Organ Trafficked

Trafficking for Organ Trade

While it is commonly believed that trafficking only takes places for commercial sexual exploitation or for forced labour, trafficking in fact takes many forms such as trafficking for forced marriage and trafficking for organ trade among others.

Trafficking in organs is a crime that occurs in three broad categories. Firstly, there are cases where traffickers force or deceive the victims into giving up an organ. Secondly, there are cases where victims formally or informally agree to sell an organ and are cheated because they are not paid for the organ or are paid less than the promised price. Thirdly, vulnerable persons are treated for an ailment, which may or may not exist and thereupon organs are removed without the victim’s knowledge. The vulnerable categories of persons include migrants, especially migrant workers, homeless persons, illiterate persons, etc. It is known that trafficking for organ trade could occur with persons of any age. Organs which are commonly traded are kidneys, liver and the like; any organ which can be removed and used, could be the subject of such illegal trade.

Trafficking in organ trade is an organized crime, involving a host of offenders. The recruiter who identifies the vulnerable person, the transporter, the staff of the hospital/ clinic and other medical centres, the medical professionals, the middlemen and contractors, the buyers, the banks where organs are stored are all involved in the racket. It is a fact that the entire racket is rarely exposed and therefore, the dimensions are yet to be appropriately fathomed.

Several International standards are in place on trafficking for organ trade:

a. The UN Protocol to Prevent, Suppress and Punish Trafficking in Persons
includes “organ removal” and its subsequent sale as an end purpose of trafficking. Article 3 of the UN Trafficking Protocol that defines trafficking in persons, clearly includes trafficking for the purpose of removal of organs.

b. Optional Protocol on the sale of children, child prostitution and child pornography (2000) to the UN Convention on the Rights of the Child (1989)
This protocol states that the sale of children for the purpose of transferring their organs for profit should be a criminal offence.

c. World Health Organization (WHO)
The Guiding Principles on Human Organ Transplantation (1991) of WHO state that the commercialization of human organs is ‘a violation of human rights and human dignity’.

d. An Additional Protocol to the European Convention on Human Rights and Biomedicine Concerning Transplantation of Organs and Tissues of Human Origin (2002) prohibits organ and tissue trafficking, deriving a financial gain or comparative advantage from the human body and its parts and calls on States to provide appropriate sanctions for such trafficking.

The response to trafficking in organ trade has more or less been lacklusture. Considering the serious health implications and the severe human rights violations of the vulnerable victims, it is essential that this issue gets the desired attention. This requires several steps including the following:

Appropriate laws in sync with the UN Protocols and principles.
Stringent law enforcement against all those involved.
Training and orientation of the law enforcement agencies as well as the medical staff who are likely to be drawn into the commission of the offence, especially for want of the dimensions of the crime.
Awareness generation of the vulnerable sections.
Public awareness posters and display boards, etc. to be made mandatory at the health centres, where health care is ordinarily provided.Illegal organ trade[edit]
According to the World Health Organization (WHO), illegal organ trade occurs when organs are removed from the body for the purpose of commercial transactions.[22] The WHO justifies these actions by stating that, “Payment for…organs is likely to take unfair advantage of the poorest and most vulnerable groups, undermines altruistic donation and leads to profiteering and human trafficking.”[23] Despite these ordinances, it was estimated that 5% of all organ recipients engaged in commercial organ transplant in 2005.[24] Research indicates that illegal organ trade is on the rise, with a recent report by Global Financial Integrity estimating that the illegal organ trade generates profits between $600 million and $1.2 billion per year with a span over many countries, including but not limited to

Balkan Region
Brazil [25] [26] [27] [28]
Canada [23]
China [29]
Costa Rica [30]
Eastern Europe
Equador [31]
Georgia [32]
Haiti [33] [34]
India [35]
Israel [36] [37]
Mexico [38] [39]
Peru [40]
Philippines [41]
South Africa [42] [43]
Turkey [44]
United States of America [45] [46]
United Kingdom
Criminal networks increasingly engage in kidnapping of people, especially children and teens, who are then taken to locations with medical equipment where they are murdered and their organs harvested for the illegal organ trade. [47] [48]

