Organ Donation becomes Opt Out from June

Does anyone know what happens if you die in one of those countries, and are not signed up to their opt-out registers?

Is it at the discretion of next-of-kin, or assumed consent?

It hits different when it’s the State saying we’re calling dibs on your organs, and if you have a problem with that, then you have to let us know.

if the state wants my organs, pay me for them. Otherwise I’m out.

Too lazy to read previous stuff in the tread ... but ...

does this mean every funeral is going to be delayed when someone dies to see if they have suitable organs and then to extract them ?

Also, isn't it highly specialized and resource intensive surgery. Carefully extract and store organs in bulk ?

There must be some process to immediately exclude most people or ?

Those Arcane organ donations can't be trusted 👀

You mean that state operates the entire health care system, the one that people keep complaining about them not doing a good enough job.

I'm not seeing an ethical issue. People have a literal lifetime to opt out if they feel strongly about it.

Not to nitpick, but I don’t think the State operates the entire healthcare system; Minister for Health is where the buck stops in terms of the operation of the health care system.

But yes, the one that people keep complaining about them not doing a good job. While this measure certainly increases efficiency by removing the barrier between the organs and the recipient, it’s not how I would go about increasing efficiency!

I’m sure it’s happened to you before that you’re out for a meal and you’ve your dessert in front of you, and your dining companion says “are you eating that?”, or worse, just takes it off your plate! You don’t have to start the meal by declaring that your dinner companion is not welcome to eat your food.

A trivial example by comparison, but I hope you get the idea.

Firstly, the family can ultimately opt them out after the fact if they want. Secondly if somebody is adamantly opposed to donating their organs, they should make themselves aware of the fact they need to opt out.

The people who are oblivious that you are referring to could equally have previously assumed that they were by default opted in. So you could as easily argue that is unacceptable.

How are medical treatment decisions normally made for a person in such an instance? Who assumes responsibility for the funeral? What happens any assets belonging to a person in such circumstances?

Much like a person with other assets and no recognised or acknowledged family under the succession acts deciding to protect their assets from reversion to the Govt in case of dying intestate. The opt-out should IMO be viewed in much the same way. If a person in such circumstances doesn't wish their organs considered for donation, the opt out is their protection. Much as they would make a will to ensure their assets are distributed as per their wishes. (To be clear though, a will won't help regarding the donor register IMO as it will be dealt with well after the fact)

Edge cases such as the one you propose will happen, they should be considered and gamed out. How likely is it that someone in serious/end of life care in an ICU is estranged from family and also in such good health that they are a viable donor? Given the prevalence of alcoholism and other addictions in such circumstances?

I’d have 3 options.

1. Opt in for the feelz, but you can opt out at any time.
   
2. Opt out.
   
3. Opt in for a fee, maybe €5-10k and you can’t opt out in the future.
   

People get saved, people get paid and everyone’s happy.

Declaring that you’re only willing to help your fellow man with terms and conditions attached, is far worse than being unwilling to become a donor.

Thankfully for everyone the Irish healthcare system doesn’t function on the basis of judging a person’s character to determine whether they’re worthy before providing healthcare.