I recently had one of those discussions with a friend that runs the course from discussion to debate to argument, and back to discussion. I have a few friends where discussions often get political or moral and someone has to be the devil’s advocate. It’s all just part of the dynamic of the relationship and, oddly enough, in this case, we actually ended up seeing fairly eye-to-eye on the matter.
The discussion actually started with the death penalty, and then moved in a different and unique direction. I looked at the present methods of execution that are commonly used in jurisdictions that have capital punishment and considered how many of them would leave the executed prisoner’s organs permanently damaged, whether from poison or from decay immediately following death.
I then proposed that prisoners on death row should be given the option of choosing a method of execution that would allow their organs to be harvested and transplanted to needy recipients. A more extreme alternative would involve harvesting the organs regardless of the prisoner’s choice, but we didn’t go too far down that moral road.
Anyway, giving prisoners this option seemed like a good idea because not only would it allow 6 or more other lives to be saved from functional hearts, lungs, livers and so on… But it would:
Allow prisoners an opportunity to atone for their crimes in a productive way.
Allow prisoners to feel their upcoming death had a purpose and give what is certainly a horrific experience some small measure of positivity.
Also permit organ recipients to withdraw from the waiting list for death row organs if they so desired.
THE NEED FOR ORGANS
The discussion then turned to suicide, and we examined the methods commonly employed, whether they be gunshots, hanging, jumping, toaster in the bathtub, whatever. The point was that few or none of these actions undertaken by desperate or depressed individuals would allow their organs to be harvested in a usable manner. And who is to say that people who have been pushed to the point of suicide wouldn’t heavily prefer to save other lives on their way out?
In order for organs like lungs, hearts, livers, kidneys or the pancreas (the ones that truly save lives) to be harvested in a way that can help others, they have to be accessed almost immediately upon death. Typically, what is required is brain death, where the person is already lying in the hospital with a beating heart. All that is left is to make it official.
And it is only a very small percentage of deaths that result in the possibility of life saving organ transplantation, hence the overwhelming waiting lists and shortage of organs. It is pretty much a guarantee that anyone who jumps from a bridge or cuts their wrists will not have organs that could help anyone by the time their bodies are discovered or retrieved.
The question became, what if there was a way for people, who are hell bent and adamant about taking their own lives, to provide their organs to the needy? Would this be an alternative or a system worth pursuing?
THE BENEFITS OF A SUICIDE ORGAN DONATION SYSTEM
The motives a person would have for such an extreme action as suicide could cover a very wide range. Some people might hate the world, in which case, they may have little interest in helping strangers. But others may simply be catastrophically depressed, or have suffered great loss or seemingly irreparable damage to their future outlook.
There is no reason why it can be assumed that such people would not vastly prefer to save the lives of others with organs they would no longer need if they are ultimately going to make the tragic decision to take their own lives.
Furthermore, one of the greatest concerns of suicide victims (as often evidenced by the content of their notes) is the pain they may cause to the loved ones they leave behind. While the suicide of a loved one must be an almost impossible event to accept, it may be of some assistance in the healing process for those left behind to know that their loved one’s death did help save other lives, perhaps half a dozen. This knowledge has been known to be helpful to family members of people who die by other means resulting in organ donation.
As well, another moral side issue that we didn’t travel very far down involved the possibility of compensation for these organs from a government fund, which would be helpful in dealing with funeral and future expenses. It would naturally be important, however, not to provide incentives for people who might be undecided to cross the line toward suicide.
Regardless, it must, almost be definition, be the case that the last portion of one’s life before summoning the will to take his or her own life is an extremely sad and horrendous time. If that decision has been made and is inevitable, perhaps the knowledge that there was a means through which they could help others would make their last days, hours or minutes somewhat more palatable.
CONCERNS WITH A SUICIDE ORGAN DONATION SYSTEM
The greatest concern seemed to be that society would be legitimizing suicide as a reasonable solution to one’s problems, something it has always been loathe to do. However, it is also our job as a society to recognize reality, and suicide always has been and always will be one of the leading causes of death. If there is a way to make a horrible event somewhat less horrible, and save lives in the process, at a minimum it warrants some examination.
As well, as previously mentioned, the last thing such a system should do is make suicide a more attractive option for people who still may (hopefully) decide that it is not the solution for them. The last thing anybody would want is an increase in suicides that would not otherwise occur.
Finally, there would be some logistical concerns in implementing a system that allowed for those who are insistent on ending their lives to do so in a manner that allowed them to donate their organs. The particular method and location would have to be suited for this purpose. Surgeons would have to be given prompt notice – perhaps even required to be present for the suicide – and some doctors might be placed in a situation that created moral issues for them.
As a possible positive side effect, however, the extra planning and structure involved might actually deter people from committing suicide. If a potential suicide victim was seriously contemplating the organ donation scheme, he or she would no longer be able to simply do the deed on a whim when they are having a particularly bad day. They would have to plan ahead a little bit for the organ harvesting process, during which time, they may have an opportunity to reconsider things or benefit from a stabilized mood.
MY PERSPECTIVE
I am going on the record as stating that I support such a system. At the very least, it should be studied and explored. The potential exists to save countless human without losing any more than we were going to already. As well, it is possible to give a horribly distraught segment of our population something to feel better about, whether it is their own impending death or the tragic loss to suicide of someone they loved.
The idea sounds difficult to stomach at first. But if we, as a society, have the potential to save lives – quite possibly the lives of children in desperate need of organs – then it is immoral not to explore such an option merely because it seems…icky.
ARTICLE CONTINUED: Part 2: Give These People Some Credit
ARTICLE CONTINUED: Part 3: Some Practical and Moral Considerations