In Spain, people are considered organ donors unless they explicitly indicate they do not want to be. In the United States, people are only considered organ donors if they explicitly indicate they wish to be. Behavioral economics would suggest that

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The opt-out system in Spain means people are automatically considered donors unless they choose not to be, which typically results in higher donor rates compared to opt-in systems like in the United States, where individuals must actively choose to become donors.

In Spain, People Are Considered Organ Donors Unless They Explicitly