I personally have watched a hospital case worker pushing for organ havesting to a family in a crisis with the family member in a coma from an accident.
As a third party the message I saw was "don't delay, pull the plug we need the organs."
The case worker was operating from a compassion script and the family kept telling her he had said he did not want to be a donor. The rest of us there asked her to leave because she was too persistent.
Everybody makes money on organ donation except the donor and the donor's family.
Interesting you mentioned 'hospital case worker'. With 30+ years in level 1 urban trauma centers I have no idea what you mean in reference to this phrase. Major level 1 hospitals have transplant teams. They include everybody from clergy to the chopper pilots who deliver the 'parts'. Consider that when death is imminent (ie..when you have grey matter leaking out of what used to be your forehead), the organs will be more viable the earlier you can retreive them. Iterfacing with a family who's son/daughter will live due to organ transplant is uplifting to say the least.