Kiwis buy bootleg kidney transplantsBy Catherine Masters
4:00 AM Thursday Apr 8, 2010
New Zealanders desperate for kidney transplants are using the internet to buy organs from Third World countries.
A senior Auckland doctor said yesterday that he had dealt with two cases in which New Zealanders had bought kidneys and had the transplant operations in the Third World - and he knew there were others.
"They are very rare, but it happens," said Associate Professor Johan Rosman, chief medical officer and renal physician for Waitemata District Health.
"They come back to us and we say, 'Where have you been? You've been away for six months?' [They say] 'Yeah, I've bought me an organ'.
"I've seen two but there are many more, and I know that in the Netherlands and in the US it's very common practice.
One of the NZ patients had a badly done transplant, and the other had a successful operation.
"It's always the same thing - they say, 'We're going to buy a kidney', and all of a sudden they're gone, they don't come for dialysis any more. Then they show up and they have the kidney."
Professor Rosman, a speaker at a conference on NZ's low organ-donor rate held in Wellington yesterday, said he did not approve of the practice and would never recommend it, but there was no point in ignoring it.
He proposed allowing people to buy organs, but setting up a safe hospital in a Third World country so they could receive healthy organs and be well cared for.
Professor Rosman said it was easy to find kidneys for sale through the internet.
"The problem is, we don't know where it happens - it's usually small hospitals in the bush and people get bad kidneys, they may get HIV ... We've seen it in the past.
"We say it's unethical to do that. It's unethical to buy organs from poor people
"But if you could save your family by selling an organ and you could do that in a proper hospital and you know you would be seen every half-year after your surgery and have proper controls and be safe and not be fobbed off with $100 [instead of the promised $10,000 payment] ...
"I think in the end that's a better system, otherwise we're just fooling ourselves."
The sale of kidneys happens in countries such as China, Pakistan and India and, more recently, poor African nations.
THE PRICE
* In New Zealand a kidney transplant costs taxpayers about $80,000 in the first year, and $10,000 to $15,000 in each subsequent year, mainly for anti-rejection drugs.
* In the Third World, patients pay more than US$100,000 ($141,800) for a kidney transplant taken from a live donor.
By Catherine Masters
http://www.nzherald.co.nz/health/news/article.cfm?c_id=204&objectid=10636989