( India and the trade is better than neve...)On the 'Fast Buck' Trail: Kidneys on Sale,Health

India and the trade is better than never before.

Educating the general public, especially the donors, in all aspects of kidney donation is paramount to ushering in reforms in the practice of this medical procedure. It is also vital to screen and evaluate both the donor and the recipient carefully, to avoid post surgery ‘hiccups’. The Government must consider either legalizing the transactions related to kidney donations and take the rein of control from unscrupulous elements or ban it completely. There is an urgent need to plug the loopholes in the existing laws. Governmental ‘watch dogs’ must not ‘bark up the wrong tree’ and must be made accountable for every action or, rather, inaction.

The demand for kidneys and other solid organs in India can be met by the vastly untapped pool of brain- dead patients who are languishing in the critical care units. The high incidence of deaths due to road traffic accident only adds to the number of the brain- dead. The need of the hour is to explore the possibilities of tapping this pool of potential organ donors as is done in the western world. In the past decade, 1200 transplants have been performed in India from such brain- dead donors.

The American Medical Association (AMA) , is pondering over the possibilities of providing monetary incentive to encourage people to bequeath their organs to their heirs or for charity. This would no doubt widen the pool of potential donors, but serious study must examine the feasibility of this proposal against various socio-cultural and ethnic backgrounds.

At a time when India, with its vast repertoire of able professionals, is becoming a destination for medical tourism, caution must be exercised to nip unhealthy practices even as it sprouts, in order to avoid a situation that might get copletely out of hand.
RJA
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