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.

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.
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?
Here’s how people reacted:
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.
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.)
No one can force you, and you never have to give an abuser anything. Do what will make it easier for you. Not him.
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
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.