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I don't really get how a religion can see fit to impose their definition of when a person is dead onto their followers. Surely this is evidentially a purely medical issue?
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You don't seem to
get religion. It's not just a basic set of morality together with a bunch of prayers to suck up to god. It's a full judicial system of laws and rules and shit. It's meant to define every part of life, from birth to death. Thus, it has every right to decide when death occurs.
And, I should point out, it's not arbitrary. Extremely intelligent men have spend much time working out the fine detail. What's more, if you went back in time a decade or so, Judaism would completely ban donating. Modern scholars have spent much time and research looking in to those fine details so that they can identify when organ donation is allowable and promote it as an acceptable and respectable deed within the community.