Donavan Quek, 19

Topic: Positive impact of one's donation across different levels of society

Award: Special Mention, Open Category, 2024

Kindling Hope: An Individual’s Selfless Willingness

Tucked within the bustling pulse of the Lion City, a quieter drama unfolds. It is a story whispered in hospital corridors, etched in tear-stained donor cards, and resonating in the hushed gratitude of second chances gifted. It is the story of organ donation. From the sterile silence of hospital wards to the jubilant crescendo of second chances, organ donation paints a poignant portrait of human interconnectedness. An act of profound generosity that shatters the boundaries of self and ripples outwards, reshaping the very fabric of Singaporean society.

While the city pulsates with economic might and cultural richness, beneath the dazzling veneer lies a silent drama – the agonising waits for life-saving organs. Nearly 700 individuals stand poised on the precipice, each breath a tenuous hold against the encroaching tide of organ failure . The wait for a kidney, a gateway to a future measured not in years but in agonising decades, stretches to five, sometimes ten, years . When utilising Horton and Horton's framework to consider one’s willingness to donate, it is revealed that every donor does not come by easily . The low supply of donors and high demand for organ donors greatly amplifies the impact of every organ donor. As such, each donor is a precious one, no matter their small numbers, this ‘little spark’ is a silent moving force in our society.

Prima facie, the benefits patients receive from their donors are numerous. A little spark can most certainly light up another’s world ever so brightly. Take for example the inspiring case of Mei June : June tragically passed away in 2022, but her legacy of generosity lived on when her family, honouring her wishes, opted for organ donation – saving the lives of six different patients. This selfless act demonstrates the profound impact a single donor can have. June's story is a beacon of hope, not just for the six recipients who received her organs, but for the countless lives they will touch in turn. Each organ recipient receives is a precious gift: a second chance filled with endless opportunities which may lead to many positive actions. Perhaps a transplant recipient who volunteers at a transplant hospital inspires others to become donors—their actions honour June's legacy by increasing awareness and saving further lives. As cliche as it may sound, June serves as an example for others. Increasing the number of possible donors gives hope to all the people who need a transplant that could save their lives. Numerous people will be able to feel the joy of life, effect positive change, and hold the potential to impact countless lives in both unfathomable and unforeseen ways.

Yet, the spectre of self-preservation whispers doubts. Should one’s own life, one’s dreams of possibly carrying one’s grandchildren or playing mahjong under a banyan tree, be surrendered to this invisible bridge of love? This struggle speaks to the age-old philosophical inquiries – where does altruism end and self-preservation begin? From a donor’s standpoint, the physical risks of donating, though statistically low, are real. There is a small chance of complications during surgery wherein 3 in approximately 10000 donors die during surgery . Moreover, some donors experience long-term health concerns like high blood pressure or kidney disease . Women considering donation may even face a slightly increased risk of preeclampsia during pregnancy. Additionally, some careers and insurance options might become more challenging after donation. The eventual decision, whether to step onto the path of selflessness or remain anchored in the safe harbour of self, will reverberate within the moral compass of the community – reminding us that the act of giving demands not just courage, but profound philosophical reckoning. Where one balances the possibility of giving up something personal against the priceless gift of life given to another.

While the physiological cons of organ donation from the donor’s standpoint are undeniable, it is only the understanding of such physical risks that intensifies and grounds a donor’s act of love as a testimony to their high moral standing. To produce such actions with the knowledge of the disadvantages of donating only serves to make them more worthy of our praise. Organ donation, however, is not just a personal or communal tapestry. It is the core of our nation’s societal progress. In a nation built on pragmatism and economic prowess, the quiet surrender of an organ is witness to a defiance against utilitarianism – a celebration of the human spirit that transcends logic and profit. Each donated organ illuminates a path towards a society where compassion outweighs calculation, where the value of a life is measured not in dollars, but in quiet breaths shared.

Beyond the deeply personal stories of second chances and ethical dilemmas, the true societal impact of organ donation in Singapore unfolds on a broader stage, echoing across the levels of community, economy, and national identity. It catalyses change, changes in the moral standing and mindset of the collective where each donated organ brings forth profound consequences.

