• Presumed Consent

    Last night the Welsh Assembly agreed a new policy of presumed consent with regard to organ donation. Now, instead of opting to become an organ donor, in Wales it will be presumed that a person is willing to donate their organs after death, unless they have opted out.

    I find this one an incredibly tough call, but I think that the Welsh Assembly is wrong. I’m opposed to presumed consent. I think it is wrong.

    And yet I’m in favour of organ donation. I am on the register of organ donors. I recently had to renew my driving license and happily ticked the box indicating that I would be happy to consent to my organs being used to give life to someone else after I die.

    My problem with presumed consent is that I have a problem with presumed anything. The dominant discourse in medical ethics hitherto has been around the the notion of informed consent. Presumed consent undermines this significantly. It also changes the relationship between the state and the individual in a way that makes me feel very uncomfortable.

    It seems to me that the gift of organs after one has died is one of the greatest gifts that can be made. This legislation takes away from that sense of giftedness.

    I’m opposed on pastoral grounds too. For many relatives the idea that they can consent to the donation of healthy organs from someone who is at the point of death is a wonderful and powerful thing. If the decision is no longer theirs then something has gone which has mattered to many.

    If I needed an organ donation then I’ve no doubt I would long for anything that made more organs available. However, if I ask myself whether I would want to receive an organ from someone without knowing whether or not they wanted that procedure to happen I find myself having to think long and hard. Would I want an organ from someone who’s relatives were opposed to the organ removal? Organ donation can currently help people’s grieving processes. It now has the potential to complicate grief immesurably for some.

    People often don’t know what it will feel like when someone dies. The ability to make decisions at that time is crucial. Removing the possibility of decision making concerns me greatly. Some urgently want whatever good that can come from a death to come to pass. However others don’t want a body to be touched more th an is necessary either. I’ve no doubt that some will see this as a violation and the way that they will cope with the death in those circumstances is entirely unknown to us but cannot be easy.

    We are not simply flesh that the state owns and from which it can harvest. Somehow I can’t get away from the idea that we are more than that and that our laws should recognise that.

    I’m not really aware of how the debate about this has gone in Wales. I’ve been paying attention to other moral discussions here recently. These are just my initial instictive reactions to news reports today.

    As I said at the outset, I don’t find that a comfortable position to come to or to articulate. However, uncomfortable decisions are precisely what life makes us make.

    What do you think?

9 responses to “RSA Animations”

  1. annie t Avatar
    annie t

    Fascinating stuff; like watching a (very) animated Paulo Freire! Loved the insight ‘collaboration is the stuff of growth’. Interesting implications for a congregational paradigm for theological education. Thanks Kelvin.

  2. kelvin Avatar

    Yes – I was also reminded of my synod question about TISEC, which I still don’t think I’ve received an adequate answer to, which was something like this: “Is learning through TISEC driven by normalised marking or learning outcomes?”

  3. Kimberly Avatar

    presumably neither, but by the grace of God?

    (‘normal’, ‘outcomes’, and ‘TISEC’ all in the same sentence could lead to much fun. But I suspect I’d head down the via negativa again.)

    1. kelvin Avatar

      The answer that I got was “both” though I’ve never believed that can be possible. I do believe that TISEC at one time or another took on the trappings of each of those learning models, but that is not the same thing at all.

  4. Rosemary Hannah Avatar
    Rosemary Hannah

    Can I gently suggest that the Tisec you love to hate has over the years changes significantly?

  5. kelvin Avatar

    TISEC has always claimed to be changing – in that way it always is the same.

    I do accept that things have changed but have no way of knowing whether they have changed for the better. I still know people whom it appears to suit and I still know people who get distressed by what is done to them within it. In that respect at least, again, it remains the same.

    I’ve said before now that one of the reasons that TISEC is something that still presents unresolved issues for some of us who went through it is that there was never any public accountability within the church over what was done to us. No-one was ever held responsible and even though TISEC itself went through several reviews, the reasons for those reviews being carried out were never transparent.

    I’d still be happy to receive a coherent answer to the question. Incidentally, when I was in TISEC, the answer was clear – it was driven by learning goals and outcomes.

