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Organ Donation becomes Opt Out from June

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Comments

  • Registered Users, Registered Users 2 Posts: 4,758 ✭✭✭Ezeoul


    In the case of a person who is still alive, I would assume that would become a "ward of the court" situation.



  • Registered Users, Registered Users 2 Posts: 1,033 ✭✭✭Yeah Right


    What terms and conditions? I've been a donor for years now. Tell me, what T's and C's have I attached to that, then?

    I said I hope they pass a law. Not that I refuse to be a donor until they do, I hope they pass one. There are no terms and conditions to me carrying the card. Demanding you, as a non-donor, get the same treatment as donors IS however attaching T's and C's. "Yeah, I'm willing to get a new kidney, but only if you don't take anything when I'm dead".

    Ironic in the extreme.



  • Moderators, Category Moderators, Arts Moderators, Sports Moderators Posts: 52,535 CMod ✭✭✭✭magicbastarder


    according to info i've found - there were 263 organ transplants last year (i know one of them, as it happens), with a waiting list of 500-600.

    that means that even if there are no new entries to the waiting list, at current rates, it'd take over two years to clear it. i wonder how many extra organs would be 'released to the market', so to speak, if the opt out option goes live?



  • Registered Users, Registered Users 2 Posts: 4,758 ✭✭✭Ezeoul


    You're advocating for conditions to be made on organ donation, to exclude "non-donors" from receiving organs if they need them. If you're going to be a donor, it should be unconditional.

    Let me repeat - I am not opposed to organ donation where there is an organ donor card or family consent.

    I am opposed to the assumption of consent, that comes with an opt-out system.



  • Registered Users, Registered Users 2 Posts: 8,127 ✭✭✭MrMusician18


    There is no halfway house. My preference is to let my next of kin to have the overriding choice about what to do with my remains. I want to give them the choice, a real choice.

    Instead, what will happen is that organs will be harvested and families will be only informed that it has happened afterwards. That's what the "consultation" will end up as.



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  • Registered Users, Registered Users 2 Posts: 8,127 ✭✭✭MrMusician18


    You really could keep the same system we have now but modify it to encourage donation.

    The system I suggest is that there is no assumed consent. The State though will make a significant financial contribution to the deceaseds funeral if they or their family donate their organs.



  • Registered Users, Registered Users 2 Posts: 31,863 ✭✭✭✭AndrewJRenko


    Except maybe the people in kidney failures, who's lives have been already screwed up by long term illness and are unlikely to have a spare €5k-€10k lying round to buy an organ to save their life.

    But sure, let's not get the feelz about them or anything.



  • Moderators, Category Moderators, Science, Health & Environment Moderators, Social & Fun Moderators, Society & Culture Moderators Posts: 41,844 CMod ✭✭✭✭ancapailldorcha


    Tough. We all have to navigate the modern world and this isn't difficult. If people are really struggling, they can ask a relative, a volunteer or someone at the HSE.

    The foreigner residing among you must be treated as your native-born. Love them as yourself, for you were foreigners in Egypt. I am the LORD your God.

    Leviticus 19:34



  • Registered Users, Registered Users 2 Posts: 8,127 ✭✭✭MrMusician18


    The State could pay. You'd absolutely see organ donation rise voluntarily if payments effectively covered funeral costs.



  • Registered Users, Registered Users 2 Posts: 1,033 ✭✭✭Yeah Right


    I'm not advocating for anything of the sort. I was accused of attaching T's and C's to my organ donation. Which I also do not. I asked for clarification from that poster, not sure why you feel the need to jump in.

    What I am advocating for is conditions being attached to receiving organs, not donating them. If you need to get a new organ, and you're too selfish to be an organ donor, you're (or you should be) automatically behind everyone else who needs that organ who is an organ donor. If a viable heart is found, donors should be prioritised over non-donors.

    If you're going to be a donor, it should be unconditional.

    It is, and nobody is looking for that to change. Being a recipient should be conditional.

    Let me repeat - I am not opposed to organ donation where there is an organ donor card or family consent.

    I am opposed to the assumption of consent, that comes with an opt-out system.

    Let me repeat…….I am not opposed to you receiving a donated organ. I AM opposed to you receiving one ahead of someone who is willing to donate their own. If you're not willing to give yours, you should be back of the queue when it come to taking someone else's.



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  • Registered Users, Registered Users 2 Posts: 1,764 ✭✭✭Apiarist


    I am an organ donor anyway. I just hope my family doesn't have to wait for the rest of the body to get released for burial.



  • Registered Users, Registered Users 2 Posts: 11,850 ✭✭✭✭EmmetSpiceland


    If a family can opt someone out, after the fact, can they, also, opt someone in?

    EmmetSpiceland: Oft imitated but never bettered.

    “It is not blood that makes you Irish but a willingness to be part of the Irish nation” - Thomas Davis



  • Registered Users, Registered Users 2 Posts: 4,758 ✭✭✭Ezeoul


    And this response demonstrates exactly why there should be no assumed consent.

