INTO THE JAWS OF YAMA, LORD OF DEATH: BUDDHISM, BIOETHICS,
AND DEATH. By Karma Lekshe Tsomo. Albany: State University of New York Press,
2006. Pp. 270.
An anecdote recounted in this work gives an insight into the present state of Buddhist bioethics. The author relates how she asked the spiritual director of a Tibetan centre in Honolulu whether he thought it was a good idea to donate one's organs at the time of death. He immediately replied in the affirmative. When asked if the removal of the organs would disturb the dying process, he responded that it would be okay since the doctors could "wait for a few days." On being informed that the organs had to be removed immediately to save the life of the recipient he "expressed alarm" and changed his mind, advising that for an ordinary Buddhist practitioner organ donation might not be advisable after all (p. 160).
The fact that Tibetan lamas are giving ethical advice on organ donation without even a layman's knowledge of the medical procedures involved suggests that Buddhist teachers have a lot to learn about adapting traditional teachings to modern contexts. If the problem were simply that many lack scientific knowledge, this could probably be resolved in the short to medium term. The deeper problem, however, is that Buddhism as a tradition lacks the ethical infrastructure needed to address moral dilemmas, particularly those of the complex kind presented by contemporary scientific and medical developments. Despite their undoubted acumen in certain branches of philosophy (notably metaphysics), Buddhist thinkers of the past have consistently failed to probe the moral foundations of their teachings or to establish a theoretical foundation in terms of which moral dilemmas can be analyzed. Not a single treatise on moral philosophy was produced by any of the classical scholars cited in this volume as authorities. Not surprisingly, the legacy of this neglect is that the voice of Buddhism has been almost completely silent …
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