The Kingdom-Driven Family

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People have varying degrees of understanding when it comes to organ transplantation and organ donation. One of the reasons for ignorance on the part of many is that they have been highly influenced by the media propaganda which serves to make this industry, and I deliberately used that term, look altruistic, humane, and what good people would support.

The following letter, written by a physician and a nurse reveals relevant facts about this issue that all should consider. When “informed consent” is promoted on almost all fronts, isn’t it interesting that in this area it is not only not the norm, but deliberately so.

From “Respect for Human Life: Life Death and Medical Meaning

June 8, 2023 

Transmitted Via Email 
Honorable Sam Thumma 
Professor Nita Farahany, Esq. 
National Council of Uniform Law Commissioners 

Dear Commissioners: 

Heidi Klessig, MD, and I, Christopher W. Bogosh, RN-BC, B.Th., represent Respect for Human  Life, a patient advocacy organization. We are writing to take strong exception to the proposed  revisions to the UDDA, which will further erode the civil rights of vulnerable patients with brain  injury. 

Specifically, changing the requirement from “irreversible” to “permanent” will allow still-living  people whose prognosis is death to be declared legally dead, which could be a grave injustice to registered organ donors who never received informed consent about their state of being at the  time of the harvesting of their organs (i.e., their heart is still beating, their lungs are aerating,  often parts of their brain are still working, and many have been misdiagnosed).  

Further, gerrymandering the critical parts of the central nervous system down to just the  brainstem reflexes, which can be tested at the bedside, is arbitrary and perverse. While we have  all the technology of the 21st century at our disposal, just using the tests available in the 1800s to  make a life-or-death decision is weighing the scales against these helpless people. 

In addition, removing the right to informed consent regarding the apnea test, or even allowing  the apnea test to proceed above the consent of the family or legal surrogate, is a step back to the  worst examples of medical paternalism. Moreover, the apnea test does nothing for the critically  injured patient and only serves unspecified “others” needing organs or to free up ICU beds— both serve the financial interests of medical institutions and not the patient. The apnea test  decreases cerebral blood flow and can cause further brain injury in a traumatized brain. Thus,  removing this right to informed consent will violate the ethical principles of autonomy,  beneficence, and non-maleficence. 

Everyone is a sovereign stakeholder over his right to life. The United States Constitution protects  this God-given right. The interests of “transplant stakeholders” do not supersede the patient’s 

right to self-determination, especially without providing informed consent. Organ procurement  organizations’ deceptive propaganda campaign at DMV sites nationwide is a travesty of justice  since these organizations do not disclose all the facts. Notably, organ donors are pronounced dead based on the legal fiction of the flawed Uniform Determination of Death Act (UDDA) and  do not meet the Dead Donor Rule (DDR). Registered organ donors give the gift of their own  lives to benefit several strangers, while “transplant stakeholders” rake in billions from Medicare  and Medicaid. The interests of others who may want our organs do not supersede our right under  the law to informed consent and then to self-determination after all the facts of potential or actual  medical intervention are disclosed.  

It is paramount, to quote D. Alan Shewmon, MD, and 107 experts in medicine, bioethics,  philosophy, and law: “People have a right not to have a concept of death that experts vigorously  debate imposed upon them against their judgment and conscience; any revision of the UDDA  should therefore contain an opt-out clause for those who accept only a circulatory-respiratory  criterion.” 

We respectfully request that the revisions to the UDDA be dismissed. If the proposed revisions  proceed, we insist that an opt-out clause be included to protect the patient’s right to informed  consent and self-determination. 

Sincerely, 

Christopher W. Bogosh, RN-BC, B.Th.

****

After reading this, you might find my interview with Dr. Klessig helpful.
https://chalcedon.edu/resources/audio/how-should-a-christian-view-organ-transplants-ep-210-guest-heidi-klessig-m-d

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