Facebook nudges you to donate your organs

Founder Zuckerberg adds "organ donor" to "life events" list in UK and US.

Mark Zuckerberg wants you to donate your organs.

Conversations over the dinner table with his medical student girlfriend convinced the Facebook founder that he could be doing more to help increase the supply of donated organs. Speaking to ABC News, Zuckerberg said:

Facebook is really about communicating and telling stories… We think that people can really help spread awareness of organ donation and that they want to participate in this to their friends. And that can be a big part of helping solve the crisis that’s out there.

The actual change on Facebook's part is small. Starting today, users in the UK and US can go to their timeline, click on "Life Event," select "Health and Wellness," and add the new option "choose Organ Donor":

Whether or not the initiative actually helps increase the number of organ donors remains to be seen. The ability to add it to one's timeline is fairly well hidden, and the act of signing up to be an organ donor isn't quite the sort of life event that Zuckerberg seems to hope. I joined the register the first time I got a Boots clubcard – not quite something I feel strongly about marking into the story of my life.

While it may make more sense to add as a binary category rather than a "life event" – so that it's alongside things like relationship status, religion and political views rather than births, marriages and deaths – the actual efficacy will depend on the rather capricious whim of the social network. If everyone who is an organ donor adds that fact to their profile, then those who aren't may start being aware of it in a way that may cause them to act.

There are a lot of "mays" and "ifs" in that, of course. It's equally possible that no one will update their organ donor status, and the initiative will go unseen. But if Zuckerberg succeeds, it will be one of the largest applications of "nudge theory" to date. The idea is that changes in the framing of a question – from highlighting the way peers answer to changing the default response – can massively change the proportionate outcomes. The most effective example of this is given by Sara Kliff at the Washington Post:

Organ donation rates are 25 to 30 percent higher in presumed consent countries, according to a 2005 paper in the Journal of Health Economics. When Belgium instituted a presumed consent law in 1985, the number of organ donors nearly doubled within two years.

Facebook is unlikely to get that sort of takeup. But if they manage even a tenth of the effect of presumed consent, that would result in around 400 extra donors a year in the UK and US, and around three-and-a-half thousand lives saved. Few can argue with that.

Zuck fights against the powers of darkness. Photograph: Getty Images

Alex Hern is a technology reporter for the Guardian. He was formerly staff writer at the New Statesman. You should follow Alex on Twitter.

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John Major's double warning for Theresa May

The former Tory Prime Minister broke his silence with a very loud rebuke. 

A month after the Prime Minister stood in Chatham House to set out plans for free trading, independent Britain, her predecessor John Major took the floor to puncture what he called "cheap rhetoric".

Standing to attention like a weather forecaster, the former Tory Prime Minister warned of political gales ahead that could break up the union, rattle Brexit negotiations and rot the bonds of trust between politicians and the public even further.

Major said that as he had been on the losing side of the referendum, he had kept silent since June:

“This evening I don't wish to argue that the European Union is perfect, plainly it isn't. Nor do I deny the economy has been more tranquil than expected since the decision to leave was taken. 

“But I do observe that we haven't yet left the European Union. And I watch with growing concern  that the British people have been led to expect a future that seems to be unreal and over-optimistic.”

A seasoned EU negotiator himself, he warned that achieving a trade deal within two years after triggering Article 50 was highly unlikely. Meanwhile, in foreign policy, a UK that abandoned the EU would have to become more dependent on an unpalatable Trumpian United States.

Like Tony Blair, another previous Prime Minister turned Brexit commentator, Major reminded the current occupant of No.10 that 48 per cent of the country voted Remain, and that opinion might “evolve” as the reality of Brexit became clear.

Unlike Blair, he did not call for a second referendum, stressing instead the role of Parliament. But neither did he rule it out.

That was the first warning. 

But it may be Major's second warning that turns out to be the most prescient. Major praised Theresa May's social policy, which he likened to his dream of a “classless society”. He focused his ire instead on those Brexiteers whose promises “are inflated beyond any reasonable expectation of delivery”. 

The Prime Minister understood this, he claimed, but at some point in the Brexit negotiations she will have to confront those who wish for total disengagement from Europe.

“Although today they be allies of the Prime Minister, the risk is tomorrow they may not,” he warned.

For these Brexiteers, the outcome of the Article 50 negotiations did not matter, he suggested, because they were already ideologically committed to an uncompromising version of free trade:

“Some of the most committed Brexit supporters wish to have a clean break and trade only under World Trade Organisation rules. This would include tariffs on goods with nothing to help services. This would not be a panacea for the UK  - it would be the worst possible outcome. 

“But to those who wish to see us go back to a deregulated low cost enterprise economy, it is an attractive option, and wholly consistent with their philosophy.”

There was, he argued, a choice to be made about the foundations of the economic model: “We cannot move to a radical enterprise economy without moving away from a welfare state. 

“Such a direction of policy, once understood by the public, would never command support.”

Major's view of Brexit seems to be a slow-motion car crash, but one where zealous free marketeers like Daniel Hannan are screaming “faster, faster”, on speaker phone. At the end of the day, it is the mainstream Tory party that will bear the brunt of the collision. 

Asked at the end of his speech whether he, like Margaret Thatcher during his premiership, was being a backseat driver, he cracked a smile. 

“I would have been very happy for Margaret to make one speech every eight months,” he said. As for today? No doubt Theresa May will be pleased to hear he is planning another speech on Scotland soon. 

Julia Rampen is the editor of The Staggers, The New Statesman's online rolling politics blog. She was previously deputy editor at Mirror Money Online and has worked as a financial journalist for several trade magazines.