Governing organ donation: the dead body, the individual and the limits of medicine
This chapter focuses on governmental dilemmas and practices around the dead body in recent political debates about organ donation. Drawing on a public consultation process initiated by the Joint Committee on Health and Children in 2013 on a proposal to change the organ donation system in Ireland from one based on ‘opting in’, to one based on ‘presumed consent’, this chapter explores the political rationalities that underpinned the construction of organ donation as a ‘problem’, and the ways in which the Irish state has sought to act through its citizens to transform the prevailing cultural attitude to organ donation. The chapter reveals how governmental shaping of people’s subjectivities and dispositions in relation to organ donation was necessarily complex and messy, reflected in the different rationalities articulated in public hearings which invoked ideas about the dead body, the rights of the individual and the family, and the limits to medicine. The chapter draws attention to the significance of counter conducts or forms of resistance in defining and articulating policy problems: thus, whilst the overriding construction of the organ donation problem by the government was one of a scarcity of organs and a low donation rate, counter-discourses pointed to an ineffective and poorly-resourced health system.