As a physician, I’d strongly advise people *not* to sign their organ donor cards.
Something that sounds noble and selfless may in fact may compromise the care you receive.
I’ve seen too many transplant-related types in healthcare behave in ways that were unprofessional at best.
I have been asked several times to make such a commitment, and I always turn them down.
Like you, I’ve seen and know too much.
My kids understand my wishes, if I can really help someone with something they will do it. But not until they grant permission, and not out of my breathing body. After seeing what they did to Terri Schiavo I don’t trust the state to make decisions for me.
That's why I've said no when asked and advised others to say no to the driver's license note. I want the decision made by my family --- yes, even in their time of grief.