At the community level, organ donation ignites a chain reaction of empathy, forging unexpected bonds that bridge social divides. The act of selfless giving shatters cultural and class barriers, reminding us that the gift of life knows no boundaries. This resonates beyond individual acts, as communities coalesce around the shared cause, fostering a sense of collective responsibility and shared humanity. Support groups and educational initiatives will be able to come together in solidarity, where the ripples of individual generosity merge into a powerful wave of societal understanding and connection. This tightness in our bonds and close-knit relations is fundamental to building a society flourishing in love.

On the economic stage, organ donation plays a surprising yet impactful role. Though the economic advantages of organ donation might not be the strongest argument for the good deed, successful transplants translate into increased workforce participation and a strengthened public health system. Businesses thrive thanks to healthier employees, and the nation benefits from a more resilient workforce. Furthermore, the burgeoning transplant industry fosters innovation in biotechnology and pharmaceuticals, propelling Singapore's position as a medical hub. This economic impact is not merely a byproduct of individual lives saved; it becomes a catalyst for collective prosperity and progress.

But the most profound transformation might lie in the realm of national identity. Singapore, often characterised by its pragmatic efficiency and economic strength, is sometimes perceived as lacking in emotional depth. We have always heard of our society being described as hauntingly competitive and workplaces are ‘dog eat dog’ rings which commences as early as our schooling days. However, the act of organ donation reveals a deep well of compassion and solidarity within the nation. This reframes the Singaporean story, showcasing a society not just driven by logic and progress, but also by a profound capacity for empathy and humanity. This shift in national identity has far-reaching consequences, fostering a more inclusive and compassionate society.

However, navigating this complex issue demands a nuanced approach. Cultural anxieties and ethical concerns must be addressed with sensitivity and open dialogue. Religious reservations need to be met with respect and a willingness to accommodate diverse beliefs in our multi-racial, multi-religious society. The ever-present challenge of organ scarcity necessitates innovative solutions, exploring avenues like living donation and fostering public discourse around potentially contentious ethical frameworks. These whispers of cultural anxieties, religious hesitations, and the stark reality of waiting lists longer than one’s lifetime. These, too, must be confronted, their presence a stark reminder of the need for a system that amplifies the small spark of altruism into a blazing inferno that illuminates all corners of need.

To unravel the societal impact of organ donation in Singapore is to embark on a philosophical pilgrimage. Navigating the intricate weave of individual struggles, communal resonance, and societal progress, organ donation is a story etched in second chances, whispered in ethical quandaries, and painted on the canvas of a nation grappling with the very essence of human compassion. Each donated organ is a ripple in this Lion City's pulse, a testament to the quiet rebellion against mortality, and a reminder that in the act of giving, we not only rewrite individual narratives but also weave a more vibrant, hopeful narrative for the society we share. This story, however, remains incomplete, urging us to confront the ethical and practical challenges head-on, for only then can we truly amplify the spark of altruism and ensure that every life has the chance to dance, laugh, and live, under the vibrant sun of our nation.

1. The Straits Times (2001), “Still Waiting for an Organ,” (February 18), 25.

2. The Straits Times (2000), “Singaporeans Pay for China Death Row Kidneys,” (December 13),

3. For a high willingness for one to donate requires for them to have values of altruism, a positive attitude towards organ donation and a spiritual belief that does not deem organ donation apprehensible (Lwin, et al., 2002). These criteria makes every donor terribly invaluable and the source of organ donation sparce.

4. Live On | True Stories. (n.d.). https://www.liveon.gov.sg/true-stories.html

5. United Network for Organ Sharing. (n.d.). Pros and cons for a living donor. UNOS Transplant Living. Retrieved April 26, 2024, from https://transplantliving.org/kidney/pros-and-cons-for-a-living-donor/

Disclaimer: Please note that the views and opinions expressed in the essays for the Live On Festival 2024 are those of the participants and are not endorsed by the National Organ Transplant Unit (Ministry of Health).

To learn more about organ donation and organ transplantation in Singapore, please visit www.liveon.gov.sg