Monday, February 4, 2008

India's booming kidney racket


By Sanjoy Majumder 
BBC News, Delhi

Shakeel Ahmed
Mr Ahmed is the only earning member of his family
"When I woke up, I felt this terrible pain on my abdomen. They told me they had taken out my kidney.

"I thought I was going to die."

Shakeel Ahmed only wanted to come to Delhi to find work.

So when two men approached him outside the railway station offering him a construction job, he readily agreed.

"They drove me to a house far away. On the way they asked me some strange questions like if I had any diseases," he says.

Later that night he was transferred along with two other men to another house.

"There were these men in green coats they took a sample of my blood

"I was given an injection and I passed out."

Massive racket

Shakeel and two other victims are now being kept in a solitary ward in a civic hospital in Gurgaon, an affluent suburb of Delhi, under the watchful eyes of a policeman.

Kamal Varma
 The laws in India make it impossible to get a kidney legally 
Kamal Varma

They were brought here by the police, who found them during a raid on an illegal clinic.

It was the first hint that they had stumbled on a massive racket involving millions of dollars and reaching out to all corners of India and even some countries abroad.

"Many men, mostly poor labourers, were brought here and their kidneys removed," says Gurgaon police commissioner Mohinder Lal.

"They were offered between $1-2000. The recipients were wealthy clients in India and other countries. Some of them were from Greece, Arab countries, United States and one or two patients from European countries."

An international investigation is now under way. Interpol has been alerted to look out for two doctors believed to be the kingpins of the operation.

But in India a debate is now beginning on why so few people come forward to donate their organs.

An estimated 150,000 Indians need a kidney transplant every year, but only 3,500 are available.

One of the needy is Kamal Verma.

A year ago he was told that he would need a transplant or undergo dialysis for his failing kidneys.

"The laws in India are so that it makes it impossible to get a kidney legally.

"I can only get one from a blood relative."

It's one of the major reasons for the thriving black market.

"Every hospital has a tout. In fact, the doctors or nephrologists will often suggest a person that you can contact to get a kidney. They charge up to $10,000.

"But I don't have the money and in any case it's illegal so I don't want to go down that route."

So the once active trade exhibitor is now resigned to a life of virtual retirement.

"I can barely see, I can't do a strenuous job, I get short of breath. My life is finished," he says as he suns himself on the terrace of his modest flat.

Small-town India

It's this hopeless mismatch between demand and supply that is being ruthlessly exploited by some doctors and agents.

Mr Ahmed in hospital with his parents
Mr Ahmed's parents look after him in the hospital

And fuelling it is a million-dollar black economy that has spread its tentacles across the country.

Especially in small town India.

Meerut is a little over an hour's drive east of Delhi.

It's central market is busy, its narrow, congested lanes choked with people, vehicles of all shapes and sizes and stray animals.

On one side is the decaying red brick town hall.

Sitting on the steps or squatting on their haunches outside are daily wage labourers.

They wait for business, pulling on bidis (country cigarettes) while some play cards. Others nap.

Many of them have already sold their kidneys.

"I needed the money," says Om Prakash simply.

A house painter, he's in his forties but looks a decade older.

His cheeks are hollowed, his eyes glazed and his skin is stretched tight over his bones.

'Who can refuse?

"Three years ago some men said they'd pay me 80.000 rupees ($2,000) for my kidney.

"Who can refuse? People kill for money this isn't that bad."

There are many like him who need the money to buy food and support large families.

Or worse is an addiction. Rich pickings for anyone with a bit of cash.

Back in the Gurgaon hospital, Shakeel Ahmed's aged parents look at their exhausted son.

"He was the only one earning in the family," says his father

"I have another son who's unemployed and a daughter who's divorced with five children. "What'll we do for money?," he says, wiping his eyes. 

7 comments:

brandon nguyen said...

It's interesting to see that body parts are often an illegal trade. After all, there is no question that we own our body (in America, at least). Doesn't that allow is to sell our body? It remains very controversial and its interesting to me that there is a sort of boundary when it comes to the human body. This was a interesting read. Thank your for the post Gianna!

-brandon

brandon nguyen said...
This comment has been removed by the author.
Anonymous said...

Interesting! I always wondered about what are the limits. If people do volunteer their organs-- knowing the risks and consequences-- then is it okay to sell them?

Do we question people when they become segregant mothers? They put their body through a lot-- and though birthing risks are no longer as risky anymore-- it could still endanger their lives, right? Maybe I am wrong about that having never given birth. Hehee.

Who knows?

nick.r said...

Sadly this just goes to show how the world has become so set on individual success that helping others that lag behind is dismissed without even as much as an afterthought. Instead of seeing organ donation as helping a fellow human being live, it has very much become a fear of disabling one's self. So of course if you throw money in front of people who desperately need it, they'll be less likely to give a second thought about putting themselves at a physical disadvantage. But when that's not enough, human greed leads them to kidnap innocent, vulnerable people and steal their organs to sell. Good article Gianna.

Anonymous said...

This is really upsetting. In my opinion we have the right to do anything we want with our own bodies, but selling organs just to get by in life is a little harsh. I think if the Indian government made it easier to legally donate and accept organs, this type of underground organ lending would cease to exist.

After reading the article I thought about how making things legal prevents inappropriate behavior, partly because it is legal and partly because it is no longer "exciting." Legalizing certain drugs would probably have this effect. Therefore, legalizing organ donations would be a good solution to this problem.

Saba Arastu said...

Its disturbing when I read something like this. My parents are from India and I know that there is a thriving black market there but its sad to hear that body parts can be sold and bought so easily as if its like buying groceries from a local supermarket. Class structure is very obvious here and the richer you are, the greater access you have to attain an organ. I feel like in a sense, that can be paralleled to the US because even here the richer you are the greater access you have to better health care than those living in deteriorating conditions and horrible housing.

Kalpan said...

The black market touches every facet of money in an alternative way, perhaps some group should do a project on that next time this class is taught. In terms of the kidneys, I find it interesting that people are kidnapped and kidneys are removed. The need for kidneys in India is ridiculous.