The organ donation does lead to perverse incentives, though cases of ER malpractice of the sort you describe are so exceedingly rare that any steps you take to

The organ donation does lead to perverse incentives, though cases of ER malpractice of the sort you describe are so exceedingly rare that any steps you take to solve this will save more live by being primarily focused on alleviating people's fear rather than reducing the minuscule number of actual cases. The real issues of perverse incentives having a significant impact has to do more with for-profit companies that participate in the market for body parts and the state of interdependence that now exists with our understaffed medical examiners. There are far more cases of aggressive organ harvesting interfering with criminal investigations than ER doctors letting people die to collect the organs.