Showing posts with label organ donation. Show all posts
Showing posts with label organ donation. Show all posts

Wednesday, August 7, 2013

Opt-out system for organ transplantation approved in Wales


SPUC reports that ethical campaigners have expressed their sadness following final approval of a bill in Wales to create an opt-out system for organ transplantation. See previous BLOG POST on this topic.

Members of the Wales region of the Society for the Protection of Unborn Children (SPUC) www.spuc.org.uk are saddened that the Secretary of State for Wales has decided not to use his powers to block the Human Transplantation (Wales) Bill from being sent to Her Majesty the Queen for Royal Assent (see Note 1 for Editors below).
Michael Wendell Thomas, vice-chairman of SPUC's Wales region, said: "A collective weight of opinion has demonstrated that implementation of the Bill will be fraught with risk. This opinion has been presented by medical and ethical professionals, faith communities (Christian, Muslim and Jewish), patient care organisations, plus the vast number of people who made individual submissions to the Welsh Government during three years of consultations."
"The case for 'deemed consent' as a valid form of consent was not investigated by the Welsh Assembly's Health or Legislative Committees. The only basis for this kind of law is that the Welsh Government has deemed it so. This is probably the most important law that the Welsh Assembly has ever passed, seeing that it deals with the rights and lives and health of every Welsh resident. It therefore reflects very severely on the reputation of Wales, of devolution, and of all Welsh Assembly members, as well as the current Wales Government. To the ordinary non-lawyer, 'deemed consent' is a meaningless idea; to many eminent or expert people, such as the Archbishop of Wales, it is a "fiction". True consent is explicit and voluntary, and is the only sound basis for laws concerning personal autonomy and permission to remove someone’s organs", said Mr Thomas.
"The Bill as described by successive Assembly Health Ministers and the First Minister was for a 'soft' opt-out option, with a family veto on 'deemed consent' cases, as supported by the First Minister (see note 2 below). However, the version of the bill passed by the Assembly on 2 July is for a 'hard' opt-out system. Public and expert submissions had therefore been made on a false premise.

"Evidence has shown the current voluntary organ donation system to be successful. However, the number of organs available for transfer has fallen recently. Some feared that the new legislation could lead to more patients on the waiting-list dying before organs became available. It is highly unlikely that, even if the bill does produce more organs, it will save the lives of those Welsh people on the waiting-list."

Mr Thomas added: "There is also a myriad of cross-border and human rights issues which will arise once the legislation is implemented.

"Members of SPUC's Wales region will remain vigilant regarding this ill-considered piece of legislation. We will campaign wherever possible to mitigate the effects that it may have on the weak and vulnerable in our midst. We shall also seek to ensure that the professional standards of clinicians involved in organ removal are not eroded by pressures from unscrupulous people to produce ever-more organs for transplant, irrespective of the dangers to those dying. We remain committed to real, voluntary and informed organ donation by the individual dying patient", concluded Mr Thomas.

Thursday, March 24, 2011

Organ donation


A letter in the Irish Times (8 March 2011) refers to the proposal in the recently published Programme for Government 2011-2016 of the newly-elected Irish Government that the existing ‘opt-in’ system of organ donation should be changed to an ‘opt-out’ system instead.   The letter-writer says:

‘…As has been well flagged by the Irish Kidney Association and other bodies, there are flaws with an opt-out system.  Statistics show that in countries where the system has been tried, no discernible difference was made to the rate of transplants.  An opt-out scheme would obviously increase the number of potential donors – but it is pointless having potential donors when the environment in which our health service operates is still hopelessly ill-equipped for the donating and harvesting of organs. …’

This is what the new Programme for Government says:

‘We [Fine Gael and the Labour Party] will legislate to change the organ donation [system] to an opt-out system for organ transplantation, rather than an opt in system so as to improve the availability of organs for patients in desperate need.’

That doesn’t sound very reassuring, now, does it?  

Using the opt out system a person is presumed to have consented to donate his or her organs after death unless he or she has specified otherwise.
This is an area of deep concern as it also involves the issue of the definition of death

An article published in the New England Journal of Medicine has re-opened the debate about the ethics of organ donation. The article warns that organs can be - and are being - harvested from the bodies of patients who cannot be convincingly termed 'dead'. The authors do not oppose organ harvesting on these grounds, stating:

The uncomfortable conclusion to be drawn from this literature is that although it may be perfectly ethical to remove vital organs for transplantation from patients who satisfy the diagnostic criteria of brain death, the reason it is ethical cannot be that we are convinced they are really dead.
very worrying