{"id":3029,"date":"2016-05-09T20:02:20","date_gmt":"2016-05-09T19:02:20","guid":{"rendered":"https:\/\/blogs.bmj.com\/medical-ethics\/?p=3029"},"modified":"2016-05-09T20:02:20","modified_gmt":"2016-05-09T19:02:20","slug":"chinas-terrible-transplant-secret","status":"publish","type":"post","link":"https:\/\/blogs.bmj.com\/medical-ethics\/2016\/05\/09\/chinas-terrible-transplant-secret\/","title":{"rendered":"China\u2019s Terrible Transplant Secret"},"content":{"rendered":"<p><em><strong>Guest Post by Wendy Rogers<\/strong><\/em><br \/>\nEarlier this year, a Malaysian politician, Datuk Bung Moktar Radin, travelled to China to receive a kidney transplant. \u00a0<span style=\"color: #0000ff\"><a style=\"color: #0000ff\" href=\"http:\/\/m.themalaymailonline.com\/malaysia\/article\/bung-mokhtar-recovering-after-surgery-say-relatives\" target=\"_blank\">The details are scanty<\/a><\/span>. There is no mention of the source of the kidney that the Malaysian MP received. \u00a0Reports of foreigners travelling to China for transplants rarely make the media, yet they may be an important link in trying to untangle the secrets of China\u2019s secretive transplant system.<\/p>\n<p>Back in the early to mid-2000s, Chinese hospitals <span style=\"color: #0000ff\"><a style=\"color: #0000ff\" href=\"http:\/\/www.theepochtimes.com\/n3\/954464-david-matas-transplant-tourism-from-the-middle-east\/\" target=\"_blank\">brazenly advertised on the internet<\/a><\/span>\u00a0for foreign customers, offering kidney, liver and heart transplants with astonishingly short waiting times of <span style=\"color: #0000ff\"><a style=\"color: #0000ff\" href=\"http:\/\/2-4 weeks\" target=\"_blank\">2-4 weeks<\/a><\/span>. \u00a0In contrast, patients in countries like Australia, the UK, and the US typically wait years, with many dying before an organ becomes available. \u00a0Despite initial denials, Chinese officials eventually admitted that virtually all their organs were <span style=\"color: #0000ff\"><a style=\"color: #0000ff\" href=\"http:\/\/www.nytimes.com\/2015\/11\/26\/world\/asia\/china-organ-transplants-prisoner-donations-huang-jiefu.html?_r=0\" target=\"_blank\">sourced from executed prisoners<\/a><\/span>. \u00a0Using executed prisoners as organ donors is uniformly <span style=\"color: #0000ff\"><a style=\"color: #0000ff\" href=\"http:\/\/www.medscape.com\/viewarticle\/817641\" target=\"_blank\">considered unethical<\/a><\/span> because of concerns that prisoners may be manipulated or coerced rather than being genuine volunteers. \u00a0Voluntary donation is at the heart of most transplant programs world-wide, although there are <span style=\"color: #0000ff\"><a style=\"color: #0000ff\" href=\"http:\/\/www.theguardian.com\/society\/2015\/may\/10\/kidneys-for-sale-organ-donation-iran\" target=\"_blank\">exceptions<\/a><\/span>.<\/p>\n<p>Violating this ethical principle by selling organs from executed prisoners to foreign (and Chinese) patients might seem enough to make China a pariah in the international transplant community. \u00a0But this is only one part of China\u2019s terrible transplant secret. <span style=\"color: #0000ff\"><a style=\"color: #0000ff\" href=\"http:\/\/endorganpillaging.org\/introduction\/\" target=\"_blank\">Reputable international investigators<\/a><\/span> have gathered evidence that Chinese prisoners of conscience, mainly Falun Gong practitioners, Uyghurs, house Christians and Tibetans, are murdered for their organs. \u00a0Falun Gong practitioners, who make up the bulk of the millions of Chinese citizens in \u201cre-education through labour (laojiao)\u201d camps, are subject to medical tests to examine the health of their transplantable organs. \u00a0This process creates a living organ bank where foreign patients and wealthy Chinese citizens can be matched to potential donors, who are then killed on demand so that their organs can be transplanted. This reverse matching process guarantees a suitable organ within a very short waiting period.<!--more--><\/p>\n<p>Many people struggle to believe this claim, that Chinese prisoners of conscience are systematically murdered for their organs, as a matter of state <span style=\"color: #0000ff\"><a style=\"color: #0000ff\" href=\"http:\/\/www.dafoh.org\/about-dafoh\/publications\/\" target=\"_blank\">policy<\/a><\/span>. \u00a0Such actions breach China\u2019s international legal obligations under <span style=\"color: #0000ff\"><a style=\"color: #0000ff\" href=\"http:\/\/www.ohchr.org\/EN\/ProfessionalInterest\/Pages\/CAT.aspx\" target=\"_blank\">treaties<\/a><\/span> they have signed and ratified, and may well amount to crimes against humanity. \u00a0Yet the evidence is impossible to dismiss. \u00a0The award-winning documentary <span style=\"color: #0000ff\"><em><a style=\"color: #0000ff\" href=\"http:\/\/www.hardtobelievemovie.com\/\" target=\"_blank\">Hard to Believe<\/a><\/em><\/span>\u00a0presents a compelling case, as do the carefully researched books of <span style=\"color: #0000ff\"><a style=\"color: #0000ff\" href=\"http:\/\/bloodyharvest.info\/\" target=\"_blank\">Matas and Kilgour<\/a><\/span>, <span style=\"color: #0000ff\"><a style=\"color: #0000ff\" href=\"http:\/\/www.dafoh.org\/about-dafoh\/publications\/\" target=\"_blank\">Trey<\/a><\/span>, and <span style=\"color: #0000ff\"><a style=\"color: #0000ff\" href=\"http:\/\/ethan-gutmann.com\/the-slaughter\/\" target=\"_blank\">Gutmann<\/a><\/span>. \u00a0Of course, it is difficult to investigate a secret like this. \u00a0China is unlikely to open its prison camps and hospitals to rigorous international inspection, despite the absolute requirement of transparency in transplantation (<span style=\"color: #0000ff\"><a style=\"color: #0000ff\" href=\"http:\/\/www.who.int\/transplantation\/Guiding_PrinciplesTransplantation_WHA63.22en.pdf\" target=\"_blank\">WHO Principle 11<\/a><\/span>). \u00a0But if China had nothing to hide, an ethical and legal source of organs would be easy to prove. \u00a0Most countries have transparent systems of organ procurement, starting with voluntary donors whose organs are then matched to those on transplant waiting lists. \u00a0The numbers of donors and transplants, as well as the circumstances of donors\u2019 deaths, are made public and can be independently audited. \u00a0In China, information about donors and transplants is vague and unreliable, with constantly changing, conflicting and incompatible numbers published in media pronouncements that appear closer to propaganda than verifiable fact.<\/p>\n<p>Despite efforts, including a <span style=\"color: #0000ff\"><a style=\"color: #0000ff\" href=\"http:\/\/www.dafoh.org\/petition-to-the-united-nations\/\" target=\"_blank\">petition<\/a><\/span> to the United Nations initiated by Doctors Against Forced Organ Harvesting (<span style=\"color: #0000ff\"><a style=\"color: #0000ff\" href=\"http:\/\/www.dafoh.org\/\" target=\"_blank\">DAFOH<\/a><\/span>), some members of the international community seem reluctant to engage with the mounting evidence compiled by human rights lawyers, doctors and investigative journalists, and even less inclined to challenge China on this matter. \u00a0In a surprising move, the 2016 conference of The Transplant Society (the premier international body of transplant surgeons) will be held in <span style=\"color: #0000ff\"><a style=\"color: #0000ff\" href=\"http:\/\/www.tts2016.org\/\" target=\"_blank\">Hong Kong<\/a><\/span>. \u00a0Holding this high profile conference in Hong Kong sends a strong message that China\u2019s transplant programme now meets acceptable standards. \u00a0Actions like this, as well as academic acclaim and honorary professorships in Australia, the USA, the UK and elsewhere for Chinese surgeons such as <span style=\"color: #0000ff\"><a style=\"color: #0000ff\" href=\"http:\/\/www.smh.com.au\/nsw\/sydney-university-forced-to-reveal-emails-in-chinese-organ-donation-link-scandal-20160206-gmna3b.html\" target=\"_blank\">Huang Jeifu<\/a><\/span>, serve to welcome China into the international transplant community. \u00a0Indeed, many seem to believe that the claimed reforms of 2015 have ended unethical practice. \u00a0While there is now the semblance of a voluntary donation system, this has not put an end to the <span style=\"color: #0000ff\"><a style=\"color: #0000ff\" href=\"https:\/\/bmcmedethics.biomedcentral.com\/articles\/10.1186\/s12910-015-0074-0\" target=\"_blank\">continuing use of prisoners\u2019 organs<\/a><\/span>. \u00a0Rather than rolling out the red carpet, we should be demanding an answer to the simple question: Exactly where do China\u2019s transplanted organs come from? \u00a0Until we know the answer to that question, we must be wary of the smoke and mirrors obscuring the truth about organ procurement in China.<\/p>\n<p>&nbsp;<\/p>\n<p><em>Read the <span style=\"color: #0000ff\"><a style=\"color: #0000ff\" href=\"http:\/\/jme.bmj.com\/content\/early\/2016\/05\/04\/medethics-2016-103533.short?g=w_jme_ahead_tab\" target=\"_blank\">full paper here<\/a><\/span>.<\/em><!--TrendMD v2.4.8--><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Guest Post by Wendy Rogers Earlier this year, a Malaysian politician, Datuk Bung Moktar Radin, travelled to China to receive a kidney transplant. \u00a0The details are scanty. There is no mention of the source of the kidney that the Malaysian MP received. \u00a0Reports of foreigners travelling to China for transplants rarely make the media, yet [&#8230;]<\/p>\n<p><a class=\"btn btn-secondary understrap-read-more-link\" href=\"https:\/\/blogs.bmj.com\/medical-ethics\/2016\/05\/09\/chinas-terrible-transplant-secret\/\">Read More&#8230;<\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[2153,443,591,475,7970],"tags":[],"class_list":["post-3029","post","type-post","status-publish","format-standard","hentry","category-guest-post","category-jme","category-life-and-death","category-politics","category-transplantation"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>China\u2019s Terrible Transplant Secret - Journal of Medical Ethics blog<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/blogs.bmj.com\/medical-ethics\/2016\/05\/09\/chinas-terrible-transplant-secret\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"China\u2019s Terrible Transplant Secret - Journal of Medical Ethics blog\" \/>\n<meta property=\"og:description\" content=\"Guest Post by Wendy Rogers Earlier this year, a Malaysian politician, Datuk Bung Moktar Radin, travelled to China to receive a kidney transplant. \u00a0The details are scanty. 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