But part of the problem here-and in the driving desire to increase the supply of transplantable organs-is ethical. The move toward organ donation in the ER and the advent of DCD have raised public and private fears that in our zeal to increase the supply of needed organs, dying patients will not receive aggressive intervention and perhaps their lives will be deliberately shortened. Indeed, our well-intentioned efforts to increase the supply of organs may be seeding an ironic reluctance to fill out a donor card or stick that little pink dot on our drivers licenses.