( ncocted by rival hospitals. The rumors ...)On the 'Fast Buck' Trail: Kidneys on Sale,Health

ncocted by rival hospitals. The rumors were a part of the competitive commercialization that was an aspect of the trade. In fact, there was no need to ‘trick people’, since enough kidneys were readily available from the poor.

Vending ‘Blues’

This feature aims to draw the reader’s attention to the following issues that are now permanently associated with kidney vending:

? It is a public secret that the promised ransom never reaches the donor as a sizable portion goes to the middlemen

? When money becomes the motivating factor for the donation, crucial information may not be forthcoming and several guidelines may not be adhered to

? The medical history of the donors or their close relatives, high-risk sexual habits of the donor etc, are not satisfactorily considered

? As a result, reports are rampant on the rising incidents of health complications, such as HIV, Hepatitis or fungal infection, among recipients. This draws attention to the inefficiency of the existing screening and selection procedures

? The rate of infection is higher in Countries like India, China and Brazil which rely on live donors than in USA, Western Europe and Canada which depend on cadavers

? The high-cost of immuno-suppressant drugs like cyclosporine, which are quintessential to the recipient after a transplant, could be an economical burden on the them. Most often they are not fore- warned

? The donors are not forewarned of the intrinsic risks involved in kidney donation, even if the procedure is performed by the most competent surgeon

? There are no appropriate follow-up procedures for either the donors or the recipients

? The donors are discouraged from visiting the hospital after the surgery. Sadly, a high rate of morbidity is reported in these individuals, post surgery

? Several donors suffer from depre
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