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

23 responses to “What if this is the end of the Eucharist?”

Thomas Scott

06/05/2020

Just noticing here that DGD (of happy memory) seems to have left out of his catalogue of joyous, sad, perilous, and solemn occasions any instance of celebrating during a plague or pestilence. I’m not worried about the mass. The eucharist need not be celebrated as though it were a car battery, as if not offering it now would somehow allow the power to run down. It is not at risk, we are, which I think is your point. The questions asked are worth asking, of course.

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Mo Nicholson

06/05/2020

Mo Nicholson. This is an intriguing discussion and what I would like to add to it is the observation that I have had to learn the hard way that participation in the Eucharist being made impossible in no way diminishes an individual’s ability to worship God or be in fellowship with other believers. I am barred from receiving Holy Communion in the Catholic church because allergies make this impossible for me. The pain induced by this has little to do with feeling separation from God, in fact nothing at all as I do not feel that. It comes from feeling excluded from the community, different sections if which regard it as desirable or tolerable that a member of the community should be excluded in this way. This experience has made me understand as never before that if we place prime value on liturgical celebrations, ir indeed anything else, above charity, compassion, welcome and inclusivity, in other words love, then we have become the sounding gong which St Paul warned against. If we truly believe that God is love, as I do, then it is obvious that it is love for one another which makes us true children of God our Father, and in light of this we could begin to look at these present challenging circumstances as simply an opportunity to love more, to reach out to one another in whatever way possible in the knowledge that this is what actually matters and always did. Only perhaps we were tempted to almost make a fetish of our rituals, sacraments and so on. And perhaps this can show us a better way more adapted to the world we are supposed to serve.

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Lynsay Downs

06/05/2020

You and your conversation with Dave Roberts prompted me to write this. Does it resonate for you?

https://astonishing.community/2020/05/06/conversations-in-coronatide/

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1. Kelvin
  
  06/05/2020
  
  Thanks Lynsay – yes, it does resonate with me very much.
  
  I’ve shared it on facebook. I think it is really helpful.
  
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Fr Keith

06/05/2020

Thanks again for such a thoughtful piece. With the Eucharist central to much of, at least Anglican/Episcopalian, worship in recent generations, we perhaps forget that the Church in these islands was, between the Reformation and the liturgical revivals of the 19th and 20th centuries, sustained by Mattins and Evensong as the regular diet of worship on Sundays. I’m not advocating a return to such times, but there is, as you suggest, work to be done on non-Eucharistic worship (though not defining it as a negative). Thanks again.

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Fenland Boy

07/05/2020

For the record, I’m not in favour of lay presidency at the Eucharist. I believe, for better or worse, in an ordered church.

Why are you concerned about lay Presidency?

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Chuck

08/05/2020

May I say respectfully, lighten up. Many Anglicans/Episcopalians lived on the edges of civilization in the nascent U.S. and various elements of the British Empire. Priests to celebrate the Holy Eucharist and to baptize were seldom seen, at most twice a year in many areas. (Bishops, only every several years.) The Church carried on in this manner decade after decade. If circumstances require, the Church will carry on again despite our profound sense of loss.

I should add, to those who grew up under threat or reality of war, persecution, oppression, famine, other disease, etc, the present difficulty is not unfamiliar in many respects.

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Miriam MacCarthy

08/05/2020

Thank you! It is wonderful to read these serious, personal thoughts about the Eucharist. My feeling is that it has become celebrated to the point of boredom. Church, and what we do in it, is in danger of becoming simply a habit. It could just as well be crackerjack for a fast-asleep congregation. My heresy is that the direction Jesus gave is to “do this in remembrance of me”, and that means everything we eat at any time, whether alone or with others, in thanksgiving. If that is seriously done, it has vastly more meaning. It really gets ones attention and requires preparation. Would not become popular or usual, I predict!

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