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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6 responses to “Hillhead By Election”

  1. Zebadee Avatar
    Zebadee

    It would seem that the Lib Dems are a ‘busted flush’ with no plan to make any meaningful comeback which is very sad. The SNP were in a similar position in the 1980s but did have a plan which has been successful. Is there not a case for the revival of The Liberal Party? There is certainly a need for such a political party for the whole of the UK not just Hillhead. The Liberal Party could possibly unite the whole of the UK and not just Scotland.

    Reply
    1. kelvin Avatar
      kelvin

      Well, the Liberal Party has never gone away – it still exists and has some councillors. No doubt they feel that their time might still come.

      I’ve a feeling that there probably needs to be a clear attempt to do something new though. A New Liberal Party could be formed by a significant breakaway of disaffected liberal democrats but would probably need some significant hitters in order to get going. Given that part of the problem is some very unimpressive leadership in the parliamentary party, it makes it hard to see that happening.

      Reply
  2. Zebadee Avatar
    Zebadee

    Yes I know that the Liberal party still exists and understand that they have little or nothing to do with the Lib Dems. They too have no big names or ‘big hitters’ which is a pity. As you yourself will know out there in the real world there is a need for a centre party not right or left. I suspect that there is a large number of thinking people who would at least listen to a political message from the ‘centre’ and they are worried and concerned at the polarisation of the right and the perceived ineptitude of the left in todays political parties.

    Reply
  3. Caron Avatar
    Caron

    Kelvin, a few weeks ago, we had a by-election win in Inverness. The evidence suggests that the Liberal Democrats have not become toxic, but where we work, knocking on lots of doors, having strong campaign messages and get our vote out, we get good results.

    We had a first class candidate in Hillhead, but I agree that we need to look at how we get our message across.

    I’m not for the Murdo method of abolishing the party just to set up a new one. We have good, liberal ideas, with good, liberal values, and an energetic leader who is so genuine, so likeable and very good at explaining what they are. Yes, we have a mountain to climb, but we have our ropes and crampons ready and we’re already ahead of where we were a few months ago.

    Reply
    1. kelvin Avatar
      kelvin

      Yes, I know Caron – I agree with a lot of what you have said. However, the big question is whether the party can get people out there working again.

      The win in Inverness was good though it was a pretty narrow thing. Still a win is a win in anyone’s book.

      However, whether the party can get doors knocked on etc now is the big question. I know I’m not the only person who has offered a lot to the party in the past who is questioning where the liberal tradition lies.

      I know Willie Rennie is likeable and I do believe he stands for lots of good policy ideas that I believe in, but he’s not even making a good job of running his own office at the moment. And his team are not responding online to criticism of him very well either.

      I’d love to feel I wanted to support the party – I believe in liberal values, understand liberal values and can articulate liberal values along with the best of them. However, so much of what good people worked for has been squandered so quickly that I just find it too difficult. (By the way, I say that as one of the 307, so I’m still hanging in there in the polling booth).

      And the problem is not primarily that the electorate feels betrayed by the Lib Dem brand. That is serious but summountable. The problem is that the activists feel betrayed. That is much, much more serious.

      307 votes out of 23243 on leafy home ground and placed fifth is terrible whatever way one looks at it.

      The Greens were trumpeting their result on twitter so much I thought they must have won, but they only had 120 or so more votes which doesn’t strike me as a particularly exciting ship to jump to, even if one were looking to leap. I’m not really interested in a party which thinks that getting 435 votes out of an electorate of 23243 is anything to crow about.

      Reply
  4. James Avatar
    James

    Hi Kelvin, I agree about the democratic disengagement – properly alarming. But the Lib Dems as they currently exist aren’t a Liberal party of the sort I think you want. They’re fundamentalist economic liberals, Orange Bookers determined to remove the social safety net. It’s not liberal as I understand it to make education the province of the rich, to cut benefits for the disabled to appease the Jeremy Clarksons of this world, to hike up regressive taxes like VAT, etcetc.

    The really small-l liberal party in Hillhead did a lot better than the Lib Dems. The Greens.

    Reply

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