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The only counterargument to it I can imagine is that in shit-backwards healthcare systems like US one, it will disincentivize bad doctors from saving your life. If you're poor and your family can't afford good lawyer, they don't have a good reason to give 100% to save your life, when they can give it 80%, and then sell your organs for good profit.
It's not an argument against compulsive organ donation, more of a one against shit healthcare systems, but still.
Obviously I am not for the sale of organs. And in a system where everyone is a donor, waiting list will probably be much shorter giving people less incentive to try and acquire organs in unethical ways.
But you're right of course, the system has to be robust and fair to not cause issues with it, though of course this is true for any system, not just organ donations.
I mean, that's the biggest counter-argument I've always seen against it. Similar to being against capital punishment: sure, you could perfectly execute (pun slightly intended) it if it was a perfect system devoid of bias and personal interest but, in the face of that lack of reality, giving that much power to the State is inadvisable on reality-based principle.
A family member of mine used to take organs from Cytek, possible misspelling, to DFW airport for transport out of the country. It's already a lucrative business.