organ procurement

Wesley J. Smith appeared on the Three Whisky Happy Hour Podcast to discuss the threat to human exceptionalism and dignity posed by assisted suicide and the nature rights movement. Smith speaks about how he became involved in advocating against assisted suicide in the 1990s and how his work has expanded to include bioethics. The conversation also includes topics such as voluntary stopping eating and drinking, medical conscience, how organ procurement is becoming an incentive for pushing assisted suicide, the acceptance of infanticide, and more. Read Smith’s piece, “The Whispers of Strangers,” published at Newsweek in 1993.

The late Fr. Richard John Neuhaus famously wrote that bioethicists “professionally guide the unthinkable on its passage through the debatable on its way to becoming the justifiable until it is finally established as the unexceptional.”

He was right. Radical bioethical policies don’t just appear like magic out of the ether. Controversial—even pernicious—ideas are often debated in bioethics and medical journals where few among the public ever see them. Then, if a general consensus is reached within the field, policies once considered “unthinkable” are “suddenly” elevated into the justifiable and become unexceptional public policy.

Here are just two examples. Legalizing assisted suicide was once way beyond the pale. Then, bioethicists began arguing in favor of such laws, after which hastened death became debatable, then justifiable, and now, in many jurisdictions, so unremarkable that many thousands of people have died by that method.

Say what you will about Health and Human Services Secretary Robert F. Kennedy Jr., but he definitely cares about ensuring that organ transplant medicine remains ethical, and unlike many government functionaries, he and his department are actually doing something about it. Thus, on the back of Medicare decertifying a Florida organ procurement organization for cause in 2025, the government is now decertifying the Network for Hope that operates in Kentucky and a few other states.

The government warned the network last year that its procurement procedures were ethically deficient. But the organ procurement organization never cleaned up its act despite knowing it was being scrutinized, including, apparently, for seeking to procure organs from people who had not died.

The unethical cases involve a procedure sometimes known as heart death (as opposed to brain death). In a heart-death donation, the donor is usually receiving intensive care. That medical support is withdrawn with consent and if cardiac arrest occurs — sometimes it doesn’t and the patient is then to be returned to care — after three or so minutes the patient is declared-dead because cardiopulmonary function has irreversibly stopped. After that, the procurement commences.

Once someone is considered killable or supported in suicide, they may become objectified so as to be used instrumentally. Such is the case with people requesting to be euthanized. The idea is that they are going to die anyway, want to die — even as they do not receive suicide prevention — so we might as well get good use out of them such as by conjoining their hastened deaths with organ harvesting. This abandonment (in my view) is rife in Canada, where in Ontario, a patient approved for a lethal jab will soon receive a call from the organ procurement society asking for their organs. The Netherlands and Belgium also permit conjoining organ harvesting — including of mentally ill Read More ›

I welcome Lawrence Masek’s response to my criticism of his journal article. I am sorry he didn’t appreciate my perspective, but I take nothing back.

Let’s start with a matter of little importance. Masek claimed I said his article would curl your toes. No, I wrote that I cover articles published in the professional journals because “some” of them would. Whether your digits react to his effort thusly is a matter for you to decide.

As to the substance of his rebuttal, Masek claims at great length that the dead donor rule, which forbids killing for organs, would also prohibit many common interventions in clinical medicine as “suicide.” He writes:

Permitting lethal organ procurement would enable patients to commit suicide by donating their vital organs, but the same is true of permitting lethal palliation and the refusal of life support.

This is verifiably untrue. Dying from a side effect of an ethical medical treatment like palliation is not suicide any more than a patient dying during heart surgery is euthanasia.