In a volunteer-based organ donation, this is pretty feasible for a donor to know who’s gonna receive their organs. However, in a scenario such as the one you implied with your “To me everyone should be (organ donors)”, together with the increasing enshittification automation of every aspect of society (e.g. a computer system for organ matching with few or no humans in the loop), organ donation would end more like an “IRS tax declaration” system wherein you interface with a piece of code, in order for the organ transplant system to deal with such a sheer amount of donors and receivers. In other words, both the donors and the receivers would likely become mere “matching numbers” inside a DBMS and you, as a donor, would only get a machine feedback “Status of your request: ready for donation” or something in these lines.

Maybe I’m being too pessimistic, but I’ve heard and seen several cases of inequality of access to healthcare. In my country, for example, a rich and famous presenter (Fausto Silva / Faustão) from a big TV station (Rede Globo) got to receive FOUR transplants in less than two years through our public organ transplant system (“Sistema Nacional de Transplantes”) in less time than expected, while less-famous people have literally died waiting for heart and kidney transplants.

Also, and I’m not sure about the veracity of this specific news case I’m linking here, because I was unable to find any other sources confirming this specific case, but it seems to me that there’s the possibility that both the donor and the recipient can be simultaneous victims of a fraud from the administration of an hospital: https://timesofindia.indiatimes.com/city/jaipur/organ-transplant-scam-uncovered-in-jaipur/articleshow/112053902.cms

!nostupidquestions@lemmy.world