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De overheid als keuzearchitect? - Wetenschappelijke Raad voor het ...

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de ov er heid a l s k eu z e a rchi t ec t<br />

known as 41k plans. The employee has to join the plan and decide<br />

how much to save and how to invest the money. Some employees never<br />

get around to joining. Now a simple solution to that is to change<br />

the default. So under the usual regime when you are first eligible to<br />

join the plan, you get a big pile of forms to fill out and if you do not<br />

fill them out you are not in. What some firms have done is switch to<br />

automatic enrollment. You get that first pile of forms, but the first<br />

page <strong>als</strong>o says: if you do not fill this out we are going to enroll you at<br />

this savings level and this investment plan. Now this greatly speeds<br />

enrollment, but there is a downside: whatever the default options<br />

are, specifically the savings rate and the investment vehicle, those get<br />

sticky.<br />

14<br />

I am going to talk about a solution to that in a minute. Let me give you<br />

another example with respect to organ donations. In many countries,<br />

including the us and the Netherlands, if you want to make your organs<br />

available if you should die, you have to do something, sign some<br />

form. Countries are varied in how difficult it is to find that form and<br />

turn it in. Some European countries have adopted what is called ‘presumed<br />

consent.’ This flips the default. You are assumed to give your<br />

consent unless you opt out. Spain is the world’s leader in producing<br />

organs that are available for donation and one of the methods they use<br />

is presumed consent. That has some appeal, although some people<br />

object to this politically. I actually favor a third option, neither opt in<br />

nor opt out, but what I call ‘mandated choice’. It is actually the system<br />

we use in Illinois, where I live. The way it works in Illinois is that<br />

every few years you have to get your drivers’ license renewed and get<br />

your picture taken. When you do this, they ask you: do you want to<br />

be a donor yes or no? You must answer that question to get your drivers’<br />

license. So you can say no. You are free to say no, but you can’t<br />

just say: huhhhhh, I don’t know. This has increased the proportion<br />

of people who agree to give their organs to 68 per cent. Nationwide<br />

in the us it’s 38 per cent. This costs nothing. I wrote a column about<br />

this in the New York Times a couple months ago and I mentioned that<br />

Steve Jobs had recently received the liver transplant. I suggested that<br />

our goal should be to make it as easy to sign up to donate your organs<br />

as it is to download an app on an iPhone. I nudged Steve Jobs to make<br />

an app available on the iPhone for the people to sign up. Jobs didn’t

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