I’ve never really felt the need to write about organ donation as an issue because what the right thing to do seems very obvious to me; make the system opt-out so that, by default, organs fit for donation are harvested and distributed to patients on waiting lists.
Unless you don’t want that to happen; if, for some reason, you actually care what happens to your body after you die. I don’t really get this POV – when you’re dead, you have no consciousness, no future, no considerations – you are no longer. You are an ex-person.
What’s the problem?
Some people do seem to have objections. Often religious ones; apparently it’s important when you transition to a non-corporeal afterlife that your corpus (for some reason) remains intact, such as it is. Embalming, coffins, all of that – try to preserve your physical form, even though you no longer need it. Very strange, really. But people do it.
Perhaps you care what your family thinks after you’ve gone. Maybe you want to spare them the apparent trauma of doctors distributing your parts to others who could make use of them. Again I don’t really understand that – what better gift to give in your death than that of more life for others? Life for parents, for children, for friends and family and lovers. Why would you want to withhold that?
People are selfish, that’s why. You and yours matter more than anyone else and theirs. There’s reason to that, to an extent, but I think the world might be a nicer place if people were more concerned about others in both life and death, managing to lay aside what we want for ourselves when others could potentially benefit, at little or no cost to us.
Until research and technology allow us to grow whole, fully-functional organs in the lab, unfortunately we are reliant on organs people have grown in their own bodies for transplants. I also wonder what people who have objections to donation would do if they found themselves or one of their loved ones on a waiting list for an organ? Well, given that aforementioned selfishness, presumably hope that other families are more selfless.
It seems a similar kind of thinking pattern to that of anti-vaccination. We don’t want to take the (tiny) risks, I’ll do what I want despite the evidence, I’ll reap the benefits of a society that doesn’t share my views and shelters me and mine from my stupidity. Too harsh?
I posted about this recently when the opt-out plans enacted in Wales were in the news and someone made a point I had never considered before.
People have funny ideas about death; it’s one of those largely incomprehensible, stressful, emotional yet utterly everyday concepts we really struggle with as human beings. As a result, we sometimes do odd things in life.
One of those odd things is to be superstitious. Avoiding certain things lest we tempt fate and upset the supernatural forces that may or may not govern our destinies. That superstition could well include completely avoiding the idea that we may die unexpectedly, and thinking about what would happen after that event.
So, if someone is squeamish about the idea of death, and their own in particular, maybe they don’t really want to carry around a card that tells the world they’re happy for other people to make use of their organs after that collision with a bus/overzealous motorbike excursion/tragic fall/accidental overdose.
Some people might feel that signing those forms and receiving that card makes that death-reality come closer. They might be as rational as you like and know how ridiculous it is, but just that feeling, that discomfort, could deter them from participating in the opt-in system. They’d have no problem if it were all up to the people dealing with them after their death – they wouldn’t ever have to actively think about it.
I wonder, how many potential donors have we lost because of this emotional quirk? How many could we gain with the opt-out system?
Opt out if you have to
If you care so very much what happens to your no-longer-living flesh, surely at some point in your life you can find the time to sign the form that tells everyone else about it. The change would be publicised, the population educated.
Lives will be saved by that simple action; even if you don’t want to actively participate in donation, you minimise the impact your non-participation has by agreeing to the system change. Maybe that can satisfy you.
If it doesn’t, what exactly is the problem?
I really don’t understand. Religious beliefs are allowed, but surely where there are negative consequences, you should seek to contain those. Personal objections are also allowed, but again, if you care so much, what’s so hard about making sure you tell people?
Is it that it’s embarrassing? Perhaps, then, time to re-examine the position.
Like so many things, it seems to be a problem with failing to empathise, failing to seriously consider the future. A lot of people are really bad at that.
But, thankfully, I do think the majority want to help others when they can, and would welcome the change. It is of course a lot more complicated than the above, but those are my current thoughts.
For now, don’t forget to join the register if you haven’t already – it’s really easy. And I’m proud to have that card in my wallet.