This question of the medical ethics, "a system of moral principles which applies values and judgments" to organ donation, is going to become more important as America ages. Autonomy is the patient's right to choose what happens to them even to the point of refusing treatment. Fidelity is following those wishes even if ignoring them would save another's life. Confidentiality, keeping the names of the receiver or donor from public or even private knowledge, must be followed according to the wishes of the patient. A health directive I just followed for a cousin made everything easy as her wishes were primary as they should be. Each person should have the right to decide according to their own beliefs if organ donation is right for them. The transplant team may ask, but patient's wishes are primary.Yes, the need for organ donations is great and the supply limited, but each individual has the right to choose, to have the autonomy to choose what is right for them.