Citizens have to opt out if they really want to opt-out.
The law, which was passed last year, creates a national refusal registry, where about 150,000 of France’s 66 million had signed up already. In France, there were about 19,000 people on organ donation waiting lists as of April of last year when the law was signed.
Studies show that opt-in countries have far lower rates of donors than those who go opt-out.