Poverty and loopholes in legislation also contribute to the illegal trade of organs.[49] Poverty is seen in all countries with a large black market for organs. Legislation is another contributing factor in the illegal organ trade, especially legislation with loopholes. For example, India’s Transplantation of Human Organs Act (THOA) requires that an organ donor must be a relative, spouse, or an individual donating for reasons of “affection.” Often, claims of “affection” are unfounded and the organ donor has no connection to the recipient.[50] Monetary transactions for organs are illegal in India currently, but there are no laws concerning funds given to a spouse. The spousal inclusion provides a loophole for illegal trade; in some cases organ donors marry the recipient to avoid legal penalty.[51]

The international community and national governments have been trying to find stable, ethical systems to deal with the high demand for organ transplants. In 1968, the United States implemented the Uniform Anatomical Gift Act of 1968, which gave individuals the right to donate their organs after their death. Following, the U.S. enacted the National Organ Transplant Act of 1984, which established a national online registry for organ donors and prohibited the buying or selling of organs in the U.S. The most recent efforts of the United States to combat high organ demand include the revision of the Uniform Anatomical Gift Act in 2006 and the 2007 Charlie W. Norwood Living Organ Donation Act.[22]

Numerous other countries have passed laws aimed at ending illegal organ trade. In 1994, India passed the Transplantation of Human Organs Act, which banned both the sale of human organs and organ transplants between non-relatives. South Africa adopted the Human Tissue Act of 1983, which outlaws the transfer of tissue (including flesh), bone, organ, or bodily fluid in exchange for payment.[50] In May 2007, China adopted the Human Transplantation Act banning organ commercialism.[52]

Prosecuted cases[edit]
Though claims of organ trafficking are hard to substantiate due to lack of evidence and reliable data, cases of illegal organ trade have been tried and prosecuted in the past. 42% of organs are from illegal human trafficking[53]

In 1993, Bombay police exposed a kidney sale and transplantation operation run by a man known as Santosh Raut. Eleven people, including Raut and two nephrologists, were arrested, but Raut managed to escape capture. Authorities believe that Raut went on to establish similar illegal kidney centers across many Indian cities. In February 2008, another kidney transplant center, run by a man called Amit Kumar, was discovered by police in Delhi and nearby Gurgaon. Due to technological advances in fingerprinting, Kumar and Raut are now believed to be the same perpetrator, who has gone by many aliases throughout years of illegal activity. In addition to the two instances mentioned above, Kumar alias Raut is facing charges for his decades of involvement in illegal organ trade, which includes over 600 kidney transplants and the involvement of at least two hospitals.[15]

In November 2010, the South African National Direct of Public Prosecution found St. Augustine’s Hospital, owned and operated by the private company Netcare Kwa-Zulu (Pty) Limited guilty of 102 counts of activity relating to illegal kidney transplant operations. Convicted along with the private company were four transplant doctors, a nephrologist, two transplant administrative coordinates, and a translator. The charges against the parent company, Netcare, and its CEO Richard Friedland were dropped in order to obtain an admission of guilt from the hospital. The private company pleaded guilty to 109 illegal kidney operations performed on Israeli, Romanian, and Brazilian citizens between June 2001 and November 2003, including five minors. These citizens received cash following their surgeries, while the private company was paid up-front for its involvement in the operation.[54]

In 2007 a man in the United Kingdom became the first person convicted under the Human Tissue Act 2004 by trying to sell his kidney online for £24,000 in order to pay off his gambling debts.[55]

Levy Izhak Rosenbaum of Brooklyn was arrested in July 2009 for conspiring to arrange the sale of an Israeli citizen’s kidney for $160,000 to an undercover FBI officer.[citation needed] According to the complaint, Rosenbaum had said that he had been involved in the illegal sale of kidneys for 10 years. Acting US Attorney Ralph Marra said “His business was to entice vulnerable people to give up a kidney for $10,000 which he would turn around and sell for $160,000”. Anthropologist and organ trade expert Nancy Scheper-Hughes stated that she had informed the FBI that Rosenbaum was “a major figure” in international organ smuggling 7 years ago, and that many of Rosenbaum’s donors had come from Eastern Europe. She also heard reports that Rosenbaum held donors at gunpoint to ensure they donated their organs.[56] Rosenbaum was arrested and pled guilty to organ trafficking in 2011.

