New York – Kidneys, Morality, and Illegal Trafficking of Human Organs

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    New York – Recent headlines of Levy Izhak Rosenbaum admitting in the federal courthouse in Trenton, New jersey that he had brokered three illegal kidney transplants are certainly disconcerting. But there is another angle to this issue that must give us serious pause.

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    The illegal trafficking of human kidneys should be an issue that causes us to reflect upon important moral and legal issues that affect human life.

    Let’s first ask ourselves, however, a pertinent moral question. At one point, in China’s recent history,it was illegal to assist in the birth process of a family’s second child. Doctors in China faced a huge moral dilemma. Should one follow the strict letter of the law or should one save the child? It was a moral dilemma that many doctors faced each day.

    Now let’s consider the following fact: In this country alone, as we speak, 40,000 people are dying each year because they do not have an available kidney.

    These are deaths that do not have to happen. How so? More than 99.9 percent of the population do not need a second kidney. One can live a full, adequate and healthy life with just one kidney. The problem is that most kidney donations only happen if there is a death involved. Very few people donate kidneys to others while they are still alive and active.

    If paying people for their kidneys were to be made legal, the problem would be resolved overnight. Forty thousand lives per year would be saved.

    That is correct. The policy of forbidding paid kidney donations is causing the equivalent of another 9-11 tragedy every 25 days.

    There is a petition on We the People to legalize marijuana, but there is no petition or movement to legalize paying for a kidney. We can sit in our ivory towers moralizing and speculating about what such legislation might mean, but there are parents out there who want to save their children and cannot.

    The rationale behind the law, of course, is quite laudatory.

    There is a concern that such legislation would give rise to abuse and pressure. People might suddenly feel pressured to sell their organs for money. True, this is an important concern. But it is a concern that, if we Americans put our mind do it, can be resolved.

    This is a nation of Can-Do-ism. We can put a man on the moon. We can create wireless telephones, Ipods and IPads. Is it possible that we cannot conceive of a method in which paying for kidney donations won’t be abused?

    Here is one idea. Why can’t we set up a system where donating a kidney could set up a college education fund for one’s relatives or a select group of people? Would this not also provide people with an opportunity to give of themselves for the good of others? Would it also not provide people with the opportunity for redemption of some terrible deed that they may have perpetrated in the past and currently regret? The system could involve a screening process that would ensure that only people who have a huge probability of never needing their kidney can apply. It could oversee that the money only be used for education.

    Imagine for a moment the possibilities. A drunk driver killed someone. He feels remorse at what he has done. He wants to do something more. He wants to make amends. He sells his kidney to someone who needs it and that money goes toward a fund in which three underprivileged youth are given the opportunity to attend medical school. The conditions of the program are that these future doctors commit themselves to serve an underserved area for five years or longer.

    Look what the idea we are proposing would accomplish. 1] It would provide someone the opportunity of redemption. 2] It would give underprivileged youth opportunities that we as a society are currently denying them. 3] It would create more doctors in the world 4] It would provide rural areas with critical life saving medical care.

    There is also another factor. The fact is that we have failed to ensure that an illegal industry does not rise to meet the need for human organs. There are unscrupulous people that can and will resort to kidnapping in order to make a buck. The proposal suggested could pull the carpet out from such nefarious people and activities.

    Is it wrong to traffic in human organs in order to make a profit? Absolutely. It is a reprehensibly immoral act. Should the law be changed to make it legal under certain conditions? Absolutely. It is a reprehensibly immoral law to forbid it across the board – especially when so many lives are at stake.

    It is the obligation of the media and anyone else in a position to solve this crisis to do what we can to get such legislation not only on the table, but even discussed. There is a statement in the bible about not standing idly by our brother’s blood. Isn’t this what we are doing by not even discussing these proposals?

    The author can be reached at [email protected]


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    33 Comments
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    12 years ago

    Many Yidden refuse to accept that laws apply to them to.. NO EXEMPTIONS.

    Wondering_Star
    Wondering_Star
    12 years ago

    Frequently, people who donate kidneys cannot get private health insurance after the fact. Perhaps, instead of funding education, the donor could receive some health insurance guarantee for them and their family.

