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

9 responses to “The Episcopal Way of Death”

Rosemary Hannah

02/11/2017

The greatest privilege I have ever had in the service of the people of the church was to be the person who received the coffin the night before the funeral and led Compline then. The church was on an island, and the coffins those of people I loved and honoured. It was deeply moving for everybody there. I hope one day that will be done for me and mine.

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Sr Alison Joy

02/11/2017

I have prayed washed and dressed Sisters who have died and it helped me to see that death is not scary. I have lined a number of Sisters graves with flowers around the inner edge from the inside, also helpful. The body was received at Vespers in Chapel the day before, Solemn Requiem was the next day complete with asperges and incense. We returned from the graveside and when in Chapel sung a very joyful favorite hymn for the Sister we had just buried. It was always a sad, happy, remembering occasion I hope that I will be able to have most of this too.

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Sarah Lawton

02/11/2017

This is beautifully said.

When my parents died in a car crash, we knew our Episcopal church would be too small to accommodate all the mourners; but the local Roman Catholic congregation saw our need and graciously offered the use of their space for our Episcopal funeral (including Eucharist led by two Episcopal bishops). They also offered their pall for the second coffin as we had only one. All the churches and the synagogue in town offered choir members and/or food for the feast after the service. An ecumenical, indeed, interfaith foretaste of heaven!

We placed the two bodies in closed coffins in our Episcopal church the night before; we prayed Evensong and Compline, and received a long line of visitors; and then parishioners kept vigil with the bodies all night. In the morning we prayed over the bodies before beginning the procession to the larger RC church where the (Episcopal) funeral was to be held. In this sad, glorious service sang many, many Easter hymns, and I learned that it’s possible to sing and sing even through tears. I’m told that people reconciled that day who had not spoken in years – I’ve heard it from both parties (one now a bishop).

All of which is to say: our Episcopal Way of Death can be a profound grace if we let it. It can be profound too when it’s a simple, small, quiet service for a person who has lived a long life and died of old age (unlike my parents). It’s the same words, the same truth of loss – all of us pass through this life but for a moment – the same mystery, the same words of affirmation and hope at the grave: alleluia, alleluia, alleluia.

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1. Kelvin
  
  02/11/2017
  
  Thank you for posting that – bearing witness to exactly what I was trying to say.
  
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2. Michael Povey
  
  04/11/2017
  
  Thanks Sarah. (Other readers, Sarah is a friend. I was at the Funeral and heard her offer the most profound Gospel Centred and Honest Grief eulogy I have ever heard)
  
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  1. Sarah Lawton
    
    29/11/2017
    
    Dear Michael, thank you for saying that. Your presence that day was a blessing to our family. That gathering, for all the shock and sadness, really did feel like a foretaste of heaven, didn’t it? A great cloud of witnesses singing with us.
    
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Ronnie Smith

02/11/2017

Having attended a few funerals in our parish recently – one of them for our Vicar, who died on Easter Eve – and being nearer to the grave myself (at 85 and still active as a priest) I appreciate, Father Kelvin, the care you take over this special subject. The Church can be so close to families at this special time – giving them a taste of ‘The great love of God as revealed in the Son’ – precious at this time.

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Tony Whatmough

04/11/2017

There are sometimes good reasons for having the cremation first, as there was for my brother yesterday especially with people traveling and wanting to be able to bury the ashes on the same day. They key is to talk with the family about what they are looking for and how it can be done.

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1. Kelvin
  
  04/11/2017
  
  Dear Tony, I’m sorry to hear that you’ve lost your brother. May be rest in peace and rise in glory.
  
  There are always reasons why people want to have a cremation first and people always believe that they are good reasons. Every single time there are reasons. My contention is that I’m unpersuaded that any of them justify changing what we believe. (What we do and what we believe being utterly bound up with one another in such circumstances).
  
  My point about funerals is very precisely that the wishes of the family are important but that no tradition will survive if we simply abandon what we believe for reasons of convenience.
  
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