What is in Kelvin's Head?

Presumed Consent

03/07/2013

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?

Consent, organ donation, presumend consent, Wales

7 responses to “Whither the Kirk?”

Pausing Place

25/08/2010

I missed last night’s programme, but I thought your comments were interesting.

In a sense, perhaps it’s unsurprising if the SEC is inwardly more positive about itself than the CofS. My take is that in the recent past, at least, the SEC started from a lower common denominator, not being the “local” church in the same way as the Kirk, and so it doesn’t have to contend with others saying of it “look how the mighty have fallen” in quite the same way.

As to the health of the Kirk (and the SEC for that matter), I think we need to reflect on our self-perception and to consider carefully the points and places in which a dying church (congregation or denomination) should be allowed to die gracefully, and the ways in which we might see new life emerge from the rubble.

As a young(ish!), relatively new Christian I have seen examples of (both urban and rural) SEC and Kirk congregations where there are few signs of new growth, little to draw in younger (under 50 year olds, to pick a random-ish number) new folk, and much to sustain negative preconceptions of church as boring, irrelevant and so forth.

We as a faith community need to get much better at stepping up to the mark in our creativity and engagement with our society. The sad truth is that most young adults do not know and have not heard about Jesus Christ, and unless we engage with them in ways culturally relevant to them, and which do not presuppose previous knowledge (too often taken for granted) they never will.

It troubles me, but I do think it’s true to say that in the SEC and in the Kirk we have a church sustained by the traditions and cultural reference points taught to a previous generation. Culture has shifted radically, with the result that the same will not be able to be said in 20 years time.

Our challenge is clear. Whether the Kirk and the SEC can step up to the mark to address what it means to live out the Great Commission in the 21st century is less so.

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Cal

25/08/2010

I didn’t really understand who this programme was aimed at, or even what its aim was.

Yes, numbers have fallen, but perhaps the small number of people who remain are there because they actually want to be, not because it’s the done thing on a Sunday morning.

And personally, I rather like the idea of a church “sustained by traditions”. Clearly the church has to be relevant to modern society, but in abandoning the traditions of worship then you lose the centre of why the church exists in the first place.

There was something very Presbyterian about the programme with its “we’re doomed” mentality. I find the SEC generally more positive in outlook.

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John

25/08/2010

The only book the presenter seemed to have used in his research was ‘The Death of Christian Britain: Understanding Secularisation 1800-2000’ By Callum G Brown – indeed Callum Brown was one of the speakers. The thesis of this well argued sociological study is that “quite suddenly in 1963 something very profound ruptured the character of the nation and its people sending organised Christianity on a downward spiral to the margins of social significanceâ€. That something he identifies as new media, new gender roles and a moral revolution which has dramatically ended peopleâ€™s conception that they lived Christian lives.â€ It could be said to have happened as â€œsex beganâ€ between the end of the Chatterly ban and the Beatles first LP as the poet Philip Larkin so famously put it.”
To balance this statistical decline the programme flagged up some of the “church without walls ” iniatives in a lame sort of way. All in all a most unsatisfactory programme that only told half the story.

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Kenny

25/08/2010

Good crit Kelvin. My reflection at the end of the programme was, “Lord, we visited this stuff over 30 years ago, and have come out of it stronger and better Church in the SEC.” Hopefully, we stopped longing for ‘the good old days’ a long time ago!

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MartinRitchie

26/08/2010

I thinking “Pausing Place” makes a good point about needing to creatively engage with society. From my own experience of working with a CofS congregation, this creative engagement is a weak spot for many.

As a counterpoint to the programme, interesting to note in the latest “Life and Work” a very positive article about a growing CofS congregation in Stornoway – and I mean really growing! So not all doom and gloom, and I’m sure there are many more examples of bright spots, just as there are in the SEC!

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Graham Vahey

28/08/2010

If the C of S disappeared completely we would be at a loss. During the dark and bleak years of Thatcher’s reign she refused to visit Scotland for 5 years. When she did she expressed shock that we had Royal Regalia and ordered it to be removed immediately for safe-keeping to England. Her ‘Sermon on the Mound’ is now historical for its condescension to the Scots. She was none too pleased to be handed two reports on poverty in Scotland by the powerful Church and Nation Committee. Indeed, it was to this Committee that the population turned to for a moral lead during Thatcherism. When James VI (‘Jamie the Saxt’) became James I in England, the population turned to senior Scottish earls for a moral lead. Unfortunately, the Piskie Church does not give a moral lead in Scotland, apart from the work of the Scottish Constitutional Convention in the recent past. The RC Church does pronounce on moral issues. Could it not be conceivable that all the major Churches could unite in a Committee to pronounce for Scotland on moral issues as the Church & Nation Committee once did?

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Aldous N. Gaiters

01/09/2010

Speaking as a Nonjuror myself I am sure the SEC has a right to a moral voice in Scotland. Taking the US daughter church of the SEC as a model you could see where the fissures would appear. There is room for a modern liberal Christian voice, but even I an old Liberal myself, would have to fear that such a voice might appeal to only a select few.

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