Organ
Transplants
Bishop Serapion
The human body consists of a group
of organs. Some of these are vital organs, i.e., the human cannot live without
them. Examples of such organs are the liver, the brain, the heart, the lungs,
the kidneys and the pancreas. Humans can live without eyes, for example, but
they cannot live without a liver. Certain diseases can cause functional failure
in one or more of the vital organs, and this leads to death.
With the scientific developments in
the field of surgery, anesthesia, and immunology, the human mind was able to
overcome the problem of many vital organs functional failure. This is
accomplished by transplanting a healthy organ from a living person, or from a
person who has just died, into the patient’s body. Thus, we hear of the
transplantation of a heart, a liver, a kidney, and other such organs, which
saves the lives of many people who otherwise would have died. Although organ
transplantation gives hope to a lot of people, yet it has raised many
questions. Some of which are:
A. Does interception to save a
person’s life constitute interference with God’s will?
According to His Holiness Pope
Shenouda III, "saving a person’s life does not contradict religion,
neither does making use of modern science for preserving human life contradict
religion. Science itself is a gift from God, and the human mind is also a gift
from God. Thus it can be used to do good or evil."
Scientific development in this field
is a result of the human mind, given to us by God; He gave us the mind to use
for the benefit of our life. Besides organ transplantation, there are other
things which save many people’s lives, e.g. the discovery of some drugs, such
as antibiotics, has also saved the lives of many people who were near death. Moreover,
organ transplantation does not guarantee that the patient will live; he might
die after the transplantation. This is left to God’s will.
B. Is it permissible for a
person to sell his organs?
God gave the human body a special
dignity, "do you not know that your bodies are members of Christ
himself?" (1 Cor13: 15), and "do you not know that your body is a
temple of the Holy Spirit, who is in you, whom you have received from God? You
are not your own" (1 Cor 6:19). Therefore, human organs are not for sale
since they belong to God. However, God asks us to love one another and show our
love in deed and not only with words, "Let us not love with words or
tongue but with actions and in truth" (1 Jn. 3:18). The epitome of love is
shown when one sacrifices himself for others, "greater love has no one
than this that one lay down his life for his friends" (Jn.15: 13). Thus,
although man is not allowed to sell his organs for profit, yet donating one of
his organs to save a patient’s life is a noble act.
Concerning this point, His Holiness
Pope Shenouda III said, "If love can reach the point of sacrifice, and
sacrifice can reach the point of laying down one’s life, then how easy it is
for the one who lays down his life for others to donate an organ of his body to
save others!"
C. Is it permissible for a
Christian to donate his organ to a non-Christian?
Organ donation is a labor of love
that reaches the point of sacrificing oneself. Christian love is deep and knows
no limits. It is not restricted by differences in religion, beliefs, or
nationality. Christian love that urges a person to donate his organs takes into
consideration the patient’s need and not his beliefs or religion.
D. Is transplanting a dead
person’s organs against his dignity?
In regards to organ transplantation
of a deceased person, His Holiness said, "After death, man’s organs are
eaten by worms, and they are turned into dust. Thus, it is better to make use
of the organs of someone who has left our present world in order to have someone
else live with them, instead of leaving them to be the food of the worms or to
be turned into dust."
The presence of a noble goal behind
transplanting a dead person’s organs gives dignity to the deceased, not the
opposite. Moreover, nowadays a dead person’s body is sometimes autopsied for
scientific purposes in medical schools, or for legal reasons when a criminal
act is suspected as the cause of death. In all these cases, it is not
considered to be against the dead person’s dignity.
We should encourage people to give
instructions regarding the use of their organs after death in order to save
patients’ lives. Due to the fact that it is sometimes difficult to think of
death and to write a will concerning one’s organs, some developed countries
consider every dead person a donor if he does not give other directions. This
is called "hypothetical donation" and it helps in establishing banks
of organs.
E. How can the poor benefit from
organ transplantation?
Organ transplantation, like many
other scientific developments, is very costly, leading many socioeconomic
classes to be classified as poor. In many of the developed countries, medical
insurance covers such operations. As for the developing countries, there is a
need to have a special fund to cover all or part of the expenses of such
operations for the poor. We also need to establish organ banks in order to put
an end to the trade of these organs, which increases the cost of such
operations.
In Egypt, since the early fifties,
corneal transplantation has been successful. A law was issued to regulate
obtaining the corneas of those who have died recently. This made it possible to
establish a bank of corneas making their transplantation affordable. This bank
also supplies the university hospitals with the corneas needed for free
treatment of the poor.
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