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This fourth chapter analyses the first of our body categories: the implicit dispute. An implicit dispute is what happens when a person dies, their body enters a medical research and teaching culture, but informed consent is implied, never documented in full for the bereaved. A lot is therefore left unsaid, and deliberately so. It is normal for these sorts of bureaucratic processes to be very light touch, and to have audit procedures that look robust, but are the opposite. The aim being to make it a difficult logistical task to track at the time, or retrace later, exactly what is happening, or has happened, to human material once it enters a system of body supply. Even an insider might not know who exactly had shared a body and body parts, and what scientific studies these relate to. Those grieving thus never got an opportunity to make an informed choice. They are given the impression at the time of a loved one’s death that informed consent existed, when it did not. Instead, it was often implied, particularly by those staffing large teaching hospitals like St Bartholomew’s Hospital in London: our central focus.

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4 - Implicit Disputes

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4 - Implicit Disputes

Summary