In April 2010, six Israelis were charged with suspicion of running an international organ trafficking ring and breaking promises to donors to pay for their removed kidneys.[57] According to police, one of the arrested suspects is a retired Israeli army general. The traffickers offered up to $100,000 per kidney, but in at least two cases didn’t pay the donors after the organs were surgically removed, police said.[57]

In November and December 2010, Israelis and a Turkish national were reported to be involved in organ trafficking in Kosovo.[58][59]

In 2013 “an international panel of judges from the European Union Rule of Law Mission in Kosovo”[60] convicted 5 people for illegal organ trade.

In 2014 an alleged member of the Mexican Knights Templar cartel was arrested for the kidnapping and deaths of minors. Children were found wrapped in blankets and stuffed in a refrigerated container inside a van. Various accounts have stated the individual is part of a network that kidnaps and kills minors after which their organs are removed. Other sources of income are drug trafficking, extortion, illegal mining and illegal logging. [61] [62]

Media portrayal[edit]
Illegal organ trade and organ trafficking have been depicted throughout the years in the media. The 1977 fictional novel Coma by Robin Cook, made into a movie by Michael Crichton, tells of unsuspecting medical patients who are put into a coma in order for their organs to be removed. Similarly, the 1993 book The Baby Train by Jan Brunvand reveals the mythical story of a man who wakes up in his hotel room with a missing kidney the night after flirting with a woman at a bar.[53] In addition to books and films, the stories of organ trafficking are often depicted through television, tabloid magazines, emails, and the Internet.[63] Moreover, many of the organ trafficking tales depicted in the media report unsubstantiated claims. An example is the 1993 British/Canadian TV program “The Body Parts Business”, a series of episodes investigating alleged organ and tissue trafficking in Guatemala, Honduras,Argentina, and Russia. The series made many claims about organ trafficking that later proved to be false. One such claim includes the story about Pedro Reggi, in which “The Body Parts Business” reported that his corneas had been removed without consent during his stay in a mental facility. Pedro Reggi later came forward and dispelled this claim by saying that his corneas were still intact, and he was just suffering from an acute eye infection.[63]

Critics[who?] argue that this sensationalized view of organ trafficking, often depicted as an urban myth, delegitimizes the illegal organ trade. They call for increased scientific research for illegal organ trade, so that organ trafficking legends can be replaced by scientific fact. Silke Meyer argues, “Only then will [organ trafficking] be taken seriously by all governments affected and will the results constitute a solid ground for the field of policy-making.”[53]

The Red Market[edit]
In 2011, Scott Carney coined the term “Red Market” to describe a broad category of economic transactions around the human body. Drawing on the concepts black markets, white markets and gray markets he suggests that commerce in body parts is separate because bodies are not commodities in a strict sense. Instead commerce in human bodies needs to account for the ineffable quality of life and creates a lifelong debt between the provider and receiver of the flesh. Straight commerce in human bodies disguises the supply chain and reduces a human life to its meat value. Carney calls for “radical transparency” in the red market supply chain in order to protect its humanness.

His book The Red Market: On the Trail of the World’s Organ Brokers, Bone Thieves, Blood Farmers and Child Traffickers traces the rise, fall, and resurgence of this multibillion-dollar under­ground trade through history, from early medical study and modern universities to poverty-ravaged Eurasian villages and high-tech Western labs; from body snatchers and surrogate mothers to skeleton dealers and the poor who sell body parts to survive. While local and international law enforcement have cracked down on the market, advances in science have increased the demand for human tissue—ligaments, kidneys, even rented space in women’s wombs—leaving little room to consider the ethical dilemmas inherent in the flesh-and-blood trade.

Current state[edit]
According to the most recent Bulletin of the World Health Organization on the state of the international organ trade, 66,000 kidney transplants, 21,000 liver transplants, and 6000 heart transplants were performed globally in 2005.[24] Another article reports that in 2008 the median waiting time for the U.S. transplant list was greater than 3 years (with projections to increase in the next few years), while the United Kingdom reported a lack of organs for 8000 patients, with the rate increasing at 8%.[22] In response to the high demands and long waiting times, the illegal organ trade has been expanding. Currently, it is estimated that about 10% of all transplants occur illegally, with the Internet acting as a facilitator.[64] For 2006, it was estimated that at least 4000 prisoners were executed to supply approximately 8000 kidneys and 3000 livers for foreign buyers.[64] In 2007, 2500 kidney transplants were bought in Pakistan, with foreign recipients making up two-thirds of the purchases.[22] As of 2007, the Voluntary Health Association of India estimates that approximately 2000 Indians sell a kidney every year. And in Canada and the United Kingdom, experts estimate that about 30 to 50 patients illegally purchased organs abroad.[24]