    Rabbi Yair Hoffman
    Admin
    12 years ago

    His point is that the should be changed. And he happens to make a strong argument.

    TheRealJoe123
    TheRealJoe123
    12 years ago

    If the feds want they could arrest anyone of us on any given day, there are a million laws and statures that can be used in order to get someone in trouble, I don’t know the exact details about this case, but the way the government handled it with the big prime time TV arrest all the way till now where it took them this long to push him to plead guilty, shows me that they never really had a case, he chose to plead guilty for the same reason more then 80% of federal defendants do so, the feds have a lot of dirty tricks they can use like adding more charges, re arresting threatening to lock you up in a worse facility, my point is don’t assume that this guy is a sick monster, its very possible he was doing lots of good work, and got dragged into the grey area by our good friend dweck

    Rabbi Yair Hoffman
    Admin
    12 years ago

    The interesting thing is that when he did this illegal thing, he broke the law but he saved two lives 1 – the guy who got the kidney and 2] the other people on the transplant list now have one less person in front of them.

    yosher
    yosher
    12 years ago

    maybe some poskim should revisit their recalcitrance regarding organ donation and brain death

    Rabbi Yair Hoffman
    Admin
    12 years ago

    No one assurs kidney transplants..

    12 years ago

    Where do we draw the line? Kidneys? Bone Marrow? Hearts? Lungs?
    What can the money be used for? Medical school? education? (as proposed by the author). What about food for their family or rent so the family isn’t thrown into a shelter? what about medical treatment that another family member desperately needs?
    Who gets the money? The one who donates or this college fund?
    How can we be sure that only healthy people sign up? Discrimination against certain groups who may be HIV positive? How can we be sure that people dont lie about past drug, alcohol ect abuse? What about all those stories about kids in schools where toxic chemicals were accidentally released & they got sick decades later? How can we be sure??
    The problem with permitting such things is that it leaves the poorest and most needy to be the most vulnerable to such programs. If a person makes 6 figures, they aren’t going to donate for a “measly” $5,000 . But someone who makes minimum wage may.
    Free kidney donation where people do not get any compensation but the fact that they know they saved someone’s life, is the best option. promote it and allow their family members (or themselves in future) to move up on the list.

    bennyt
    bennyt
    12 years ago

    When you pay donors $10K for a kidney and then resell it for more than $100K, you’re in it for the money and not for the chesed of saving lives. If you do the crime, do the time!

    12 years ago

    There is an ariticle in today’s New York Daily News about a Jewish girl getting a kidney from a kidney matchmaker – here is the link:
    http://www.nydailynews.com/life-style/health/brooklyn-teen-sofia-manfredi-finds-kidney-match-donor-web-article-1.969035?localLinksEnabled=false

    Rabbi Yair Hoffman
    Admin
    12 years ago

    If you thought it through you would realize that the opposite reaction would happen. There would be less demand for it and you and your kids would be safer. You are writing without really thinking it out and you just want to blast people. I hope to G-d that you never have a close family emmebr that needs one and that you would like to donate yourself but cannot.

    Rabbi Yair Hoffman
    Admin
    12 years ago

    I just looked up your article, and sorry, it doesn’t say that. I know of a number of kidney donors and they have no problem at all with their health insurance provider. The article if you read it carefully is fishing for a possibility since they dont say so clearly. The author should not have written it because it is counterproductive. Rather the LA Times article should have tried to get some legilslation going to guarantee it. If you speak to the author, I am sure you will find that there was no data whatsoever that anyone ever suffered from it.

    Rabbi Yair Hoffman
    Admin
    12 years ago

    What an ignorant rant. Legalizing kidney sales would entail psychological & medical evaluations. One couldn’t just sell a kidney like in a butcher shop. The transaction would be vetted and monitored.

    NaarYisroel
    NaarYisroel
    12 years ago

    I agree with Io1 – allowing the sale of human organs would cause a grave סכנה. Imagine a child being kidnapped…. for body parts.
    Many of the best intentions have unintended consequences, and this idea is terrible.

