Monday, August 11, 2014

Day 30 - When 'Opting in' makes a huge difference.

This happened a week ago when I was traveling on work. It was my last evening in that city. I walked into the hotel room after a long day at work. Was glad to be back to what was my temporary abode for just one more day. The room service, like the past few days, was impeccable. And as I was admiring their handiwork, I noticed a small card placed on the neatly folded bed linen. It was a UNICEF card with two happy kids beaming on its cover and a caption which read 'Your $1 can change a child's life'. The card very succinctly highlighted how 100 million children miss out on the chance to go to school. It went to add how $1 can buy a notebook and how it can help a child to read and write and in turn have a chance for a better future. Then, what really caught my eye was that in order to support UNICEF's work, an extra US$1 was already being added to my hotel bill. If I agreed to it, I need not do anything but if I did not prefer to donate then I just had to inform them at the time of checking out.
And then the card signed off saying....
"$1 by $1, child by child. YOU can change the world."


I was an 'opt in' by default. If I didn't agree then I would have to opt out.

Very smart, I must say. Now tell me, who would mind a $1 being added to their hotel bill whether official or personal travel? Absolutely no one, right!

Now, it's been a week since I am back home. And since the last one week I have been seeing a series of advertisements and media coverage promoting August 13th as Organ Donation Day being propagated by Kokilaben Ambani Hospital and The Times of India. It's a noble cause which is also close to my heart. I was very happy to know that a big hospital and a leading newspaper have come together to create awareness for such a worthy initiative which has the potential to change the lives of millions who are either ailing or handicapped.
And then it suddenly occurred to me. We in India have the poorest rate of organ donation at 0.08 per million where as Spain which is acknowledged as the leader in organ donations has a whopping rate of 35.3 per million. A huge difference, right! And guess what, why is Spain so successful?

No prizes for guessing that one.

Spain has a legislation that acknowledges the presumed consent of the deceased donor (although the family's permission is compulsory), combined with highly qualified transplant coordinators who are permanently on call, that has added to high levels of legitimate organ transplants.
Which means, every Spaniard is considered as an 'opt in' case for organ donation unless his family thinks otherwise at the time of his/her death.
For such a fantastic cause isn't that the best policy to follow for any country. Undoubtedly, they have the best organ donation rate in the world. It's not compulsory, its still voluntary and yet so impacting. Tell me, how many would not want to donate their organs if given a choice.
So many lives saved, healed and made healthier.

I wonder, why do we not consider an 'opt-in' as a policy in India too. We have so many poor who have been in queues for a long time for an organ donor. On the other hand, the rich and influential manage to jump queues due to sheer money power. This policy may just wipe out the organ donation racket and many more will stand to benefit, and not just those who can wave a thick wad of currency notes.

The UNICEF promotion and Spain's organ donation policy are a case in point as to how a 'opt in' policy can be put to brilliant social causes. Seriously, it has potential to make a huge difference!



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