Ref: Kalau sesama Arab tidak dihargai, lantas bagaimana dengan pahlawan devisa 
dari NKRI? 

http://news.kuwaittimes.net/2012/05/05/rights-citizenship-issues-deter-expats-from-donating-organs-you-keep-your-citizenship-ill-keep-my-organs/

Rights, citizenship issues deter expats from donating organs – ‘You keep your 
citizenship; I’ll keep my organs’ 

KUWAIT: “Why would I leave my organs to a country that will never recognize me 
as a full person that deserves full rights?” asked Syrian expatriate, Jassim. 
“I will never qualify for anything here as long as I live, and I’ll always be 
treated differently, and in return I’m expected to leave behind my organs?” he 
added. Sharing his sentiment, Lama, a Jordanian expatriate, said, “I don’t like 
the idea in general, but somehow it’s worse when you consider how we’re looked 
down by many people here. If I’m worth so much less, then my organs must be 
too, so I’ll keep them.”

Organ donation is a sensitive subject in the Middle East, with many citing 
cultural and religious reasons for refusing to get organ donor cards. Medical 
professionals have worked hard to reassure hesitant individuals that organ 
donation is acceptable, and encouraged, within societies across the world. As a 
result, rates have slowly been rising, but there is still a strong resistance 
from a rather unexpected source: political reasons.

Expatriates in Kuwait cannot take the nationality unless they marry a Kuwaiti, 
and that only applies to expatriate women. Many expats, especially those who 
were born here or have resided in Kuwait for an extended period of time, resent 
having to renew their residencies on a yearly or bi-yearly (depending on the 
laws at the time) basis.  “We are not treated in the same way at all,” said 
Jassim, adding, “Everything here is on wasta (connections) and priority based 
on nationality. If I get sick and need a transplant, there’s no way I’ll get 
the organ I need here. I’d be at the end of the list, if on it at all.” Indian 
expat, Meghna, added “I do not believe for one second that all will be seen 
equally in terms of priority on waiting lists for organs.”

Mustafa Al-Mousawi, the head of the Ministry of Health’s (MoH) Organ 
Procurement Unit, said of the issue, “I agree that expats feel neglected, and 
they have a point. In the past, priority was given to Kuwaitis in the waiting 
list, which meant expats had slim chance of receiving organs as there are 
always Kuwaitis waiting.” Whilst Al-Mousawi admitted that the situation was 
previously unfair, he insists that things have changed, “I changed the system 
last year, and pushed the council of the department to adopt a scoring system 
and include all expats in the system. It is working well.” He added, “The 
waiting list includes expats.”

In order to further reassure the public, he outlined how the waiting list is 
organized. “I am in charge of organ allocation, which is transparent and fair. 
Each patient added to the waiting list collects points based on age, period of 
waiting, non-availability of living donors, previous transplant,  medical 
condition (such as problems related to dialysis) and so on, and rises to the 
top of the waiting list for each blood group.” He added, “The waiting list is 
distributed to all doctors in the center so they know why whichever patient is 
selected when a donor is available. I do not allow wastas 
(connection-wielding).”

Al-Mousawi noted that expats refusing to become an organ donor on the basis of 
dissatisfaction with their status in Kuwait is not the way to go. “I understand 
their bitterness, but we are asking for a human act, and when we meet them we 
explain that many patients are children or young adults who may die if they do 
not get an organ, so why bury organs of the deceased, which could save multiple 
lives?” He added, “Their organs could certainly end up going to a citizen of 
their country, if the patient is on the top of the list.”

Despite Al-Mousawi’s reassurances, many are still not accustomed to the idea of 
donating their organs. “I would not consent to my organs being taken, nor those 
of my family. It is an awful thing to do to a body,” said 27-year-old Egyptian 
expatriate, Muna. “It is haram (sinful)” she added. Cultural issues have been a 
longstanding barrier in increasing the number of donors, so much so that 
professionals in the field can predict who’s most likely to consent. “Kuwaitis 
and Egyptians do not readily consent, with Egyptians being the most difficult 
to convince,” said Al-Mousawi. He added, “We have little difficulty convincing 
Europeans, Indians and Filipinos. There are also some incentives to donor 
families, such as repatriation of the body to their home country with a 
companion.”

The rate of donation in Kuwait is gradually rising, but given the array of 
factors holding people back, progress may continue to be slow. “For every 100 
referrals we get each year, around 50 are documented as brain dead. Of those 
50, around a third of families give their consent for donation,” said 
Al-Mousawi. He added, “At the end of the day, donating your organs is an act of 
kindness that can save others from death or disease.”

By Lisa Conrad , Staff Writer


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