    12 years ago

    #14 , 17, 18,20. You guys don’t realize what the black market will be like once it is legal to sell organs. People will just kill people to get their organ and some how manage to get it legally sold for an hospital. Or private person. Yeahhhhh. Think carefully. You make money on it. Right … think again. How many prescribed medicine where stolen from legal pharmacy. How many people died just to get it and sell it. Oh but wait. How can u sell it in a briefcase. Moron ??? Why steel it. Ahhh. Leave it for satmar(need education ?). They will. Lol.

    victorg
    victorg
    12 years ago

    Why not offer death row inmates the opportunity to live if they donate a kidney!

    12 years ago

    Money talks. You’re rich, you can get anything. But in the end, the Malach Hamovas doesn’t discriminate (see Steve Jobs.) But on the way, the rich have options. Would this creep Rosenbaum have done the same for a poor person? That is what the issue is. Changing the law is another.

    Brian
    Brian
    12 years ago

    I have donated a kidney to a stranger through a wonderful donation called Renewal, yet I agree with you 1000% that kidney sales should be legal. Would I sell mine instead of donating had it been legal? Most probably not as it’s low class and would reduce the mitzvah… I see the law of deprivation of kidney disease patients of viable kidney options as a violation of their civil rights and unethical. Please see my article that I’ve authored on this subject that has appeared on Friday on crownheights.info titled: in defense of the kidney salesman.

    Brian
    Brian
    12 years ago

    It seems like when all else fails, use scare tactics. Perhaps we shouldn’t allow ambulances to take a red light because they may abuse it? That’s what you people sound like. People are desperate for kidneys and you are stealing their options just because of your phobias or scare tactics.

    Brian
    Brian
    12 years ago

    I found a book on that was written (Stakes And Kidneys) that argue why markets in human body parts are morally imperative. I neither read the book neither bat this time intend to purchase it (short on cash!), yet one of the Amazon book reviews from a reader in Singapore (ironically, Singapore arguably has the world’s freest economy) puts the sum message of the book very aptly:

    There are many who hold the view that there can be no such thing as “ethical organ trading”; that is to declare that any trading of any human organ is immoral. Yet there are countless people in the world who need an organ transplantation to survive but are either unable to find a donor, or are unable to afford one. The medical fact is that organ transplantation can be carried out safely with a high chance of success; that is to say, with donor and donee surviving. The social fact is that there are many people who are willing to donate their organs for a fee. Some of these people would rather not to if they weren’t poor. Some might be quite happy to do so if the fee is high even though they are not poor. So why are there resistance to organ trading?

    Brian
    Brian
    12 years ago

    James Stacey Taylor’s book helps explain the moral considerations of organ transplantation, in particular, the trading of kidneys. People who are against organ trading almost invariably claim that organ trading leads to, or, in any case, is exploitation of the donor. They cannot, however, explain what exactly is the objection based on exploitation. Taylor anticipates these objections and provides rational answers to the concerns. Fear and superstition are the perpetual enemies of science. In many cases, fear and superstition disappear when they can be explained. Taylor has given a clear explanation of the market in kidney trading, and why it is not immoral to have an organ trading market, but that such an organ trading market is morally necessary. It addresses the point that if live organ transplantation is not morally objectionable, the only indicia of exploitation in the case of an organ purchase would be the infringement of personal autonomy and human well-being. These can easily be ensured in a well-regulated market. Furthermore, in the case of donating for a fee, the only issues are whether there was informed consent, and whether the fee was adequate.

    Brian
    Brian
    12 years ago

    He makes the point that “it is surely wrong to hold that one can protect the autonomy of destitute people by removing from them the opportunity to escape their poverty”. Ensuring autonomy and preventing unfair payment are not insurmountable problems. So, what remains is the small matter of the superstitious belief that the human body belongs to an unknown, undefined thing generally referred to as “god” and only that being can dispose of the body or its parts. This book will help the reader understand all the major issues in human organ trading. It may not convince religious objectors; but that may not be the object of this book.