Forced Organ Donations from Living Donors???!!!!

There is an acute shortage of organs for transplant in the US. However, in China they do not have shortages. Why not? Nurses Headlines News

Here in the US, there are long delays for organ transplants: for kidneys, its not unusual to wait 5 years as dialysis is an alternative. If you need a heart or liver transplant it is based on your overall condition as well as the severity of need - in other words, how quickly the organ is failing. However, in China the wait for a transplant might only be months, weeks or even days. Why????

This story comes out of China recently: "Official organ donations may come from people who voluntarily choose to donate their organs after death, or people who sell organs such as kidneys. But in June, the China Tribunal, an independent organization created to investigate the alleged crimes, found that some prisoners have their organs forcefully harvested—sometimes while they’re still alive. Human rights lawyers estimate 65,000 Falun Gong practitioners have been killed for their organs since 2001, and members of other religious and ethnic minorities, including Uyghurs, Tibetans, and some Christian sects, have suffered the same fate."

According to a recent NBC news story, "Some of the more than 1.5 million detainees in Chinese prison camps are being killed for their organs to serve a booming transplant trade that is worth some $1 billion a year, concluded the China Tribunal, an independent body tasked with investigating organ harvesting from prisoners of conscience in the authoritarian state."

The International Coalition to End Transplant Abuse in China made the above observation. There have been accusations over the years of unethical transplant practices in China. There are multiple academic and news reports of unwilling living donors mostly prisoners who were selected to be organ donors. See references for links. However, China continues to state that they stopped the practice of utilizing prisoners as unwilling organ donors in 2015.

So, what about the recipients of these organs? From the NY Post, "Experts estimate that between 60,000 and 100,000 organs are transplanted annually in China. Multiply that number times the cost of a liver transplant ($170,000) or a kidney transplant ($130,000), and the result is an eye-popping $10 billion to 20 billion." The article goes on to state that most "transplant tourists" don't ask or care to know where their organs come from, only that they get their transplant. Are some of these recipients from the US? Well, there are no published statistics of WHO receives these forced donations. China has faced scrutiny in the past few years for this practice. However, the transplant assembly line seems to continue.

Recently the UN has been urged to investigate this practice. "A senior lawyer called on Tuesday for the top United Nations human rights body to investigate evidence that China is murdering members of the Falun Gong spiritual group and harvesting their organs for transplant.

Hamid Sabi called for urgent action as he presented the findings of the China Tribunal, an independent panel set up to examine the issue, which concluded in June that China’s organ harvesting amounted to crimes against humanity."

In the US, we do utilize living donors for kidneys and partial liver transplants. However, transplantation from non-volunteer or incarcerated prisoners would be abhorrent to all. Ethically, in the US, we do not utilize prisoners for organ donations as they are considered an at-risk population in that they have limited ability to refuse. Intentionally executing people for their donors seems like something out of a horror movie for most of us.

What are your thoughts? What about the medical personnel who take part in these operations?

References:

Compliance with ethical standards in the reporting of donor sources and ethics review in peer-reviewed publications involving organ transplantation in China: a scoping review

Transplant Medicine in China: Need for Transparency and International Scrutiny Remains

Unethical Surgery

On 9/30/2019 at 5:01 PM, Asystole RN said:

That is mostly a western construct, the whole communism bad...capitalism good thing.

Having personal experience dealing with Chinese healthcare on a professional level what I can tell you is that there are real cultural differences and values. It is hard to understand why some things are done as we view others through our ethnocentric lens but I can tell you they likely do not believe they are doing anything wrong. Criminals are criminals right? If they can harvest fresh organs from a criminal who forfeited their right to life and save someone's life then it was worth it, right?

The op called china totalitarian rather than communist. This would seem fitting as China has been increasingly embracing market capitalism for the last few decades without letting up on brutally enforced authoritarianism and autocratic rule. I would argue that totalitarianism (whether driven by left wing or right wing ideology) has never been implemented to any effect besides calamity and mass murder; likewise, I don't see how it matters whether that claim is a Western construct if it also happens to be true.

