Organ transplantation is traditionally regarded as a part of law and ethics, but it embodies fundamental economic problems. 1,500 patients die as a consequence of organ shortage in Germany every year. Government regulation is not aimed at closing this gap by facilitating donors and receivers to match. Both are regulated separately. Alternatively it is proposed to allow every person to declare: "I dedicate my organs post mortem primarily to patients who are willing to dedicate their organs too". Such a declaration serves as a signal for others to do likewise so that organ shortage may decline in the long term. Copyright Verein für Socialpolitik und Blackwell Publishers Ltd, 2005
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