Transplant tourism[edit]
The United Network for Organ Sharing defines transplant tourism as “the purchase of a transplant organ abroad that includes access to an organ while bypassing laws, rules, or processes of any or all countries involved.”[52] The term transplant tourism describes the commercialism that drives illegal organ trade, but not all medical tourism for organs is illegal. Examples include when both the donor and recipient of the organ travel to a country with adequate facilities to perform a legal surgery or a recipient travels to receive the organ of an abroad relative.[52] Transplant tourism raises concerns because it involves the transfer of healthy organs in one direction, depleting the regions where organs are bought. This transfer typically occurs from South to North, developing to developed nations, females to males, and from people of color to whites, a trend that experts say “has exacerbated old…divisions.”[15]

The kidney is the most sought after organ in transplant tourism, with prices for the organ ranging from as little as $1300[15] to as much as $150,000.[52] In fact, reports estimate that 75% of all illegal organ trading involves kidneys.[65] The liver trade is also prominent in transplant tourism, with prices ranging from $4000[66] to $157,000.[67] Though livers are regenerative and thus not fatal to remove from donors, liver donations are much less common due to an excruciating recovery period that deters donations. Other high-priced bodily organs commonly sold in the organ trade include corneas ($24,400) and unfertilized eggs ($12,400), while lower-priced bodily commodities include blood ($25–$337 ), skin ($10 per square inch) and bones/ligaments ($5,465). While there is a high demand, and correspondingly a very high price, for vital organs such as hearts or lungs, transplant tourism and organ trafficking of these parts is very rare due to the sophisticated nature and the state-of-the-art facilities required for such transplants.[67]

Global reaction[edit]
In view of the increasing activity of the illegal organ trade and transplant tourism, the international community has issued many ordinances and declarations against the selling of organs. Examples include the 1985 denouncement of organs for commercial use by the World Medical Authority, the Council of Europe’s Convention on Human Rights and Biomedicine of 1997 and its 2002 Optional Protocol Concerning Transplantation of Organs and Tissues of Human Origin, and the Declaration of Istanbul on organ trafficking and transplant tourism.[50] The World Health Organization has played a prominent role in condemning the illegal organ trade. The WHO first declared organ trade illegal in 1987, stating that such a trade violates the Universal Declaration of Human Rights.[23] In 1991, it approved nine guiding principles for human organ transplant at the 44th World Health Assembly, clearly stating among the guidelines that organs cannot be the subject of financial transactions. On May 22, 2004, these guidelines were slightly amended at the 57th World Health Assembly and are intended for governments.[22] These global initiatives have served as a helpful resource for establishing medical professional codes and a legal framework for the issue, but have not provided or declared necessary sanctions to enforce their decrees.[52]

Declaration of Istanbul[edit]
The Declaration of Istanbul on organ trafficking and transplant tourism, drafted by the international transplant community, defines transplant commercialism, organ trafficking, and transplant tourism[23] and denounces the practices based on violations to equity, justice and human dignity.[64] The declaration aims to invoke and promote ethical practices in organ transplantation and donation on an international level.[23] The declaration is nonbinding, but over 100 transplant organizations support its principles, including countries such as China, Israel, the Philippines, and Pakistan, who have strengthened their laws against illegal organ trading after release of the declaration.[23]

Impact on the poor[edit]
Data from the World Health Organization indicates that the primary group targeted by the illegal organ trade is impoverished individuals in developing nations. In a study of organ donors in India, it was found that 71% of all donors fell below the poverty line.[24] Tales of organ theft usually characterize the victims as unemployed males between ages 20–40 who are seeking work and are taken out of the country for operations.[22] This is seen in the case of Makbuba Aripova, whose husband left Uzbekistan for a job in Canada. Her corpse and those of family members traveling with her were found several days later with missing organs and bags of money believed to be the proceeds from an organ sale.[5] While men feature prominently in anecdotes on the organ trade, impoverished women are also frequent victims.[24] However most data show that women are rarely the recipients of purchased organs.[15]

