I really don't know what the policy is concerning organ donation here.
As you might have guessed, I don't either.

There are many more stories about people's lives being saved from organ donors. I'll take the chance that I might do some good after I die rather than the slim chance I get handed to Doctor Burke
Some years ago I read accounts from doctors who were faced with ethical dilemmas as the clock counted down when trying to revive a patient. They are on an extreme time limit between when you die and when the harvesting process must begin for the organs to be viable.
While I wouldn't mind being an organ donor, it's the extreme time limit which sways my decision.
I just wouldn't want to take that chance.
Your stories are the product of rationalizations by those who are uncomfortable with the emotional thought of giving up their organs. There is no rational reason to adopt this perspective based on these perpetuated myths.
To expand on Trekky's point of lack of motivation, doctors will not the risk the life of someone they are working on foar the chance to put an organ on the market that will probably help an anonymous person elsewhere. You can be aware of a problem (organ's are needed elsewhere), but the close, obvious, and personal problems will always weigh more heavily. (the patient they see in front of them)
When people see a dying puppy on the street, their hearts break for it. Millions of people die awful deaths each day all over the world, and people live out their lives with little to no impact. Yet this is not even a competition for deciding who to help. Anonymity is a powerful and constant deterrent from favoritism. If all the starving children in Africa were as important to you as a puppy, you could not function as a human being. It sounds cold, but it's true. Doctor's don't want to see their patients die any more than the next person.
I would have to agree with the opt-in deal, but if the percentage that would but don't have cards is that high, then I think it's fine. Besides, if someone cares enough about it to say no, they're probably paying attention to what they have to do to say no.
Perhaps we could maintain the element of choice, but still boost the numbers slightly with an opt-out system...
It seems the reasoning they gave was that 90% of Finns would give donate their organs but only 20% have the organ donor cards and there's an organ shortage or something like that
I believe there is an organ shortage 'everywhere'.
It is a primal and universal instinct to want to keep them.
