<Li> Donor registries and "primary consent" laws, to remove the burden of the donation decision from the legal next - of - kin . Illinois adopted a policy of "mandated choice" in 2006, which requires driver's license registrants to answer the question "Do you want to be an organ donor?" Illinois has a registration rate of 60 percent compared to 38 percent nationally . The added cost of adding a question to the registration form is minimal . </Li> <Li> Monetary incentives for signing up to be a donor . Some economists have advocated going as far as allowing the sale of organs . The New York Times reported that "Gary Becker and Julio Jorge Elias argued in a recent paper that' monetary incentives would increase the supply of organs for transplant sufficiently to eliminate the very large queues in organ markets, and the suffering and deaths of many of those waiting, without increasing the total cost of transplant surgery by more than 12 percent ."' Iran allows the sale of kidneys, and has no waiting list . The primary argument against this proposal is a moral one; as the article notes, many find such a suggestion repugnant . As the National Kidney Foundation puts it, "Offering direct or indirect economic benefits in exchange for organ donation is inconsistent with our values as a society . Any attempt to assign a monetary value to the human body, or body parts, either arbitrarily, or through market forces, diminishes human dignity ." </Li> <Li> An opt - out system ("dissent solution"), in which a potential donor or his / her relatives must take specific action to be excluded from organ donation, rather than specific action to be included . This model is used in several European countries, such as Austria, which has a registration rate eight times that of Germany, which uses an opt - in system . </Li> <Li> Social incentive programs, wherein members sign a legal agreement to direct their organs first to other members who are on the transplant waiting list . One example of a private organization using this model is LifeSharers, which is free to join and whose members agree to sign a document giving preferred access to their organs . "The proposal (for an organ mutual insurance pool) can be easily summarized: An individual would receive priority for any needed transplant if that individual agrees that his or her organs will be available to other members of the insurance pool in the event of his or her death....The main purpose (of this proposal) is to increase the supply of transplantable organs in order to save or improve more lives ." </Li>

Who is a donor and when is one needed