of a half hour, but instead the last I saw of him before he was cremated was his still breathing corpse being pushed down a hallway. I got a text that his heart had stopped a couple hours later.

Across North Dakota, Minnesota, and Wisconsin there are only something like 350 organ donations a year because the body needs to be either very fresh and preserved or brain dead to keep the organs intact for harvesting. If you are a donor, it is very unlikely that your organs will actually be donated, but if they are, it can add a whole extra layer of shitty to an already awful situation for the family. Obviously this is just my experience and it's probably unusual for people to be fired so it was probably an especially bad one, but you asked and this is my answer to your question. I'm still not sure if I'm going to be a donor next time I renew my license. I don't think I will until I add a stipulation to my will to allow my family to override it if they feel a need to.

[-] JTskulk@lemmy.world 4 points 19 hours ago

You think it's kind of selfish because you're a rational person. The reasons people aren't organ donors are because the thought of surgery makes them squeamish ignoring the fact that you'll be dead and won't feel it, and the other reason is because they think they need to take the organs with them to heaven. It's mostly religious nuts.

[-] SaveTheTuaHawk@lemmy.ca 11 points 1 day ago* (last edited 1 day ago)

My only problem with organ donation in the US is the recipient gets a huge bill, including $86,000 for the actual liver. The donors family gets nothing.

So if someone gets into an accident and eventually dies, and is a donor, the family gets a massive bill, and the hospital makes $1M from the recipient.

[-] __Lost__@lemmy.dbzer0.com 1 points 4 hours ago

If the donor's family were paid, it would no longer be a donation, it would be a sale. That opens the door for things like trafficking people to sell their organs.

And the hospital doesn't really make a ton of money from the transplant, they get paid for the entire stay. And if you are there for a transplant you need a ton of care and it costs the hospital a ton of money to take care of you. US hospitals are not a huge money making business.

[-] SaveTheTuaHawk@lemmy.ca 1 points 2 hours ago* (last edited 2 hours ago)

it would no longer be a donation, it would be a sale.

A friend's father received a liver, among the line items of the $1.05M bill was $86,000 for the liver. So yes, organs are being sold.

US hospitals are not a huge money making business.

We'll stop there. This is a USD 5.45 billion/yr INDUSTRY. The only people NOT making money are the donor's families.

[-] __Lost__@lemmy.dbzer0.com 1 points 1 hour ago

I've been working in hospitals for 20 years and have seen our finances, they make very little profit on inpatient admissions, most patients are losses. Outpatient surgery and things like that are how they make money.

Take your number of 5.45 billion profit for the industry. There are 6100 hospitals in the US. That's an average of $893,442 per hospital. That's not a lot of profit.

[-] somebody_to_love@lemmy.today 9 points 1 day ago

People are being a bit cynical in the comments, so I’ll share my experience which is a bit different.

I felt an irrational fear when I checked the box to become an organ donor a few years ago.

I rationally knew it was the right thing to do, but it felt bad nonetheless. Nowadays I just no longer think about it.

So my guess is that many people are scared of it, but no one wants to admit that.

[-] khepri@lemmy.world 5 points 1 day ago* (last edited 1 day ago)

It wasn't that long ago that doctors had to go grave robbing at night, risking their careers and freedom, just to be able to get access to the human cadavers needed to advance medical science. Christianity has always had a real problem with people adding or removing things from the human body, even dead bodies, and the effects of that are still echoing all around the western world in many many ways.

[-] searabbit@piefed.social 17 points 1 day ago

I know someone who works in the organ donation industry, and that's what's made me question wanting to be an organ donor more than anything. The dilemma for me boils down to 1. You need to not be dead dead for your organs to be harvested 2. We are not really that good at determining what's good enough dead vs definitely alive but seems dead when time is critical, doctors are busy, and there's people actively pressuring for the transplant to happen.

[-] RoddyStiggs 6 points 1 day ago

I've got a family member who has heard tell of folks having their organs harvested while still alive, and that's enough for them to say no. Helps them sleep at night, so fair enough. Your peace of mind has value.

Also I think maybe the catholics are against it? It would fit their whole schtik. Can't day I care enough about what they think to find out though.

[-] SaveTheTuaHawk@lemmy.ca 2 points 1 day ago

While it is the right thing to do, it's the final fuck you from hospital corporations as you still get billed for everything before death, and they bill the recipient >$1M. Organ donation is big money.

[-] Xanthrax@lemmy.world 5 points 1 day ago

Does anyone remember the time the US military blew up a Grandma?

[-] Lucky_Acid@lemmy.world 59 points 2 days ago

In my experience, some of the people that I have met that aren't organ donors are afraid that the hospitals and doctors will do less to save you if you're in an accident so that they can use all of your organs to "save" many more people. It's dumb, but I've met a scary amount of folks who believe that.

[-] lemmyman@lemmy.world 42 points 1 day ago

It's not entirely unjustified.

A Push for More Organ Transplants Is Putting Donors at Risk

People across the United States have endured rushed or premature attempts to remove their organs. Some were gasping, crying or showing other signs of life ...

A surgeon made an incision in her chest and sawed through her breastbone.

That’s when the doctors discovered her heart was beating. She appeared to be breathing. They were slicing into Ms. Hawkins while she was alive.

[-] SaveTheTuaHawk@lemmy.ca 2 points 1 day ago

On the other hand, they would have let her die if she was not a donor.

