Ref: Untuk melihat video footage, click :
http://www.aljazeera.com/programmes/peopleandpower/2012/12/2012121981613477660.html
People & Power
The Organ Traders
An investigation into illegal human organ trading in Kosovo, Turkey and
Israel, and the challenges facing law enforcers.
People and Power Last Modified: 20 Dec 2012 05:34
No one who is not afflicted with a potentially fatal organ disease can
really appreciate what it is like to have to wait in desperate hope that an
organ donor can be found in time to save their lives. For many thousands of
people around the world, salvation comes when a family member volunteers to
give up a kidney, or when they are the lucky beneficiaries of an organ donated
by a stranger to a hospital or transplant service as a result of a fatal injury.
Even if kidney transplants alone are taken into account, these operations
certainly save a lot of lives. From roughly one million patients on dialysis
globally every year, more than 100,000 are lucky enough to receive a transplant
- and the numbers are rising. But tragically for many others, the wait is a
hopeless one. No organ becomes available and death almost inevitably follows.
It is understandable then why many are tempted, if they can afford it, to
try to find a donor through other means - in effect to buy the necessary body
part from someone who is prepared to give it up in return for cash. The only
problem is that in most countries - and certainly in the countries advanced
enough to have the available surgical expertise to carry out a transplant - the
sale of body organs is both illegal and regarded as highly unethical by the
medical community.
Governments and bodies such as the World Health Organisation (WHO) say
the reasons for this are obvious; that once money is introduced into any
donor/recipient relationship and organs are thereby given a monetary value,
there is always a risk that the vulnerable, poverty-stricken or unwitting will
be bribed, exploited or even kidnapped in order to extract essential body parts
without their agreement.
International black market
In other words, creating a legal market for trading human organs would
inevitably lead to criminality and abuse because demand is always so much
higher than supply. It would also only benefit those few who are rich enough to
pay whatever it costs to buy themselves a new kidney, heart or lung.
MORE INVESTIGATIONS BY JULIANA RUHFUS
Juliana Ruhfus has been People & Power's chief reporter since the
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Nevertheless, despite the best efforts of the authorities to stamp it
out, an international black market in vital body organs does exist - and it is
flourishing. It is the consequence of a loose but interconnected network of
multi-million-dollar criminal enterprises that feed on the desperation of the
sick, and the greed of some members of the medical community who can receive
huge fees for carrying out - and even in some cases brokering - the transplant
of traded organs.
These networks are necessarily secretive but every now and then they come
to light. One of the most infamous was unmasked in Turkey in April 2007 when
police raided a private hospital in Istanbul. After a shoot-out with armed
guards, the entire hospital staff was arrested because authorities discovered a
secret operating theatre in which surgeons were caught in the middle of illegal
kidney transplant operations.
The owner of the Istanbul clinic - and its principal surgeon - was one Dr
Yusuf Sonmez. So infamous in Turkey that he came to be known as Dr
Frankenstein, Sonmez often boasts that he has carried out over 4,000 kidney
transplants from live donors. During this particular raid, the police found an
Israeli and a South African recipient. They had each paid more than $200,000
for their new kidney. Investigators also found the two donors, Arab-Israelis,
who had been paid about $10,000 each to undergo the operation. With such sums
in play, the potential profit margins for those who arrange and carry out such
operations are obvious.
Yet what happened next seems symptomatic of this extraordinary story.
When Sonmez eventually came to trial in Turkey earlier this year (he had
skipped the country after his arrest and it took time to re-apprehend him) he
was sentenced to 10 years in prison. While on bail awaiting an appeal, he
disappeared again and has not been seen since.
Falling through the cracks
As we discovered, in the years between his 2007 arrest and conviction,
Sonmez had not been idle. Indeed he had merely relocated to Kosovo where he
found suitable premises to carry on with his transplant business as though
nothing had happened. However on November 4, 2008, things began to go wrong
again, when a young Turkish man, 24-year-old Yilmaz Altun, was picked up by
police at Kosovo's Pristina airport. He was found to have a fresh wound across
his stomach where his kidney had just been removed.
Acting on what Altun had told them, later that day the authorities raided
the Medicus clinic in Pristina. They discovered there that Altun's kidney had
been transplanted into a wealthy Israeli patient. As the recipient was clearly
not a relative of the donor, the police suspected the operation had been
illegal. After making several arrests of medical staff, they went in search of
the clinic's principal surgeon, Sonmez, but he had already left the country.
When investigators across Europe and the Middle East subsequently began
comparing notes, it became clear that Sonmez was at the heart of a nexus of
clinics, organ brokers, doctors, donors and recipients that may have been
responsible for hundreds, possibly thousands, of unlicensed, illegal transplant
operations. Some of those involved may have been acting out of a belief that
saving lives gave them sufficient cause to act in this way, others were no
doubt doing it for the huge sums of money involved - but whichever the case it
had clearly been going on for years.
As arrest warrants for Sonmez and other were issued and the Turkish
authorities began, with a dispiriting lack of enthusiasm, to look for the
elusive doctor, an EU-backed prosecution case was assembled against many former
Medicus staff in Kosovo.
Which all begs several questions - most especially, why has this trade
been allowed to flourish for so long, who are the medical staff, patients and
donors involved and where exactly is the mysterious Sonmez now?
People & Power sent reporter Juliana Ruhfus and filmmaker Claudio von
Planta in search of some answers.
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