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I am not registered, but I have a organ donor card (where I approve organ donations).
Background:
Germany just recently (18th of March this year) launched an online database where you can register your preference. Until then there was only a small organ donor card that you could fill out and carry with you.
Reason I haven’t registered there yet is that I first need to unlock the online function on my passport (nowadays always enabled, but I still have one from when it was optional). So I’ll eventually get around to doing both.
As for my reasoning behind being a donor:
I would like to receive them in an emergency (or for someone I care about to do so).
And in case I become a donor I am not there anymore to care about what people do with my organs.