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Making a case against the murky markets for kidneys
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A victim of kidney theft shows a scar after he was drugged and his kidney excised. Trade in the organ is very rampant in Third World countries, which lack regulatory frameworks.
By Sally Satel (email the author)
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Posted Wednesday, August 12 2009 at 00:00
On kidney issues, there is little to celebrate. According to the International Society of Nephrology, kidney disease affects more than 500 million people worldwide, or 10 per cent of the adult population.
With more people developing high blood pressure and diabetes (key risks for kidney disease), the picture will only worsen.
There are 1.8 million new cases of the most serious form of kidney disease — renal failure — each year. Unless patients with renal failure receive a kidney transplant or undergo dialysis — an expensive life-long procedure that cleanses the blood of toxins — death is guaranteed within a few weeks.
Last year, an Australian nephrologist, Gavin Carney, held a press conference in Canberra to urge that people be allowed to sell their kidneys.
“The current system isn’t working,” the Sydney Morning Herald quoted him as saying. “We’ve tried everything to drum up support” for organ donation, but “people just don’t seem willing to give their organs away for free.”
Carney wants to keep patients from purchasing kidneys on the black market and in overseas organ bazaars.
As an American recipient of a kidney who was once desperate enough to consider doing that myself (fortunately, a friend ended up donating to me), I agree wholeheartedly that we should offer well-informed individuals a reward if they are willing to save a stranger’s life.
If not, we will continue to face a dual tragedy: on one side, the thousands of patients who die each year for want of a kidney; on the other side, a human-rights disaster in which corrupt brokers deceive indigent donors about the nature of surgery, cheat them out of payment, and ignore their post-surgical needs.
The World Health Organization estimates that 5 per cent to 10 per cent of all transplants performed annually —perhaps 63,000 in all — take place in the clinical netherworlds of China, Pakistan, Egypt, Colombia, and Eastern Europe.
Unfortunately, much of the world transplant establishment – including the WHO, the international Transplantation Society, and the World Medical Association – advocates only a partial remedy.
They focus on ending organ trafficking but ignore the time-tested truth that trying to stamp out illicit markets either drives them further underground or causes corruption to reappear elsewhere.
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Posted via web from RoyKing™
Posted via web from RoyKing™