Newspaper article The Christian Science Monitor

In Britain, Brown's Take on Organ Donation Boosts New Credo

Newspaper article The Christian Science Monitor

In Britain, Brown's Take on Organ Donation Boosts New Credo

Article excerpt

When British Prime Minister Gordon Brown announced last weekend that every Briton should be enrolled in an organ donor register to help address a shortfall, it delivered a boost not just for advocates of transplant operations but for proponents of a new political philosophy gaining traction in the US and Europe.

Libertarian paternalism sounds like an oxymoron - and an almost unpronounceable one at that. But in a world where individuals may be too busy or bewildered to work out where their best interests lie, a nudge from the state can help, say its proponents.

Not only could it boost the number of organs available for transplant, they argue, it could help smokers quit and obese people eat more healthily. It could protect gamblers from themselves, help limit carbon emissions, and boost national savings rates.

It is an economic credo that appeals to political leaders who see government as a force for good that wants to protect people from their own worst instincts, while safeguarding their liberty at the same time. The idea, objected to by proponents of strong individual rights, is that the state 'frames' citizens' choices so that the default option is the one generally considered most beneficial.

Take the organ donor situation. Hundreds die in Britain every year waiting for an operation because of a shortage of donors. Though polls show that 90 percent of the population supports the idea of organ donation, less than 25 percent have consented to participating.

Experts blame the discrepancy on the fact that people have to formally enroll in such a program.

"The problem," says Noel Davies of the UK Transplant authority, "is that people lead busy lives and just don't get round to joining the register."

Brown said he wants to change this. Everyone should automatically be enrolled, but with the right to opt out. A similar system operates in Spain. Donor rates there are 250 percent higher than in the United Kingdom.

Or consider retirement savings. Company pension schemes are generally a win-win. They come with tax breaks and contributions from employers. It is usually in the employee's interest to sign up. But enrollment is normally an option - one many people don't get around to taking.

Research has shown that enrollment rates soar if the "default" is to enroll people and give them the right to opt out. US presidential candidate Barack Obama has declared he will enact such a change to workplace pensions if elected president.

When it comes to things considered bad for citizens, such as smoking, overeating, and gambling, libertarian paternalists see all kinds of options - many of them controversial.

Julian LeGrand, a former British government adviser and London School of Economics professor, asks, for example, whether as many people would smoke if they had to "opt in" as smokers; if they had to apply for a license at the start of every year, fill in forms, and be issued a pass without which one couldn't buy cigarettes. …

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