    Ultimately, in my view if there is no record of consent (e.g. donor card or driving licence ticked) and no relative can be found to give consent, then the deceased should be buried or cremated intact, as their wishes are not known and should not be assumed.



  • Registered Users, Registered Users 2 Posts: 24,582 ✭✭✭✭One eyed Jack


    You didn’t just say “I hope they pass a law” though (they won’t), the terms and conditions were -

    I hope they pass a law whereby anyone who opts out is automatically placed at the back of the queue when it comes to receiving a donated organ.

    I didn’t say anything about you refusing to be a donor until they do. It was your declaration that those who choose not to donate should be put to the back of the queue (not the way it works).

    It’s not a personal attack or anything, this is exactly the kind of thing I was afraid of. I shouldn’t have to state it either but for context, I volunteered (that’s the key word that’s missing in the legislation), a registered donor since I was 18 and I’m 48 now, regularly donate blood and so on (and that’s a whole story of its own outside the scope of this discussion), have my Medical ID on my phone up to date, and I have no intention of registering to opt out. I detest the idea of anyone who is in need being denied because they failed the donors morality check, or the idea of organ donation being turned into a vehicle for people’s spite, or to give Govt a bloody nose (it won’t, Govt won’t care!), but it sours the whole concept.

    The problems with your idea are just too numerous to even entertain tbh, especially when advances in medicine (which were always inevitable) mean that a transplanted organ can be donated again -

    https://ucla.multimedia-newsroom.com/index.php/2018/04/09/rare-transplant-procedure-could-save-lives-change-field/

    My issue with the legislation, and it’s understandable that it is an issue for other people, is with the idea of deemed consent, as opposed to donation being a voluntary act. The nature of what’s involved means the obligation should be on the State to inform and ask, not the individual who has no interest in organ donation now having to register their disinterest with the State.



  • Registered Users, Registered Users 2 Posts: 31,863 ✭✭✭✭AndrewJRenko


    Meaning that we all would be paying.

    I'm not sure we should have financial incentives for such a sensitive situation. Those families who really struggle with money for funeral and other expenses would effectively be operating under duress.



  • Moderators, Category Moderators, Science, Health & Environment Moderators, Social & Fun Moderators, Society & Culture Moderators Posts: 41,844 CMod ✭✭✭✭ancapailldorcha


    No, it doesn't. If elderly farmers can handle byzantine paperwork and tracking, anyone can opt out of this.

    The foreigner residing among you must be treated as your native-born. Love them as yourself, for you were foreigners in Egypt. I am the LORD your God.

    Leviticus 19:34



  • Registered Users, Registered Users 2 Posts: 4,758 ✭✭✭Ezeoul


    You have stated that you want to conditions applied on how donations are allocated to recipients, that is not based on medical need. That is attaching conditions. That is a change, whether you accept that or not.

    I haven't told anyone other than my immediate family what my own wishes are in relation to donating my own organs. So don't assume. Whether I am a registered donor or not is not relevant to this discussion. (And it's no one's business).

    This is about a change of legislation to assumed consent to organ donation, and I will say it again, I am not comfortable with that. So I will be making sure to discuss the topic again with my family members and friends, so they are all aware of the changes.



  • Registered Users, Registered Users 2 Posts: 8,127 ✭✭✭MrMusician18


    We all pay anyway, and this is only a few hundred people per year. If money isn't an option, then perhaps a doners park where each doner has a tree planted in their memory - symbolising that their generosity lives on. It provides another place for family to remember them.

    I much prefer a situation where families view donation positively rather than a situation where family are simply told what has happened whether they like it or not.



  • Registered Users, Registered Users 2 Posts: 4,758 ✭✭✭Ezeoul


    Sure, you keep thinking that, if it makes you more comfortable.



  • Moderators, Category Moderators, Science, Health & Environment Moderators, Social & Fun Moderators, Society & Culture Moderators Posts: 41,844 CMod ✭✭✭✭ancapailldorcha


    The foreigner residing among you must be treated as your native-born. Love them as yourself, for you were foreigners in Egypt. I am the LORD your God.

    Leviticus 19:34



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  • Registered Users, Registered Users 2 Posts: 1,033 ✭✭✭Yeah Right


    You need to start reading what's being posted properly, it's making things very confusing……you're all over the shop.

    I didn’t say anything about you refusing to be a donor until they do. It was your declaration that those who choose not to donate should be put to the back of the queue (not the way it works).

    I never said anything about refusing to be a donor, that's you getting the wrong end of the stick. You accused me of attaching T&Cs to the act of donation, when I clearly do not.

    You said, verbatim: "declaring that you’re only willing to help your fellow man with terms and conditions attached, is far worse than being unwilling to become a donor". I never declared anything of the sort. And that's you accusing me of something I never did. I do, however, think that receiving a donation should have T&Cs attached, namely "are there any other patients on the list who are waiting on this organ who are registered as donors?".

