Opting out of organ donation is morally justifiable and shouldn't put you at the bottom of recipient list.
This discussion is 100% hypothetical. Also sorry in advance for being long-winded, I yap too much ig
Before I say anything else, I want to make it clear that my issue isn't that I'm being denied an organ, it's *who's* doing it. If a potential donor themself decides not to give me one of their organs, that's their right because it's a part of *their* body. On principle, no one should be forced to give up parts of their body for someone else's sake. Yeah it'd suck for me, but their decision stands and I'd have to respect that.
The issue is a *governing authority* should not be able to dangle life-saving healthcare over someone's head. Healthcare access is a basic human right (unless you live in the US, sadly) and something you (general you) should have just on behalf of existing. The policy in the article reads to me like 'sure you can decide not to give us your organs, but then if you're ever in a medical emergency you might just die bc your name was pushed down the list 🥰'. That's really toeing the line of coercive imo
So to recap:
Potential donor saying "no you can't have my kidney" = completely fine because that is literally *his* kidney
Government saying "give us your organs or you might not get healthcare" = Gross and dystopian
Additionally, and if I'm being honest this is the single biggest reason why I want to opt out– I don't trust them not to let me die to save someone else. I'm black. The American healthcare system has done shit like this to us, and worse. Sure, maybe the chances of this happening to the average Joe are fairly low, but I feel like if that were to happen it'd happen to someone like me.
Sources:
https://www.cdc.gov/tuskegee/about/index.html
https://www.cbsnews.com/news/novartis-henrietta-lacks-settlement-stolen-cells/