Reasons for donating[edit]
Considering the poor status of most donors, one of the primary stated reasons for organ selling is to pay off debt.[22] Those who are poorest are frequently seen as more reliable targets for transplant tourists because they are the most in need of money. It has been argued that by providing compensation to donors, the organ trade is helping to lift some people out of poverty. However evidence of this claim is still being debated.[14] In many cases, people who sell their organs in order to pay off debt do not manage to escape this debt and remain trapped in debt cycles.[68] [69] Often people do not make an informed choice to donate their kidneys to strangers, but are forced into doing so due to extreme poverty.[69] It is therefore problematic to establish informed consent when the decision to donate is economically motivated, particularly in unregulated organ markets. The donor’s social conditions are highly important in understanding the motives and outcomes of organ donation particularly in relation to economically disadvantaged organ donors.

In some cases, organs are sold to other family members, either from parents to offspring, or from adult children to parents. This is more frequent in nations where waiting lists are less formal and among families that cannot afford to leave the country for transplants. The trend of younger people donating to their more aged relatives is relatively new, and has been criticized for placing greater value on kidneys from live donors.[70]

Reports by the World Health Organization show decreased health and economic wellbeing for those who donate organs through transplant tourism. In Iran 58% of donors reported negative consequences for their health status. In Egypt, the number rose as high as 78%, and 96% of donors stated that they regretted doing so.[24] These findings are relatively consistent across all countries; those who sell their organs on the market tend to have lower overall health. Substandard conditions at the time of transplant can also lead to transmission of diseases like hepatitis B and C and HIV. The poor health of donors is further exacerbated by depression and other mental illnesses brought on by the stress of donating and insufficient care after surgery.[22][52]

Impoverished donors’ economic outcomes are no better than their health outcomes. In a study of Indian donors, it was found that 96% of donors sold a kidney to pay off debts, however 75% of all donors still had this debt after a period of time.[24] Organ brokers frequently do not pay the full amount promised to the donor. Cash that is received for the donation is often quickly spent on post-surgery care that is not provided by the buyer.[18] In a study of Iran, the only nation that has legalized payment for organs, it was found that 66% of donors reported lower financial status. While the Iranian model does provide better compensation for donors and has subsidized the cost of immunosuppressant drugs, it has been argued that the non-negotiable price of a kidney drastically devalues the donor at the expense of the patient.[22] Donors in all countries often report weakness after surgery that leads to decreased employment opportunities, especially for those who make a living through physical labor.[18]

Scholarly debate[edit]
The issue of organ trade, both illegal and legal, has been and continues to be the subject of much debate from a wide range of scholars representing diverse perspectives. These debates have resulted in many different solutions addressing the high demand for organs and the rise in illicit trading, including but not limited to a free market for organs, increased legislative regulations and sanctions against illegal organ trading, and implementation of “presumed consent” laws for organ donations.[71] These proposed solutions stem from a large field of academic perspectives, discussed below.

Academic perspectives[edit]
Criminal justice perspective[edit]
The criminal justice perspective considers the functioning of organ trade from a legal, judicial viewpoint. Though many statutes regarding organ trade exist, law officials have failed to successfully enforce these mandates. One barrier towards enforcement includes a lack of communication between medical authorities and law enforcement agencies. Often, enforcement officials’ access to information regarding individuals involved in illegal organ transplants is hindered by medical regulations such as confidentiality. Without the ability to review medical records and histories to build an effective case against perpetrators, officials cannot fully enforce organ trade laws.[53] Many critics state that in order to achieve effective prohibition of illegal organ trading, criminal justice agencies must collaborate with medical authorities to strengthen knowledge and enforcement of organ trade laws. Critics also support other criminal justice actions to meet this goal, such as prioritization of organ trafficking with local leveal and legislative bodies, multidisciplinary collaboration in cross-border offenses, and further police training in dealing with organ trafficking crimes.[23]

