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

8 responses to “A Christian Country?”

Tim

29/04/2014

Reality is pluralist; a secular basis is good to level the playing-field.

I think Cameron is not so much failing to live in `now’ but hell-bent on dragging the country back to the 50s (mostly the 1850s).

One of Blair’s very few positives was “we don’t do God”, or at least postponing doing God until mostly after he was out of Number 10.

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Fr Steve

30/04/2014

Very good analysis. In Australia I still find I get prickly when people tell me I belong to the C of E! (It has not been formally such since the the 70s)
It is good not to see ourselves in the light of another nation…England…but it is good to recognise to recognise our heritage …Anglican.
I spent part of last year in Hawaii as a locum…..when asked last week by the Mothers’ Union..”What was the difference?” I was a bit glib…but could confidential say “Nothing at all!” Given the fact that 1/3 of the congregation were Filipinos it is an interesting reflection.
Don’t think we should overstate it, but being Anglican is a great thing. But there is much about it that needs a good kick up the backside too!

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Mark

30/04/2014

Though we ought to, maybe proudly, remember that the SEC is not a daughter Church of the Church of England. I’m afraid Cameron isn’t doing himself any favours with the way he’s made these statements, and as far as Scotland goes there’s a large part that has been disenfranchised by any statements that Cameron or any English person says, because they view them as ‘english propaganda’. Sadly, I don’t view the Scottish Government with much love either, having used their position to unfairly tout their party’s stance. Between two opposite poles, both backed by Government, how is one to hear a balanced view, instead of that great love of Blair’s Government, spin.

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Eamonn

30/04/2014

‘I do however have a big problem with starting up a new country and writing Christianity into the constitutional definition of what that country is.’ I agree totally. I lived for 26 years in a country where the constitution, in respect of family matters, reflected the views both of the majority RC church and the Church of Ireland. For example, in order to make divorce possible, an amendment to the constitution had to be passed by a majority voting in a nation-wide referendum. This was only achieved in 1995, and only by a margin of 50.28% to 49.72%. Constitutional definition of religious matters always leads to discrimination.

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Robin

01/05/2014

> ‘I do however have a big problem with starting up a new country’

I have a big problem with seeing Scottish independence (if it were to be re-established following a YES vote in the referendum) as ‘starting up a new country’ . . .

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Alan McManus

02/05/2014

I loathe the smug fortress mentality of many of my co-religionists in RC schools while noting that these schools perform at least as well as non-denominational. I loathe the cowardice of the Reformed churches in failing to speak out against the violence and prejudice associated with a certain group of charitable organisations every July and the complicity of local authorities who DO NOT assure the safety of citizens and of international visitors unused to the historical hatreds of the Scottish central belt. While the latter is true, I continue to support the former and look to Canada as a model of multicultural accommodation than to the aggressive laïcité of France.

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1. Kelvin Holdsworth
  
  03/05/2014
  
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Allan Ronald

03/05/2014

Given the choice between the venomous and literally murderous hatreds of Central Belt sectarianism and ‘aggressive laicité’ I’ll take the latter any day.

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