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?

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72 responses to “Baptism and the Churches”

  1. Erika Baker Avatar
    Erika Baker

    Thanks Kelvin and all for the interesting discussion. As a member of the Episcopal Church in the US, I only ever used the Baptismal Covenant in an argument against the necessity of the proposed Anglican Covenant. For me, the Baptismal Covenant is an assent to the New Covenant of Jesus Christ, so I saw absolutely no need of another covenant. In fact, I don’t see the Baptismal Covenant as something different from the New Covenant.

    With respect to whether Baptism or the Eucharist is a/the sacrament of initiation, wouldn’t the answer be both? In the early church, the person was baptized and received the Eucharist during the same service.

    Also, I wonder if people from other Anglican churches are aware of the great diversity of views held by Episcopalians in the US. That all the orders of ministry should be open to all the baptized seems to me simply a matter of the justice and equality that all Christians should strive for as members of the Body of Christ.

    Reply
  2. Erika Baker Avatar
    Erika Baker

    Sorry, I’m posting on Erika’s computer, but the comment above is by me, June Butler (aka Grandmère Mimi).

    Reply
  3. Alan McManus Avatar
    Alan McManus

    It’s so refreshing to read a discussion where everyone’s listening and learning through that dialectical process. Here’s my tuppennyworth: the disparaging mention of magic by churchpeople always makes my hackles go up – mostly as our Christian legacy of persecution of wise healers as witches is still largely unacknowledged and certainly unatoned – but also because the RC in me hears this as a facile Protestant jibe against metaphysics (if you want my views on that buzzword look here: http://robertpirsig.org/Alchemy.htm ) and though Vat 2 officially u-turned on slavery (yay! who says the RC church can’t change, eventually) it didn’t move away from an essentially sacramental view of Christian ministry.
    I feel that underlying this discussion may be a difference in sacramental theology. I hold the traditional view that through the creation, the incarnation and ongoing sanctification, the Spirit of God is at work metaphysically in the world and that means neither solely spiritually nor physically but betwixt and between. The RC church is just as guilty of virulent hatred of non-clerical women healers as others but the convivial nature of the relationship which sometimes occurs between Roman Catholic and ‘curandero’ (wise traditional healer) in Latin America is for me an affirmation of the ecological connections inherent in both cosmologies – though often forgotten in the RC church it must be said.
    The part of the SEC liturgy I find most alienating is ‘Lord unite us in this sign’. This speaks to me of cognition not communion. In these words I feel the lack of belief in a metaphysical reality. I feel that this discussion may have brought up a similar divide in concept about baptism: is it or is it not efficacious?

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