Among the "criminals" you cite are described by the OP as adherents of banned religions and ethnic minorities. While I agree we should all be wary of our own biases and avoid undue ethnocentrism, I very much doubt that that practitioners of Falun Gong would agree with you that they had somehow forfeited their right to life, and I see no compelling reason not to take their outlook just as seriously as that of the Chinese state. Its not ethnocentric to take a side.

Specializes in ICU, trauma, neuro.

I am old enough to remember how the world came together to oppose the abhorrent practice of "apartheid" in South Africa. There were not only unified "sanctions", but indeed even owning stock (or having your 401K) invest in companies that were doing business with South Africa's government was virtually unthinkable. If anything the borderline genocide practiced by the authoritative Chinese regime is almost casually overlooked. I fear that we (including myself as I am typing this on an Iphone made in China) have become virtual prostitutes for the high quality/low price Chinese goods and American /European corporations will overlook anything in the name of profit. China with it's forced organ harvesting and "sesame credit" social credit scoring is an emerging totalitarian nightmare that makes Orwell's 1984 seem like an exercise in humanitarian compassion.

On 10/17/2019 at 12:47 PM, Cowboyardee said:

The op called china totalitarian rather than communist. This would seem fitting as China has been increasingly embracing market capitalism for the last few decades without letting up on brutally enforced authoritarianism and autocratic rule. I would argue that totalitarianism (whether driven by left wing or right wing ideology) has never been implemented to any effect besides calamity and mass murder; likewise, I don't see how it matters whether that claim is a Western construct if it also happens to be true.

Among the "criminals" you cite are described by the OP as adherents of banned religions and ethnic minorities. While I agree we should all be wary of our own biases and avoid undue ethnocentrism, I very much doubt that that practitioners of Falun Gong would agree with you that they had somehow forfeited their right to life, and I see no compelling reason not to take their outlook just as seriously as that of the Chinese state. Its not ethnocentric to take a side.

As you can see from my other posts in this thread I strongly believe we should take a side and we should actively and aggressively engage in what some would call cultural warfare with China.

My point was that the Chinese, more specifically the Chinese government, likely do not believe they are doing anything wrong and are likely in the moral right to do what they are doing. If the other side believes they are in the moral right this changes the strategy used to combat the behavior.

On 10/20/2019 at 1:19 AM, myoglobin said:

I am old enough to remember how the world came together to oppose the abhorrent practice of "apartheid" in South Africa. There were not only unified "sanctions", but indeed even owning stock (or having your 401K) invest in companies that were doing business with South Africa's government was virtually unthinkable. If anything the borderline genocide practiced by the authoritative Chinese regime is almost casually overlooked. I fear that we (including myself as I am typing this on an Iphone made in China) have become virtual prostitutes for the high quality/low price Chinese goods and American /European corporations will overlook anything in the name of profit. China with it's forced organ harvesting and "sesame credit" social credit scoring is an emerging totalitarian nightmare that makes Orwell's 1984 seem like an exercise in humanitarian compassion.

Not to get political but there is a real effort being made to re-balance the trade with China. People hate trade wars but at some point we have to balance manufacturing out so that the west, especially the United States, is not dependent upon Chinese cheap labor.

Specializes in Retired.

We aren't dependent on cheap labor as much as buying lots of cheap crap we really don't need. Read the labels before you buy. But good luck buying an umbrella or thousands of other items that no other country seems to manufacture. We gave out economy away to brutal Chinese dictators and now are reaping the results of our stupidity. All because we just had to have disposable razors and pens.

Specializes in critical care.

Unfortunately, the advent of VA ECMO has only accelerated the growth of the illegal organ trade in China. You can now be kept alive without your heart, lungs, or kidneys. Also, in the last few years, China has produced some of the most prolific ECMO research. ?

I remember first hearing about this 20 years ago when I walked along Whitehall in London and there was a Falun Gong demonstration. They were giving out literature saying members of the Falun Gong faith were being killed and having their organs harvested by the Chinese government. It was such an outrageous claim I didn't, couldn't, believe it at the time. I'm not so naive now.