Tuesday, February 7, 2012

The Black "Organ" Market


            Illegal organ trafficking is a worldwide epidemic. According to Miracles for Life Worldwide, 19 people die each day waiting for an organ transplant. This may seem insignificant, but every 12 minutes, another person is added to the waiting list. Whether it is a kidney, liver, or heart, these afflicted individuals are involuntarily forced into a life or death situation where finding a replacement organ is the only escape.

            Those hanging on for life face a potential six to seven year wait before a suitable organ becomes available. This state of paralysis is essentially a death sentence waiting to happen. Fortunately for these patients, “the black market is a short term solution” (Goodwin).


            Although laws regarding organ donation are highly monitored, illegal organ activity is not unheard of. The Chinese market is the paramount location for illegal activity. With many small private clinics and hospitals spread throughout the nation, it is difficult for the Chinese government to regular organ trafficking. China’s black market allows patients to acquire a new organ in a matter of weeks, even days. Such speed is unheard of in countries that rely on pure altruistic giving.

Behind Closed Curtains

            The vast majority of illegal organs derive from the bodies of executed criminals that are given the death sentence for even the most minor injustices. According to CNNWorld, “only 11,000 transplant operations…are performed each year…More than 90 percent of those organs come from executed prisoners.” (Chen). The fact that executions of this nature are legal in China makes this type of illicit activity easier to get away with. Amnesty International states that more than 4,500 Chinese prisoners are executed each year with bullet to the back of the head because it preserves internal organs, as opposed to lethal injections.  



            A recent discovery revealed that a kidney from a living donor keeps someone alive for twice as long than one from a cadaver. This revelation gave rise to underground middlemen to seek out impoverished individuals willing to sacrifice organs for monetary compensation. These middlemen transport patients to an undisclosed hospital for a “broker-friendly” surgeon to conduct a series of blood tests to ensure the health of the organs. Before conducting the surgery, the middleman compensates the patients with anywhere from $6,000 to $10,000 cash, and then turns around to sell it anywhere from $100,000 to $150,000, depending on the organ. After swearing to secrecy, the patient is then provided with transportation back home.

Laws and Regulations

            In 1984, China mandated the “National Organ Transplant Act,” which states that organs of executed prisoners “could be harvested if no one claimed the body, if the executed prisoner volunteered to have his corpse so used, or if the family consented” (PrisonOrgans). This law also requires that a national registry is kept for organ matching, and that a federal contract is signed before surgery.

            These laws only facilitate organ trafficking because in China, having a family member in prison is a financial burden. Families of prisoners are indebted to pay for their rent and ‘if the individual is to be executed, the family is to compensate the government for the bullet and to remunerate the funeral arrangements” (PrisonOrgans). Because of these expenses and the shame it brings, families are usually willing to grant execution. This law is useless, as it simplifies the process of obtaining organs illegally.

            In 2007, China made it “illegal for living donors to donate organs, except from spouses or blood relatives” (Moxley). This law only provokes more illegal activity because if patients are unable receive an organ within their family, the black market is their only hope for survival.

            With illegal trafficking persisting, “The Ministry of Health recently announced it would crack down on medical facilities found conducting organ transplants without proper qualifications, levying large fines and ordering the hospitals to conduct institutional overhauls or risk closure. Staff found breaking laws will be stripped of licenses, and officials in charge will be removed and held legally responsible” (Moxley). This constraint is only making it harder for patients to live, which is why these laws must to be reformed.

Solutions

            “1.5 million patients are enlisted on China’s organ transplant waiting list, with the number of registered donor only about 10,000” (Coonan). With the Chinese laws facilitating illegal organ donations and making it hard to donate, I don’t blame the thousands of unregistered voters for not signing up. If monetary compensation is the only incentive donors seek, there is no incentive to donate legally.


            To minimize this illicit activity, I think individuals should receive incentives for signing up as an organ donor on their driver’s license. This will not only provide benefits to the donor, but it will reduce the wait for individuals patiently awaiting for a legally obtained organ.

            Not only will financial incentives be provided to registered donors, but those who voluntarily donate an organ should receive compensation as well. "Other compensation could also be considered, such as tax rebates, medical insurance or tuition wavers for donors’ family members" (Moxley). Reviving a system of voluntary donation is a long-term goal but with these small steps, illegal means of organ donation can be completely eliminated.

          What do you think? Do desperate times call for desperate measures, or should organ trafficking be considered a crime?

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