Image from NHS I saw an article this weekend bemoaning Westminster's decision to make organ donation opt-out rather than opt-in in England. Tim Worstall, writing on the Adam Smith Institute's blog, suggested that it was madness to take this step. And at first glance, his argument was quite strong. Many government decisions are, frankly, guesswork. There is no good data to back up whether a change will be beneficial or not. But in this case there was some interesting data to consider. Because Wales made this decision earlier, and we now have two years of data on the outcome. According to the BMJ , 'Welsh opt-out law fails to increase organ donations.' There has been no significant increase in donation as a result of the change from opt-in to opt-out. When you think about it (and I suspect few have), this is not totally surprising - because it's relatively rare that a death will result in organs being available and suitable for transplant. It pretty much requ...