I am registered online, and before online, carried a card the whole of my adult life. I absolutely believe in the Organ Donor Register scheme, and would always encourage everyone to sign up. In fact I find it hard to see why one wouldn't, unless they have a particular issue with it (hubby is happy to donate everything, except his eyes, and admits it is irrational, but it is a real issue for him), or it goes against their religious beliefs for some reason. However, once you move to an opt-out situation, it is no longer an altruistic choice that one makes as an individual, but something more regarded as a civic duty. Nothing wrong with that, I guess, but for me it is is too much state intervention, even though i truly do understand the rationale behind it, and the need for more donors. I would never opt out because it is needed, but unless hubby can opt out an individual organ, they may well lose him.