Economic perspective[edit]
Many scholars advocate the implementation of a free market system to combat the economic shortage of available organs for transplant that helps drive illegal organ trade.[71] This illegal status of organ trade creates a price ceiling for organs at zero dollars. This price ceiling affects supply and demand, creating a shortage of organs in the face of a growing demand.[72] According to a report published by the Cato Institute, a US-based libertarian think tank, the elimination of the price ceiling would eliminate the shortage.[14] However, the idea of organ “scarcity” had been opposed by Ivan Illich and other authors who argued that “scarcity” is an “artificially created need”. There is not a real shortage of organs, but “excess and wasted” organs. Scarcity only exists for some groups of people—those who were denied the organs, and those who could not afford them. So what needs to be regulated, according to these authors, is organs procurement and distribution practices.[73]

Currently, with little incentive to donate an organ approximately 6,000 people die yearly waiting for a transplant organ. It has been argued by David Holcberg that the regulation of organ trade could solve the organ shortage and create safer, fair practices for donors.[74] Supporters of regulation argue that by implementing a regulated market system, prices for organs would actually be lower than current black market values since an increased supply drives prices down. These lowered organ prices could result in a disincentive to engage in black market organ trading, since illegal brokers would have less of a monetary gain. Additionally, the increased supply would result in lower waiting periods for transplant recipient, which would reduce hospital costs.[71]

However, other critics state that such a market would only increase already high prices for organs, creating an imbalance: only wealthy individuals would be able to purchase these organs. They also argue that such a free market system for organ trade would encourage organ theft through murder and neglect of sick individuals for a financial gain. Advocates for the free market of organs counter these claims by saying that murder for money (e.g. cars, jewelry, etc.) already happens; sanctions against such acts exist to minimize their occurrence, and with proper regulation and law enforcement, such incidents in a legal organ trade could be minimized as well.[71]

Medical ethics perspective[edit]
The debate on ethics and morality of organ trade remains a hot topic in today’s society. Everyday, the supporting evidence is changed due to the dynamic nature of our technological advancements in medicine and our understanding of ethics itself.[15] At the moment, although organ trade is illegal in almost all countries, it is still difficult to provide a solid conclusion in the field of business ethics without a bias based on one’s basic beliefs, culture, or religion. Particularly, religion plays a major role in the topic of bodily autonomy in regards to organ trade. Bodily autonomy is defined as the “ability to make choices about how [one’s] body is to be treated by others.”[71] Many religious activists and theorists say this idea of bodily autonomy treats the body as property, which goes against many religious views that the body and self are one entity. Therefore, from a religious stance selling a part of your body is analogous to selling your inner self, or soul, which is regarded as a violation of human dignity in many religious communities [75]

Advocates for bodily autonomy argue that the freedom to make decisions about one’s body does not violate one’s dignity but actually increases a person’s sense of control and empowerment. By exercising their right to choose what to do with their body, they will be further empowered and effectively increase their bodily autonomy. Additionally, advocates of bodily autonomy support their arguments by citing examples of activities in today’s society that pose risks analogous to organ trade. For example, the ability to endanger one’s body by joining the military, acting as a surrogate mother, and/or engaging in medical experiments are all accepted in today’s society fueled by financial incentives. By these standards, they argue, the right to choose whether to sell an organ should be supported.[71]

Legalization of organ trade[edit]
Legalization of human organ trading is opposed by a variety of human rights groups like the Organs Watch, a group established by medical anthropologist Nancy Scheper-Hughes who was instrumental in exposing illegal international organ selling rings. Much like the Organs Watch, the World Health Organization seeks to protect and benefit the poverty-stricken individuals who participate in the illegal organ trade out of necessity.[76] However, the act of selling oneself (or a portion of oneself) for monetary gain is still viewed as a lucrative opportunity.[52] Indeed, much academic debate is leaning towards the decriminalization and regulation of organ trade as a viable solution for organ trafficking.[64]

Proposed solutions[edit]
Several solutions have been put forward to both increase the amount of legally available organs and staunch the flow of illegal trafficking around the globe. Policies of presumed consent have been successful in various countries such as Brazil, the United States, and several nations of Europe. These policies can be either opt-in or opt-out. In a nation with an opt-out policy, consent for organ donation is presumed upon death, although one can choose not to donate by submitting documentation. Research shows a 25-30% increase in the amount of available organs in opt-out countries.[22] In nations with an opt-in policy, like the United States or France, a person may choose to donate their organs during their lifetime. In opt-in countries, families have on occasion succeeded in overturning the decision of the deceased to donate.

