AITAH if I don’t donate my kidney to my dying ex husband?

She carries the weight of a painful past, a marriage born from insecurity and naivety that spiraled into abuse and heartbreak. Five years after walking away from a man she never truly loved, she faces a haunting dilemma: the very man who once caused her pain now reaches out to her in desperation, asking for a kidney to survive.

Torn between the scars of her past and the gravity of a life hanging in the balance, she stands at a crossroads of forgiveness and self-preservation. The choice to save a life is complicated by years of hurt, leaving her to wrestle with the question of whether compassion can overcome the shadows of history.

AITAH if I don’t donate my kidney to my dying ex husband?

The original poster was married briefly and divorced five years ago from a man they never liked; they were younger, insecure, and naive when they agreed to the marriage. The ex-husband turned out to be extremely abusive, leading the poster to leave after nearly a year.

The ex-husband is now dying due to kidney damage resulting from a chronic disease. This condition was predicted for years if he did not stop eating certain foods, which he apparently ignored.

He recently contacted the poster out of desperation and asked if they would donate a kidney. The poster has a rare blood type that matches most donors, and the ex-husband remembered this compatibility.

The poster is conflicted: they want to refuse, but they recognize that a ‘no’ might result in his death, as the transplant list is very long and his health is declining rapidly. The poster questions whether saying no makes them the asshole.

Here’s how people reacted:

Witwebiss

NTA— I’m a nurse, this is not an easy decision and you have the right to say no to the complications that can arise from this procedure.

I am going to climb on a soapbox for a minute and bring up that everyone should make sure you are an organ donor!
No, a hospital will not let you die to harvest your organs.
Your death could help up to 11 lives. As it stands in the US a corpse has more rights then any ovulating female…so please, stop burying life-saving resources.

mrlivestreamer

NTA but here is a difference between opening an old relation and showing the human decency and compassion no just got a man but a father. If he’s asking for a kidney and not a caretaker and reopening the relation I don’t see the problem. Think if the tables were turned and you had kids. Wouldn’t you want him to save your life if be could? NTA because it comes with so many health reasons for you to have the procedure done.
harpsdesire

NTA

You don’t owe your abusive ex your literal body parts.

(If you are worried about how it’s going to go if you refuse, I have heard that you can start the testing process to see if you’re a match, and tell the doctor you really don’t want to donate but don’t feel like you can say no, and the doctor will mark you as “not a match.” You should look into that more if it applies.)

Quelala

Obviously you are not required to donate your kidney. Given the circumstances I wouldn’t say you would be TAH if you decided no. But I’m trying to put myself in your place mentally and I would have a hard time knowing that I could do something to save someone that I loved at one time, (I’m presuming that you loved him) but instead letting them die.
MainEgg320

NTA. A word of advice if you want to avoid drama and guilt tripping.. agree to “see if you are a match”, but while you are alone with the doctor tell them you do not want to do it. They will tell them you aren’t a match regardless if you are or not. This unfortunately happens a lot in families so doctors are well versed in how to handle this.
M_Karli

NTA, don’t do it. Exactly as you said, you have a RARE blood type and I’m assuming it’s one where YOU are a universal donor but need your exact blood type. Not only did he willfully ignore what’s doctors told him he had to do so he’s likely to keep on like he has been, what happens if for some reason you lose function of the remaining kidney?
BlackLotus0991

NTA. I mean you could go in toget tested and just tell tell the doctor that you do not wish to donate and they will say you’re not a match. Or you can block his number and forget about it.

No one can force you, and you never have to give an abuser anything. Do what will make it easier for you. Not him.

rialBybbA-18

If my abuser was dying I’d genuinely celebrate because maybe for once I could finally feel safe. I damn sure wouldn’t give him part of my body to prolong his life. He’s now meeting the consequences of his actions. You should block him and forget he reaches out. NTA
inm808

Do you have kids?

NTA either way but if it’s a situation of saving your kids father, they will certainly blame you for his death. Could permanently ruin your relationship. Can’t expect a grieving middle schooler to think logically and clearly in such a scenario

GlassObject4443

NTA. Donating a kidney isn’t a small thing. It’s major surgery with a host of short- and long-term risks. It’s perfectly reasonable to say no to assuming major health risks on behalf of someone who’s been a net negative in your life.
lordtylordt

NTA, not your responsibility. Everybody gets one body, he didn’t take care of his & that has nothing to do with you. Plus he was an abusive partner, why are you even considering helping him lol.
QuirkySyrup55947

NTA

You can go in to be tested. Explain you have no desire to actually donate, but have been pressured. They will state that you are not a match.

hermesorherpes

Physician here. I don’t buy his story. He won’t die from uremia. He can have dialysis instead of asking you for a kidney donation.
EmptyPomegranete

NTA. He’s using this as a way to try and manipulate you back into his life. He can get on a donor list like everyone else.
No_Scarcity8249

There are plenty of people who need a kidney right now that you’re gonna be a match for. Why him? Absolutely fin NOT.
AffectionateAd5373

Donating a kidney is life changing for the donor. The only person I would ever donate to would be one of my kids.
Vegetable_Prune_8349

You’d be the asshole if you donated him a kidney and he got well enough to go and abuse some other woman.

Conclusion

The original poster is facing a severe moral dilemma concerning their abusive ex-husband, who is now terminally ill and has requested a life-saving kidney donation based on their compatible rare blood type. The core conflict lies between the OP’s understandable desire to refuse aid to someone who caused them significant past harm and the potential life-or-death consequences of that refusal.

Given the history of abuse and the OP’s current hesitation, the question remains: Is it morally acceptable to prioritize personal healing and safety by saying no to an organ donation request from an abusive ex-spouse, even if that refusal could lead to their death, or is there an overriding ethical obligation to save a life when the physical capacity to do so exists?

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