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Monday, 29 November 1999 19:00

Organ Donations (2) A Christian Family Physician's Perspective

Written by  Dr. Greg Kenyon
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The first instalment in this series appeared in the February issue. In this article Dr. Kenyon reviews the churchÕs stand on organ donation and its seeming acceptance of the worldÕs standards. It is evident that the church needs medical experts with a Christian world and life view who have delved into this issue. In this series of articles Dr. Kenyon is attempting to give guidance from a medical point of view to make God-honouring decisions. (Editor)
The Slippery Slope
Through my study I have become much more concerned about the moral problems surrounding organ donation. I found that the ethics of organ donation and of the declaration of death have a prominent place in the secular forum. Sadly, I did not find much from the churches relating this issue to the Word of God. Jewish and Catholic views were much more easily found than Protestant. The National Kidney Foundation published a list commenting on the position of each major religion on organ donation. Although this information is from 1979 it is still used today. This list claims that Lutheran churches endorse organ donation; that Presbyterian churches encourage and endorse organ and tissue donation and "they respect individual conscience and a person's right to make decisions regarding his or her own body." This ought to alarm us when we consider that "we are not our own we are bought with a price and belong to our Saviour Jesus Christ." We do not have a right to do whatever we want with our own body. Any decision about what to do with our body must be solidly based on the Word of God, for it Òhas given us all things that pertain to life and godliness."

The Presbyterian Church of Canada's official response to organ donation dates from 1969. It accepts the declaration of brain death given by a neurologist without any appeal to Scripture, saying, "From the aspect of the donor, there seems to be no moral problem but supply." With respect to deciding who gets an organ, they say, "this decision, we feel, is left in competent hands," meaning the physicians.

Consider the decision-making process used by physicians in respect to organ donation. A 1989 survey of 195 physicians and nurses working in intensive care units and other settings where organ donors might be found, shows there is considerable uncertainty over exactly how brain death is defined. Physicians continue to debate the diagnosis of brain death. More recently there is increasing pressure to loosen the definition of brain death. Physicians have started the questionable practice of using the term "non-beating heart" donors ("non-beating heart donors" will be explained later.) Physicians are involved in abortions and are using fetuses in transplant research.

In order to respond, we need to become more aware of what is happening. To emphasize the need for awareness, I quote the introduction to a paper titled The Slippery Slope, by Chatham, Ontario, Family Physician, Dr. John Stronks. He writes,

Not so long ago I was having a conversation with an obstetrician
who performs abortions, sharing my excitement about the birth of
apparently healthy twins at a gestational age of 28 weeks. He
responded with disdain, asserting that we have gone too far in
trying to save such infants. After all, what if they grow up to
have a learning disorder, he mused.

Earlier in my career I was taken aback when asked by 13 and 14
year olds for contraception. Now I take the fact of teenage
sexual activity for granted. Recently, I was taken aback again
when a foursome of teenagers presented with a question pertaining
to the sex act. Will there come a time when I take the fact of
group sex for granted as well?

We have witnessed in our society a rapid progression from the
legalization of divorce to the realization of widespread family
breakdown. Feminism has yielded to witchery and other sorts of
new age religion. Homosexuality has come out of the closet and
now is in the forefront of the legislative agenda, even to the
extent that some are advocating the legalization of homosexual
adoptions and the recognition of paedophilia as normative. We
have witnessed the liberalization of abortion laws only to be
faced with the wholesale slaughter of tens of thousands of
infants annually and emergence of issues such as euthanasia,
assisted suicide, and mercy killing. Just a few years ago
government run lotteries were introduced; now gaming has become
big business for government and a normal source of entertainment
for many Canadians, even for many Christians. What was once
pornography is now standard fare for advertisers and movie
makers. And while young children are indulging in their parent's
collection of pornographic videos, we still wonder why we now
almost daily hear news reports on serial sexual predators.

This is a sad, but true reflection on Canadian society. And it is
disturbing, especially for Christians who are feeling
increasingly repressed as a minority voice in the shaping of
Canadian society. Like never before, Canadian Christians have
been challenged to think about moral issues, to search the
Scriptures for relevant incites, to formulate positions and
responses. To this end, it is my desire, as a Christian physician
to share some of my experiences and incites.

I echo the words of Dr Stronks. It is within this society that we must face pressure to come up with increasing numbers of viable organ donors.

Dr. Stronks goes on to consider how our society and Christians have become so accepting of this ever-growing tide of immoral action. It is the result of the destructive, progressive and aggressive nature of sin. If we want to bring the true light of the Gospel to the world, we must resist the temptation to compromise God's standards and we must reject the flawed morality the world presents. To keep from falling into this temptation, we must not allow sin to lead us down the destructive, progressive path of accepting the immoral as moral.

Endnotes
1. Religious view of Organ/Tissue Donation and Transplantation. Though answers may vary from one denomination to another, research by agencies like the National Kidney Foundation have found that a majority of religions do support organ donation. A few of their finds were reported on the Internet at www.dnaz/OLD/pubedu/religion.html. They state that parts of these religious views were used with permission from Faith of our Patients prepared by a committee on Medicine and Religion, Texas Medical Association, Austin TX, 1979.
2. 1 Corinthians 6
3. 1 Peter 1
4. Reply of the Board of Evangelism and Social Action submitted at the 95th General Assembly of the Presbyterian Church in Canada, 1969, to Overture No.12, 1968, Presbytery of Peterborough.
5. Summary in Journal Watch, April 28, 1979 of D. Wikler, A.J. Weisgard, "Brain Death' and organ retrieval: a cross section survey of knowledge and concepts among health professionals", JAMA, April 21, 1989. 261:2246.
6. Alan Joyce, "Truly Useful Literature: Brain-Death Dilemmas", Community Ethics, Volume 4, Number 1 (1996).
7. John E. Stronks, "The Slippery slope", Focus, Christian Medical & Dental Society, 1997.