Presumed consent programs cut down on organ trafficking in many ways. These laws help increase the amount of available organs, decreasing the reliance of patients on the black market. At the same time, the increased amount of organs cuts the financial cost of a transplant, decreasing the need for medical tourism.[5]

Another method that has been recommended is to enact laws that would hold doctors accountable for not reporting suspected organ trafficking. Medical anthropologist Nancy Scheper-Hughes has written extensively on the issue of doctors knowingly performing illegal operations with illicit organs.[15] While it can be argued that expecting doctors to come forward violates doctor-patient privilege, their legal obligation to the patient, according to Scheper-Hughes, is superseded by public interest in ending alleged medical violations of human rights. If accountability measures were imposed, doctors would be liable as accomplices if they knowingly performed operations with black market organs.[5]

Many in the United States believe that adopting a system for regulating organ trading similar to Iran’s will help to decrease national the shortage of kidneys. By promoting accountability, ensuring safety in surgical practices, employing vendor registries, and providing donors with lifetime care, it has been stipulated the US could adopt similar policies. Arguments have been made that private insurance agencies would be invested in providing such care for donors, as the procedure would become relatively standard given the long waitlist for organs. Alternatively, laws could be enacted that make long-term care an intrinsic part of any donation agreement.[14] By legalizing and incorporating organ trade into the domain of government, poverty could be eliminated and the necessity of a black market for organs would be mitigated.

Online Nursing ProgramsNursing DegreesNursing CareersBlogAbout UsContact10 Truly Shocking Facts About Organ Trafficking
Posted by Site Administrator in Features on Sep 1st, 2009 | no responses
Its rare to find a person who hasn’t heard of the urban legend recounting some poor guy duped into a situation that leaves him awakening in a tub of ice with a message indicating he must call 911 as one of his kidneys has been taken. While that particular story is not true, sadly it is based on some very real and shocking truths about organ trafficking. The unbalanced system of too many people in need of organ transplants and high levels of poverty worldwide have contributed to create a situation that leaves many desperate people willing to do anything to sell or receive illegal organs. Read below to learn ten shocking facts about organ trafficking.

People seized against their will. According to a book by UN war crimes prosecutor Carla del Ponte, members of the Kosovo Liberation Army seized hundreds of people for involuntary organ harvesting. The organs were then flown to foreign clinics for transplantation. Kosovo’s ethnic Albanian leaders have denied these allegations.
Organs harvested from children. An investigation was started in Mosambique after several local human rights groups and the Brazilian Mission in Nampula notified authorities that many children were missing vital organs, with several of the children believed to have died as a result of the harvesting. Most of the harvested organs are believed to be sent to nearby South Africa for both transplant and religious rites. There have also been reports of children being kidnapped and killed for their organs in South America.
Outrageous price of kidneys. 2003 estimates from the World Health Organization believe that the price of a trafficked kidney ranges from $700 in South Africa to over $30,000 in the US, with many other countries paying between $1,000 and $10,000 for a kidney. Recent news reports surrounding the corruption scandal in New Jersey indicate that a broker was asking $160,000 for a kidney, unknowingly to an undercover FBI agent.
Sellers denied money and care. Many of the black market kidneys sold worldwide are done so by poor and vulnerable people in desperate need of money. They are typically paid only a fraction of the amount for which they are sold, and sometimes are denied payment by unscrupulous brokers and receive poor or no medical care for their recovery. These donors are often left debilitated by the lack of care, often not fully recovering from the donation. Sometimes entire villages have given their kidneys, like Villivakkum in India that is sometimes referred to as “Kidneyvakkum.”
Go in for an exam, leave without a kidney. In Egypt, one method of organ trafficking revolved around a hiring scheme. Young men were hired for a job and sent to a physician for an exam to ensure their good health. The young men would awaken in a hospital in pain and missing a kidney. Victims of this scheme have faced threats of violence when they have filed charges against those who perpetrated the crime.
Detained and executed for organs. China has been under scrutiny for several years for detaining members of dissident groups in China, executing them, and selling their organs. One American paid $100,000 for a liver to keep his mother alive only to discover that his transaction with a man in Shanghai was likely a part of this Chinese racket that included using a religious group to help facilitate the sale of the liver.
Only legal in one country. Despite the high numbers and rampant disregard for the law, organ trafficking is illegal in all but one country around the world. In Iran, organ sales are legal and closely monitored. The practice of legal organ transactions has eliminated the waiting list for those awaiting a kidney and has provided an increase in post-mortem organ donations, which are not remunerated in Iran.
American rabbis selling organs. Earlier this year, five prominent rabbis in New Jersey were arrested for money laundering and trafficking organs. The rabbis allegedly convinced Israelis to sell their kidneys for $10,000 and then charged up to $160,000 for the kidneys to those in need. The rabbis stated their money came from other sources, with one man claiming the money came from the “diamond business.”
Babies auctioned for organs. Three Ukrainian women were arrested in Italy after auctioning off the unborn child of one of the women. The baby’s mother sold her unborn child for $350,000 euros (about $500,000 US dollars) to undercover officers who posed as drug runners looking for a baby for its organs. The officials believe the gang of women had performed the same transaction with other babies, sometimes selling them for illegal adoptions and sometimes for their organs.
Transplant tourism. Taking advantage of countries that have nebulous definitions of brain-death and often don’t enforce organ trafficking laws, those in need of organs will often travel to places such as Israel, India, and eastern European countries to purchase organs illegally. In South Africa, those arriving for transplant tourism often receive their transplants in hospitals that are more akin to luxury hotels than transplant centers.