    I was at the General Synod where we voted for TISEC to cease to be a teaching institution. That was a pretty strong decision and one which was enthusiastically celebrated by some. (I went to the celebratory lunch afterwards and some folk came up from England for it). That does make it hard to understand what has happened subsequently.

  6. Rosemary Hannah Avatar
    Rosemary Hannah

    More than it would be appropriate for me as a staff member to answer to, and more than I am the most appropriate person to answer to, educational theory not being my speciality. However, FWIW I can answer to the fact that normalised marking is firmly in place, and that our external examiner is more than happy with the standards our students achieve. Beyond doubt all those who get a diploma from us have achieved the educational equivalent of the first two years of University education.

  7. kelvin Avatar

    Well, this isn’t comparing like with like as the current external examiner acts for an institution (albeit one which may have a financial interest) that had nothing to do with TISEC when I was in it, however, I can say that the external reports on TISEC were always astonishingly good.

    All the more astonishing for those of us who were in TISEC at the time I was, actually.

    It would be interesting to compare the quantifiable academic achievements of Scottish ordinands over time. I’ve a notion that two years of university study falls short of the standards for ordinands which the General Synod was hoping for when it last voted on a report about TISEC.

  8. Rosemary Hannah Avatar
    Rosemary Hannah

    The current external examiner is, it is true, employed; however he is not a member of the qualifying institution. He is a member of another independent academic institution, thereby bringing to his examination direct knowledge of at least three bodies (theirs, ours and his as it were). The work of our students is scrutinised by two markers at Tisec, and each piece of work scrutinised by the external examiner who checks it is achieving the same standards as YSJ. The over-all standard of YSJ is likewise scrutinised to ensure it too is achieving work of the same standard for the same level as other Universities.

    The question of whether standards nationally have risen or fallen is a different question, and harder to ascertain. We may indeed have our own different opinions. But I think it beyond doubt that the general level of the work of Tisec students is the same as the level (qualification for qualification) as the standard of students nation wide. So very much work goes into ensuring this.

    Personally, I would not be prepared to grant a degree in anything involving Biblical studies without knowledge of the Biblical languages. However it is a fact that the Universities now often do this – and indeed even forty years ago it was possible to obtain a M. Theol at St Andrews with only Greek. However regrettable this is, insisting on a full degree will not restore this.

    For those who study for a qualification with Tisec while working, as indeed for those who study with other bodies while working, to achieve two years of degree level study while in a full time job is a considerable achievement. To reach degree standard would take another 18 months I suppose – and that is a decision for the church to take.

    While I would be very sympathetic to the idea of encouraging more students to undertake a full time degree at a University, the funding of such things is a decision for the denomination, not Tisec. To ensure this in the present economic climate would be expensive, and for students who already have personal commitments, not always possible. This is why most English dioceses offer part-time training. The brief for Tisec is to offer a course that those NOT taking a full-time a course can follow, together with specifically vocational study which the Universities do not provide.

Leave a Reply

Your email address will not be published. Required fields are marked *

Previous Posts

  • Pergolesi Vespers

    Lovely devotions yesterday evening. Two Bridge of Allan folk decided to sing Pergolesi’s Stabat Martyr and we decided to build an evening service for Passiontide around it. The music was utterly beautiful.

  • Sunday Sermon – Lent 5 2006

    As we make our progress towards the cross, this year we are reading on Sunday from John’s gospel. And John is the one who always tries to unpack what  it all means. The other gospel writers give us a good old story, but John had a bit more time to reflect on things and he…

  • Smoking Ban

    I had an unexpected call from a journalist friend last night, who was asking for a comment on a story that at first I did not believe. It seems that there has been some kind of mistake made in the legislation on banning smoking in Scotland. Aparently, smoking has now become compulsory in church.Anyway, there…

  • Things we have learned this month

    Lawrence has been under the watchful eye of Noel TredinnickChristine wants to take blogging into the classroom David Campbell grew up with Samson and Goliath Richard celebrated Refreshment Sunday with great enthusiasm Gadgetvicar is a Thin Lizzy fanPoppy Chillingworth refuses to be confined Tim took photos of the partial solar eclipse Gareth has a cure for a sore bottom