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This level of nationwide acceptance may foster an environment where moving to a policy of presumed consent may help solve some of the organ shortage problem, where individuals are assumed to be willing organ donors unless they document a desire to "opt-out", which must be respected. Many adults and teens have never had sex with a person of the same sex but still identify as gay. According to a German specialist, Reiner Korfe, worldwide there are probably about 3, heart transplants performed every year 8. For living donors, organ donation typically involves extensive testing before the donation, including psychological evaluation to determine whether the would-be donor understands and consents to the donation.
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