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Policy-makers and scientists in Germany are hitherto facing an unexplained contradiction. While in short surveys, the vast majority shows a passive willingness to donate, statis-tics do not indicate any increase in the actual supply of organs [1]. Different attempts at solving this problem such as re-organizing deceased organ donation in hospital set-tings have been made. However, due to the current Ger-man organ allocation scandal (which was made public by the newspaper “Süddeutsche Zeitung ” in the summer of 2012) donation rates have decreased even more radically [2]. Several transplantation clinics came under investigation following allegations that doctors had falsified patients ’ data or abnormally interpreted allocation rules to privilege their own patients. A commission report by the German Federal Chamber of Physicians stated that at least in the liver trans-plantation clinics of Göttingen, Münster, München Rechts der Isar and Leipzig breaches of law were uncovered [3]. While criminal investigations and new regulations try to rebuild public trust, the general question remains whether this will be sufficient to meet the needed number of trans-plantation organs in the future. * Correspondence