"The way in which organ donation is talked about sometimes reminds me of how people talk about giving blood, neatly forgetting that someone has to die first. I first signed up to carry a donor card as a teenager, but I don't actually intend to become one if I can at all avoid it!" agree with this entirely. The reality is that whenever anyone talks about how if you weren't prepared to give then you shouldn't receive seems to gloss over the fact that you are actually far less likely to ever be in a position where your organs will be harvested anyway, and that from a human instinct level, none of us actually wants to be in a position to give because nobody wants to die.
The giving part is a hypothetical. Thought only, yet none of the vitriol exists re e.g. Giving blood or being on the bone marrow register. And the thought that people wish other people, including children, dead if they were to ever face a life-limiting condition based on the fact that they may or may not have signed up to the hypothetical possibility of one day being in a position to donate their organs says far more about those judging than those not on the register.
And where does this denial of treatment end? If you've not given blood should you be denied a transfusion should you ever need one? If you've not signed up to the bone marrow register should you be denied cancer treatments which might include the need for a stem cell transplant? What about if you've had a termination? Perhaps you shouldn't be entitled to fertility treatment? It's not as if organs are the golden ticket to anything else, there are far more immediate factors which should mean people should be denied treatments of all kinds? Never mind the post code lottery, how about the moral inclusion lottery where what treatments you are allowed to receive will depend on what you've given in the first place.
No donations to cancer research? Sorry, can't benefit from the treatment then.
Didn't vaccinate your children? Sorry, if they catch something they weren't vaccinated against they're not entitled to treatment. (Although actually I can see some on MN going for that one.)
The fact is that organ donation is an easy target because the giving isn't a reality.
As for opt out, in a society where we, especially as women, spend years of our lives arguing for the right to bodily autonomy, do people really think that we should essentially live under a culture of presumed consent where our bodies are the property of the state to do with what they choose unless we tell them otherwise? Really? No, at the moment this isn't how it works, because currently under opt out the family still have to consent, but has no-one ever considered that the reason why this is the case is because otherwise they'd never get it through? Reality is that opt out currently doesn't actually mean anything, however it's the opening up of a loophole to allow the potential for the next of kin to have any say over their relative in the event of their untimely death.
I would far rather my next of kin be able to consent to my wishes in the event of my death, as they know me best. But I never want to be in a position to let it be assumed my body is the property of the state should they change the law tomorrow. Therefore, although I have no objections to my organs being donated in the event of my death, if opt-out becomes law I will be opting out. My organs will still be donated in accordance with my wishes which I have discussed with my family, but that will be their call to make, not the state's.
And laying all this organ donation guilt on to seven year olds is despicable and I would be complaining to the school about the heavy handed way in which it was done.