    I also am well aware this is not how it works, as evidenced by me saying "I hope it changes to this" multiple times.

    I detest the idea of anyone who is in need being denied because they failed the donors morality check, or the idea of organ donation being turned into a vehicle for people’s spite, or to give Govt a bloody nose (it won’t, Govt won’t care!), but it sours the whole concept.

    And I detest the though of anyone getting a life-saving donation ahead of someone else who is more deserving. And yes, if someone is willing to donate their organs then they are more deserving of someone who is unwilling to donate theirs.



  • Registered Users, Registered Users 2 Posts: 5,681 ✭✭✭eightieschewbaccy


    The UK already has this system in place, families are still consulted if there's a possibility of The deceased's organs being used and they can opt them out in effect. So no there's no harvesting where the family are kept in the dark.



  • Registered Users, Registered Users 2 Posts: 4,758 ✭✭✭Ezeoul


    To your mind, maybe. I feel it's overly simplistic.

    As I said, in my line of work I have encountered many people without the literacy skills to navigate even basic things, so I can see this being an issue for more than you might expect.



  • Registered Users, Registered Users 2 Posts: 4,598 ✭✭✭jacool


    Good to know. As someone above said "Its a no-brainer".



  • Registered Users, Registered Users 2 Posts: 1,033 ✭✭✭Yeah Right


    You have stated that you want to conditions applied on how donations are allocated to recipients

    Correct. (this already happens, by the way. Every day, with every organ).

    that is not based on medical need

    Incorrect. I had hoped that "all other things being equal" was taken for granted, yet here we are.

    That is attaching conditions.

    To allocation of the donated organ. Not to donation. The accusation was "you’re only willing to help your fellow man with terms and conditions attached". I'm not. I'm already donating indiscriminately. I said I hope that this change happens, but, even if it doesn't, it won't change anything. I'll still carry my donor card. And I'll still be willing to help my fellow man unconditionally. Unlike you, who refuses.

    That is a change, whether you accept that or not.

    A change to what? To the donation process? No, it's not. To the allocation process? Yes, that's what I hope happens. It still doesn't mean I'm only willing to help people with T&Cs attached. I'm already helping people before that change comes in, completely disproving his assertion.

    Whether I am a registered donor or not is not relevant to this discussion. (And it's no one's business).

    The discussion is about who should, and should not, be prioritised when it comes to organ transplants. I'm saying donors should be prioritised (when all other things, including medical need are equal) over those who say no. It is entirely relevant to this discussion. If there is a list of people who are all eligible for organ X, those who are registered donors should be front of the queue, IMO, ahead of those who aren't. If you're not comfortable giving yours then you should be passed over for those who are.

    This is about a change of legislation to assumed consent to organ donation, and I will say it again, I am not comfortable with that. So I will be making sure to discuss the topic again with my family members and friends, so they are all aware of the changes.

    And I am uncomfortable with you receiving a donated organ ahead of someone who is a donor (again, all other things being equal). Being willing to accept a donation while also being unwilling to make one makes you a hypocrite, in my eyes. Make sure your family are all aware of your hypocrisy, while you're at it.



  • Registered Users, Registered Users 2 Posts: 31,863 ✭✭✭✭AndrewJRenko


    Certainly, measures to help people to view it positively would be very helpful, including more frequent sharing of the personal stories showing the very real benefits that result from the programme.



  • Registered Users, Registered Users 2 Posts: 24,582 ✭✭✭✭One eyed Jack


    You need to start reading what's being posted properly, it's making things very confusing……you're all over the shop.

    I read it just fine. In summary you hope they pass a law whereby anyone who opts out is automatically placed at the back of the queue when it comes to receiving a donated organ.

    That means anyone who opts out is placed at the back of the queue. A donor is more deserving in your view than someone who for whatever their reasons chooses not to become a donor.

    That’s your idea of ‘helping your fellow man’.

    It’s an odd one, I’ll give you that.



  • Registered Users, Registered Users 2 Posts: 1,408 ✭✭✭Raichų


    I reckon then you also think smokers should be at the bottom of the list for chemo and cancer treatments yeah?

    Shut them out of the rapid access clinics too- let them join the public waiting list.

    Grow up would you.



  • Registered Users, Registered Users 2 Posts: 1,408 ✭✭✭Raichų


    If someone’s sick enough to need a transplant their organs are unlikely to be suitable for use anyway


    so…



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  • Registered Users, Registered Users 2 Posts: 8,127 ✭✭✭MrMusician18


    The law doesn't stipulate that this consent from family needs to be given. If the reality is that they are going to seek consent then it doesn't actually change or improve donation rates - it's all just window dressing to give the impression of doing something. If it's to change donation rates than family wishes have to be ignored.

    In fact it could reduce donation rates as individuals with a negative disposition towards it will have to make their binary choice and some will choose against it, where family might have gone along with it.



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