What is in Kelvin's Head?

  • 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?

    , , ,

18 responses to “To the synod office”

  1. Robin Avatar
    Robin

    > Would it be out of the question, Robin, for Ms Goldie to become the new Bishop of Glasgow and Galloway?

    As far as I know, it would be OK, since she’s baptised and over 30! And Glasgow & Galloway has had a Bishop Goldie before, so there’s precedent!

    Reply
  2. kelvin Avatar
    kelvin

    Robin – we are in the process of removing the 30 year lower age limit for bishops this year. If Ms Goldie turns out to be younger than we think, she is still in with a shout.

    David – thanks for your post. It is similar to what’s been said to me in synod. To be honest, as someone whose formative years were mainly in a part of the country where the dominant industry was coal, the idea that the farming/rural economy has been particularly ill treated by either European or national government thinking has always seemed very puzzling.

    There are many things which bring town and country together. Clergy complain of the same degrees of isolation in town and country, for example. People also often complain about the ability of young people in the country to find affordable housing locally. However, to someone who has lived succesively in Perth, Bridge of Allan and the West End of Glasgow, that complaint again seems to unite rather than divide us.

    As for field sports, I feel less strongly about the sports themselves than I did when I was younger. However, I feel more strongly than ever that all of us, whatever sector of society we live in can only muddle along by a common respect for the law and it has sometimes been difficult for someone like me to perceive such a respect in those advocating certain field sports.

    I don’t think field sports are a human rights issue. And I don’t think that civil disobedience (ie lawbreaking) is an appropriate or proportionate response to the banning of hunting with hounds.

    Reply
  3. Robin Avatar
    Robin

    > Robin – we are in the process of removing the 30 year lower age limit for bishops this year.

    Is this to remedy the understandable confusion potentially caused among electors by your being eminently ‘episcopabile’ while you still look as if you’re well under 30?

    Reply
  4. kelvin Avatar
    kelvin

    I’m ridiculously flattered on all counts. But no – I’m 42.

    Lower age limits are being removed from ordination canons because of the risk of it being seen as age discrimination.

    (Well, actually, because it was clear age discrimination).

    Reply
  5. Robin Avatar
    Robin

    > But no – I’m 42.

    So you *are* the answer to the riddle of the Universe!

    I’d have imagined there would have been an exemption for such things. An 18yo Bishop would be a bit ridiculous, to say nothing of the risk of being stuck with her/him if she/he proved a bad choice. However, I don’t expect it will make any practical difference. Even under the existing Canon, did we ever have a Bishop as young as 30? The youngest I can think of was my own mentor, Bishop George Sessford, who was 42 when he was consecrated . . .

    Reply
  6. Robin Avatar
    Robin

    I meant to write,

    “being stuck with her/him for half a century if….”

    Reply
  7. David Bayne Avatar
    David Bayne

    “Annabelle, our Bishop” has a certain something, don’t you think?

    The age restrictions on Ordination that we are in process of removing did have a point. They were introduced across most post-Reformation denominations (I’m not sure about the RCC) to prevent beardless youths being presented to (with!) prosperous and influential livings by well-connected parents. My favourite Scottish example is Alexander Stewart, the illegitimate son of James IV who was made Archbishop of St. Andrews in 1504 at the age of 14 – or, possibly, 11. The archdiocese didn’t have to cope with a half-century episcopate, though: he died fighting beside his father at Flodden.

    Being of a slightly earlier vintage than The Provost, it’s the moving of the upper limit that has me exercised. Combined with the hole in the pension fund, it hints at a return to “ad vitam aut culpam” By the time people are worried about me having done 50 years in CD, I’ll be 97………..

    Reply
  8. Andrew Avatar
    Andrew

    I think that it is nearer to the mark to describe ‘The Scottish Field’ (or was when we lived in Bromley and it was the most exciting post of the month) as ‘Unionist’
    The Editor in the 1950’s lived about 2 miles away in South London so The Scottish Field kept us in touch with Jimmy Shand, John Buchan, The Edinburgh Tattoo and The Fortingall Yew Tree. And those sherry party photographs to commemorate Law Firm anniversaries. We couldn’t recognise anyone but they looked nicer than the people who came to our own parties. So we grew in ignorance monthly as we happily anticipated another 3 weeks in Pitlochry.
    However in 2009, Old SF’s appearing in Room 1 must herald the employment of a dentist in Forbes House, or a gentle reminder of ‘The Homecoming’. I believe they provide the ‘Peoples Friend’ at 121 George Street, but I could be wrong.

    Reply

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