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Not detracting from the power of defaulst I think one should have serious reservations about the opt-out approach exactly in the case of organ donation, see:

http://www.tandfonline.com/doi/abs/10.1080/15265161.2011.634950#.UYAO4pVEwWY

For some general reflexions on the acceptability of various interventions based on behavioral economics in policy, see also

http://www.inudgeyou.com/new-article-from-us-nudge-and-the-manipulation-of-choice/