Great insights. It’s important for those who wish to donate to communicate their final wishes to their families, to help families have a level of comfort with the decision. For states’ policies on next of kin (in most states) hospitals can legally proceed with organ, eye or tissue donation, without consent from next of kin, if the donor has a driver’s license with an “organ donor” designation or has signed up with an organ donor registry.

There are great considerations in changing legislation for opt-out/ opt-in organ donation. We must consider culture, religion and public opinion. From what I’ve read, the opt-out policy didn’t work in Brazil due to public distrust of the government. Please correct me if I’m wrong.