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?

    , , ,

5 responses to “Tanzania”

  1. Raspberry Rabbit Avatar
    Raspberry Rabbit

    A bit picky, yes. Idris will no doubt correct them when he’s there.

    Reply
  2. Simon Sarmiento Avatar
    Simon Sarmiento

    Umm. So Northern Ireland is part of Britain is it?
    Four churches in the UK maybe.

    Reply
  3. kelvin Avatar
    kelvin

    Well Simon, you are correct in your assumption that I was thinking of the Church of Ireland in Northern Ireland, rather than perhaps the Church of Rockall.

    People who are being picky deserve to be picked up for slack talk. However, speaking as I do from the Second City of Empire, I hide behind this quote on the website for Number 10 Downing Street:

    http://www.number-10.gov.uk/output/Page823.asp

    “The United Kingdom is made up of four countries: England, Scotland, Wales and Northern Ireland. Its full name is the United Kingdom of Great Britain and Northern Ireland.

    Great Britain, however, comprises only England, Scotland and Wales. Great Britain is the largest island of the British Isles. Northern Ireland and the Irish Republic form the second largest island.

    The UK is just under 1,000 km long from the south coast of England to the extreme north of Scotland, and is 500 km across at its widest point. It shares a single land border with the Irish Republic. Despite its relatively small size the UK boasts incredibly varied and often very beautiful scenery.

    The Isle of Man and the Channel Islands are not part of the United Kingdom. They are largely self-governing with their own legislative assemblies and systems of law. But the British Government is responsible for their defence and international relations.

    On this site the term ‘Britain’ is used informally to mean the United Kingdom of Great Britain and Northern Ireland.”

    I’d also refer interested parties to the Wikipedia page on http://en.wikipedia.org/wiki/British_Isles_naming_dispute

    I offer this topic as a free gift to Bishop David.

    Reply
  4. Bishop David Avatar
    Bishop David

    As you would expect, I am all knotted up on this one. I am a citizen of Ireland – or the Irish Republic – or the Republic of Ireland. Nor Eire – or, as many of my parishioners in Portadown would have called it [never having moved on from 1922], the ‘Free State’. Meanwhile President Mary MacAleese is often termed President of Ireland which seems to me to be as notable a piece of ‘overlooking’ as when Ian Paisley refers to the ‘people of Ulster’ [which means some of the Protestant/Unionist population of Northern Ireland] and Gerry Adams refers to the ‘Irish People’ [which means not the Protestant/Unionist population of Northern Ireland]. I like Wiki’s rather coy description of Ireland as ‘currently split’ – meaning just the most recent 85 years. Which in the context of thousands of years of British misrule in Ireland is but a blink. And finally one comes to the interesting use of the term ‘mainland’ …

    Reply
  5. steg Avatar
    steg

    Must admit when I saw you were writing about primates in Tanzania I thought your blog was going to be about ape conservation………………….

    In my experience people from outwith the UK confuse Britain and England a lot. And they have a point. Do you always refer to the Netherlands or sometimes to Holland even when you are refering to the non Holland bits of the Netherlands? And how do you think that makes the Friesian’s feel? And so on.

    Reply

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