Science

You are sacrificing lives (from the undonated organs) for the benefit of fucking people over (the non-donors) as being worth les

wait, do you think there's some surplus of organs available? there's a massive shortage

of course it should be opt-out rather than opt in, but if you opt out (or under the current american system, don't opt-in) being at the bottom of the list means being at the bottom of the list, not off the list. under no framework would we trash a liver because the only recipient is a clown or selfish prick, they can still have it as long as the queue is empty of prosocial recipients.