[-] YellowParenti@lemmy.wtf 17 points 1 day ago
[-] fyzzlefry@retrolemmy.com 2 points 18 hours ago

I consent to this

[-] ImgurRefugee114@reddthat.com 6 points 1 day ago

Why do they paywall all the fun stuff behind being dead

[-] treadful@lemmy.zip 17 points 1 day ago

I don't want to provide any profit incentive for my death. Same reason life insurance makes me uncomfortable as well. It's not rational.

[-] scarabic@lemmy.world 11 points 1 day ago* (last edited 1 day ago)

If you sit down and give the topic all due fair consideration, yes, there’s only one rational conclusion. However a lot of people just don’t want to think about dying, period, and will switch off on anything that makes them do so. I’m sure there are also misinformed people who think their organs can be freely stolen even if they’re not dead yet if they check that box.

I’m not justifying these people, mind you. I’m just describing how it happens. There is no good reason, but there are reasons.

[-] ExLisper@lemmy.curiana.net 5 points 1 day ago

Conspiracy theories and actual corruption.

People are afraid doctors will kill them to get the organs. Doctors don't want to deal with those accusations so will not take organs without clear consent from family. Some places are actually opt-out, doctors have enough legal protection and public trust is high enough that doctors will take organs without waiting for consent from family. In other places...

I remember some case from Poland where as a part of corruption case doctor was accused of killing a patient to harvest his organs. The patient was allegedly in a coma and the doctor disconnected him from life support to get the organs. This was clearly a witch hunt, all the other doctors got scared and transplantations in the entire country went down as a result.

So in many places people simply don't trust the doctors and will not give consent. There's also a lot of superstition and religious thinking involved.

[-] finley@lemmy.zip 21 points 2 days ago

In some US states, it’s opt out when you get ID or drivers license. I think that’s a better way to go about it

[-] scarabic@lemmy.world 6 points 1 day ago

Opt out is fair at a minimum. Driving is the most dangerous thing we do, and if you’re going to do it, there’s an argument to be made that throwing your organ donor chip into the pot is the least you could do, because you could very well cause an accident someday that costs someone their life.

[-] searabbit@piefed.social 3 points 1 day ago

I agree with you, but as someone who does not drive, I still get a state ID with my organ donor status. If the law is opt-out, it would apply for anyone getting an ID, not just drivers.

[-] scarabic@lemmy.world 3 points 1 day ago* (last edited 1 day ago)

If driving is the reason to make it opt out, I don’t see why that couldn’t be changed for state ID.

Though really I don’t see a problem with it being opt out for all. Many places do it that way.

[-] this_jury_is_hung@lemmy.world 8 points 1 day ago

I very much agree. Also, in a lot of places, that indicator on your license is not legally binding, the decision still comes down to your next of kin.

A system where everyone is a donor by default, but can opt out in a low-effort manner such as sending off a signed declaration, would still allow those with a genuine desire not to be donors the ability to do so, but would greatly increase the donor pool by capturing the majority of indifferent people who simply have not made the effort to opt in.

[-] Astronut@lemmy.zip 17 points 2 days ago

I don’t even have an organ. Hell I don’t even know how to play one!

[-] NateNate60@lemmy.world 17 points 2 days ago

I think few people would object to it if they were told it was an option, but the default is "no" in most countries and many people just don't think to opt in.

[-] P1nkman@lemmy.world 4 points 1 day ago

It should be opt out, not opt in.

[-] comador@lemmy.world 12 points 1 day ago

Some people such as myself can neither be blood nor organ donors because their bodies are undesirable.

Examples: Cancer, Leukemia, HIV, TB, Leiden V Factor, etc.

People with such issues are often incompatible donors.

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[-] CultLeader4Hire@lemmy.world 5 points 1 day ago

As a person who nearly died waiting on a new set of lungs the answers in here are absolutely wild and disappointing for the most part

[-] wide_eyed_stupid@lemmy.world 3 points 1 day ago

Choosing not to be an organ donor basically translates to: "Letting my organs rot (or burn) is more important to me than saving someone's life." In other words: only petty, spiteful, inconsiderate cunts refuse to be donors, just so they can continue being fucktards for a little while longer after dying. And an extra fuck you to people who actually make the effort to opt out in systems where opt-in is the default.

Same for people who choose not to vaccinate, by the way. "I don't care about anyone around me and I will keep doing whatever the fuck I want, no matter how many people I may infect or kill."

In both cases: Fuck you. May you be forced to walk barefooted on legos forever.

DISCLAIMER (because we all know I need one): I purposefully said "choose." Some people cannot be donors or get vaccinated for reasons outside their control. Obviously I do not mean them.

[-] Patnou@lemmy.world 2 points 1 day ago

LMAO. Literally I had to take a crap laughing so hard. I just got this vision of the devil getting pissed off people walking on hot coals he's just like we will lego this bitch. Thanks for the laugh this morning...have a wonderful day

[-] Proprietary_Blend@lemmy.world 9 points 1 day ago

I don't give a fuck. Take 'em when I go, if you want. I doubt they'll be any good, but recycling's 'in' these days, so ...

[-] Archimedes@sh.itjust.works 6 points 1 day ago

I'm a donor (woe betide whoever gets anything from me) but I totally understand not being OK with it. This guy says we won't need them, but that's unknowable. Maybe there's a bunch of donors at the gate not being let in until the rest of them gets there. But if ever you have a right to claim ownership over anything, it's your body. Your organs aren't collective property others have a right to. You fuck off, these are my organs is a totally reasonable position.

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this post was submitted on 12 Jul 2026
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