Nudging to donate organs: do what you like or like what we do?

Medicine, Health Care and Philosophy (3):329-340 (2021)
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An effective method to increase the number of potential cadaveric organ donors is to make people donors by default with the option to opt out. This non-coercive public policy tool to influence people’s choices is often justified on the basis of the as-judged-by-themselves principle: people are nudged into choosing what they themselves truly want. We review three often hypothesized reasons for why defaults work and argue that the as-judged-by-themselves principle may hold only in two of these cases. We specify further conditions for when the principle can hold in these cases and show that whether those conditions are met is often unclear. We recommend ways to expand nationwide surveys to identify the actual reasons for why defaults work and discuss mandated choice policy as a viable solution to many arising conundrums.

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References found in this work

Choices, Values, and Frames.Daniel Kahneman & Amos Tversky (eds.) - 2000 - Cambridge University Press.
The Ethics of Nudge.Luc Bovens - 2008 - In Mats J. Hansson & Till Grüne-Yanoff (eds.), Preference Change: Approaches from Philosophy, Economics and Psychology. Springer, Theory and Decision Library A. pp. 207-20.
The Ethics of Influence: Government in the Age of Behavioral Science.Cass R. Sunstein (ed.) - 2016 - New York, NY, USA: Cambridge University Press.
The construction of preference.Sarah Lichtenstein & Paul Slovic (eds.) - 2006 - New York: Cambridge University Press.

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