I can't say I've ever given much thought to the issue of how to increase the level of organ donations available, but switching from an opt-in system to an opt-out system strikes me as the obvious step to take. It would increase the number of organs available -- default rules always turn out to make a big difference -- while still clearly respecting the wishes of anyone who had strong anti-donation feelings. Offering enhanced incentives for donations of some kind, as suggested by the Post, might be a good idea, too, but I'd definitely like to see the results of simply converting to an opt-out system before doing much else -- it seems like a no-brainer to me.