Being an organ donor in the US isn't a big deal. There it is typical that people sign a little card that is attached to the back of their driver's license. However, in Germany, it is quite uncommon for people to carry an organ donation card. This is due partially to people's misunderstanding of the issues and partially to low awareness of what they should do.
There is a good article on the topic at
Lucid in Deutschland. Please read and fill out a donor card.
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