Does default organ donation registration compromise autonomous choice? Public responses to a new donor registration system

How does nudging the COVID-19 vaccine play out in people who are in doubt about vaccination?

“…Our findings also reveal that neither nudge had an effect on personal autonomy whereas satisfaction about the decision, feeling competent to make a decision or the experience of pressure to make a decision were also unaltered by the presence of the nudge. This is in line with the results of a handful of empirical studies examining the impact of nudges on personal autonomy and associated concepts, generally showing that nudges do not have downstream consequences [ 29 , 41 , 42 ], regardless whether it concerns hypothetical choices about relatively minor issues (i.e., defaults for green arrangements when moving house) [29] or actual choices with high stakes (i.e., opt-out arrangements for organ donation registration) [22] . It may well be that the nudge being ineffective in steering the decision in the desired direction of vaccination was responsible for the absent effects on autonomy and associated concepts.…”

“…However, it may also turn out differently considering that people in doubt about COVID-19 vaccination are confused because of conflicting information from public health authorities and social media. In this case, nudges may contribute to indecision rather than resolve it as previous research has demonstrated that autonomous choice was compromised in people who experience difficulties in decision making after having been nudged to make a choice (i.e., about organ donation registration) [22] . As a result, nudging vaccination choice may negatively impact on doubts about vaccination.…”

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“…In 2020, all citizens who were not registered as donors or non-donors were sent a letter asking them to make a choice and register it in the donor registry. "That is, people receive a letter in which they are asked to make a choice; six weeks later they receive a reminder letter and another six weeks a notification letter that they are defaulted into the 'no objection' group" (Wachner et al, 2022). This experience, particularly the use of letters (paper or electronic) to ascertain people's real wishes, can be beneficial to apply in Ukraine, as it allows discovering the person's true will during their lifetime.…”

Contractual obligations in Roman law: The genesis of the main forms

“…In 2020, all citizens who were not registered as donors or non-donors were sent a letter asking them to make a choice and register it in the donor registry. "That is, people receive a letter in which they are asked to make a choice; six weeks later they receive a reminder letter and another six weeks a notification letter that they are defaulted into the 'no objection' group" (Wachner et al, 2022). This experience, particularly the use of letters (paper or electronic) to ascertain people's real wishes, can be beneficial to apply in Ukraine, as it allows discovering the person's true will during their lifetime.…”