DJ is a survivor of human trafficking. Her story can be seen at: along with a documentary called:
Born In A Brothel
The stories told are intense and Parental Guidance for young audiences is advised.
Angels In The Field is a non-profit organization dependent on charitable donations to fight human trafficking.
It’s founder and is a 501c3   (DJ) can be reached as follows:
tel. (360)463-7912
address: PO Box 1693, Shelton, WA 98584

DJ’s Angels  as co-founder and president of  Angels In The Field Rescue Me For Freedom and Justice.  I leads the organization’s strategic and financial opportunities to create tools that engage business, government and grassroots in order to incubate and grow social enterprises to benefit enslaved and vulnerable communities.

Angels In The Field creates tools that engage business, government, and grassroots in order to incubate and grow social enterprises to benefit enslaved and vulnerable communities.fights human trafficking and modern-day slavery around the world. Through international work on the ground and in mainstream supply chains, we proactively target the root causes of slavery while engaging and equipping the movement for freedom.   In 2007, Debra Jannett Lopez  discovered that his favorite and lovebly mother would betray her on selling DJ In India were her grandmother lived in India. Were slavery has been going for many Generation every place you go there is a reality of slavery , had been the center of a local brothels full human trafficking ring.  After further investigation, he realized this was part of a growing international issue spanning every industry and corner of the earth. From there, both the organization and her 2007 was born Angels In The Field Rescuing victims of slavery and working with senators trying to fight the new era of slavery and the movement of Freedom reigns all over the world. My vision as an ex slave is to safe as much victims as i can rescuing to re abolish the humans out a underground slavery.  There are more than 50 Billions  slaves today, more than at any other time in history. Men, women and children around the world are forced to work without pay and subjected to physical, mental and emotional exploitation-and the number is growing.
Angels In The Field

creates tools that engage business, government and grassroots in order to incubate and grow social enterprises to benefit enslaved and vulnerable communities. Our mission is to end slavery, not to simply put a bandage on the wound that it creates. To do this, we identify and address the root causes in impoverished and vulnerable communities where individuals are easily taken advantage of by traffickers. Not For Sale has identified vulnerable regions across the world and empowers each against the rising tide of exploitation.

Through social projects spanning the globe in countries like Peru, the Netherlands, India, Thailand and South Africa, DJ’ works to provide restoration, challenge institutional thinking, and create new futures for all Humans.
Angels In The Field rescue Me for Freedom

DJ  creates tools that engage business, government and grassroots in order to incubate and grow social enterprises to benefit enslaved and vulnerable communities.

Our mission is to end slavery, not to simply put a bandage on the wound that it creates. To do this, we identify and address the root causes in impoverished and vulnerable communities where individuals are easily taken advantage of by traffickers. Not For Sale has identified vulnerable regions across the world and empowers each against the rising tide of exploitation.

Through social projects spanning the globe in countries like Peru, the Netherlands, India, Thailand and South Africa, Angels In The Field ,works to provide restoration, challenge institutional thinking, and create new futures for survivors.

Together, we can end slavery in our lifetime. We are Humans, and we are not for sale.





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