The best argument I have against that happening is that the people saving lives are not the people who manage the donor list. If you’re in a car accident and paramedics arrive, they see an injured person, and they treat the injuries. They don’t see the list of who needs an organ, they probably don’t even check your ID until theyve stabilized you. They will take you to the hospital, where someone else will attempt to stabilize you, or determine that you cannot be saved. And even then, they’ll send you to someone else to harvest the organs, and send those to someone else who determines where they are needed.

There is no single person who decides if your organs are worth more than your life. And if one person does try to make that call, there are a lot of others involved they may not let it happen, and acting out of procedure will raise a lot of questions.