[Salon] Cash for kidneys



https://www.bloomberg.com/news/newsletters/2023-12-11/-cash-for-kidneys-allegations-hit-one-of-india-s-top-hospital-chains?cmpid=BBD121123_prognosis

Cash for kidneys

Earlier this month, the UK’s Daily Telegraph newspaper published an investigation alleging impoverished people from Myanmar were enticed to sell their kidneys to wealthy patients at a flagship Apollo Hospitals Enterprise facility in New Delhi.

The report outlined how individuals were selling their kidneys due to financial hardships exacerbated by Myanmar’s economic and political turmoil. Paying for organs is illegal in India and living donors must be either close relative or receive special permission.

Apollo officials in Myanmar allegedly facilitated transplants, arranging for donors and patients to travel to India while claiming compliance with legal procedures, it said.

In one case, a wealthy 58-year-old Burmese patient paid 8 million kyat (or less than $4,000) for a kidney transplant that took place in India in September 2022, the report said. Flights and documents to make the transplant appear legal aren’t included in that price.

The report sheds light on the big business of exploiting vulnerable people: organ trafficking generates up to $1.7 billion from around 12,000 illegal transplants each year, according to Global Financial Integrity, a Washington-based think tank. Its continued practice raises concerns about the efficacy of regulation and ethical oversight globally.

The hospital chain, which has received patients from across the world for more than two decades, issued a five-page statement in response to the Telegraph’s story. The allegations “come as a complete shock to us. Our hospitals have in place comprehensive checks, safeguards, and systems in place to ensure that an organ transplantation is conducted in a legal and ethical manner,” it said.

Apollo said it would launch an internal inquiry over the claims one of its doctors in Myanmar was involved, but said “any suggestion of our willful complicity or implicit sanctioning of any illegal activities relating to organ transplants is wholly denied.”

Indraprastha Medical, which manages the New Delhi hospital at the center of the allegations, said that it started a probe into all aspects of the transplant process and will cooperate with any government inquiry, while denying any willful wrongdoing.

Anil Kumar, the director of the Indian government’s National Organ and Tissue Transplant Organisation, told me that while the Telegraph’s report seemed to be “based on hearsay,” his agency asked Delhi’s health authorities to look into the matter.

India isn’t alone in trying to stamp out such exploitation. But, as long as there aren’t enough legal organs to go around, odds are stacked against global efforts. In the US alone, more than 100,000 are on a waiting list and only three out of 1,000 Americans who pledge to donate die in a way that permits a transplant in the US. — Chris Kay



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