
I tried to think of a better title but I couldn’t so I just titled it to what the post is gonna be about.
There has been lots of news of late bout the buying and selling of kidney here. It is illegal and the sellers have since been sentenced to jail. If kidney trading is illegal, and the sellers have been sentenced, why hasn’t the buyer been charged? Is it a case of selling being illegal but buying isn’t? Mr Tang lied to the ethics committee and I believe that is also illegal in all ways.
But let’s take a step in another direction. Should kidney trading be allowed? I am gonna take a neutral stance for now cause I haven’t had time to fully explore this topic. I haven’t had to need a kidney transplant and I hope I never will need one, but here are some considerations-
- kidney failure is closely related as a complication of diabetes.
- a daily quota of 2 shot glasses of water only. Yes, it includes the amount of water needed to flush down 10 pills a day
There is a story bout one such person who has had diabetes since he was 20. At aged 39, the kidneys began to fail. There are 2 forms of dialysis. The first one has this tube running out of the tummy area. Many diabetics will have problems with it as the ‘hole’ gets infected all the time. The second type of dialysis is those machines you see in NKF. Unfortunately, the patient did not respond well to this form of dialysis at all. Imagine, as a kidney failure patient, everything you once took for granted became a chore. Walking around. Urinating. Watching your kids graduate, get married, have kids. You begin to wonder if you’ll ever live to see all that. But you also realise you are not responding well to the dialysis at all. So the symptoms return full force. Water retention. Extreme lethargy. Yellow eyeballs. And then the doctor says he needs to see you. He says, he has bad news, and worse news. Bad news is, as the dialysis is not working, you need a transplant. Failure of which you will die within months. The worse news is, because you have diabetes, you are not eligible to be on the waiting list.
So there. He has delivered your death sentence. Basically, you are just gonna die within a few months.
Or maybe not. There appears to be kidneys up for sale overseas. U just have to pay the price.
On the other side of the world, a kidney seller awaits. The price for selling his kidney is equivalent to more than 16 years worth of work. Now this is where the problem begins to appear. U have a ready seller, and a ready buyer. But people call it ‘exploiting the poor’. And this is the point where I want to challenge.
Definite exploit? The seller sells the kidney. Gets paid, has money to set up a business and live happily ever after with his family, as we have seen in a particular case. The buyer gets the kidney (matching one of course) and receives a new lease of life. Watch his son graduate, get married, have kids. It wouldn’t have happened otherwise as he would have died. So, what exploitation? If you ask me, I will challenge that back. So what do you call, hiring foreign maids, who leave their family, come to your house, wash your panties, get scolded by you for doing something wrong, get fined for breaking stuff, all for 300 bucks a month. I don’t care how much the government levies the employer. This is between the employer and the government. The maid gets nothing, and to get here she has at least 12 months of debt to clear with the agency. Talk about EXPLOITATION! Are we not hiring CHEAP LABOR? So don’t come and give me some 2 cents crap that kidney trading is exploitation of the poor! Do they want to sell? Of course not. But do they have a choice? Ask yourself, do you rather fly here to an unknown land and work in someone’s house like a slave, or sell a kidney and u can set up a business and continue to be with your family. Both are painful decisions. In different ways.
As for the buyer. Is it wrong to fight for my own right to live? As a kidney patient who is not allowed on the list because he has diabetes, now that is a problem. The long waiting list is another. Some die waiting. What one of the MPs is worried about is, the rich people can afford to get their kidneys while the poorer ones have little way about it. And organ trading may become the norm and get out of hand. I can understand the latter bit, but the former one? Hey you know, I am not rich. 20k seriously, is a lot of money, minus surgical fees. 20k purely for the kidney only. I still need to pay for my own surgery and for the seller’s one too. BUT… if I am in that stage, believe me, if I gotta beg borrow lie steal cheat to raise the money, I will. What is the possible net effect? The waiting list gets shorter! U could say I jumped queue and bought my way out, BUT I bought my way out through a different market. Those on the queue are waiting for people who died and whose kidney is fit for transplantation. I am going towards those from living people. Different market! What is the issue?
The issue now is, should organ trading be allowed? This reminds me of 377a (sorry).. I am inclined to think since everything worked so well, why do something to change it and open a can of worms indeed. If it is allowed there must be procedures and policies put in place. At the moment only Iran is the only country in the world where organ trading is allowed. So where do we get guidelines from? None. We have to set up our own to protect interests of our own people. Many have felt, if any country were to be the first in doing up such policies, it would be Singapore who would do a good job out of.
I think that, if it ever happens, will take loads of time. Like the 377A thingie.
But please don’t come and tell me if one buys a kidney from third world countries, it is exploitation. Additionally, you better not let me find out you are hiring cheap labor at the same time!
The way I see it, if either scenarios happened to you, you wouldn’t know what you are capable of doing to survive. It is not about being unscrupulous. Unscrupulous is drugging someone, take someone’s kidney out, put the person in a tub and get her to call the ambulance when she wakes up and selling the kidney for x dollars and get a commission out of it. If you have 2 willing parties on both ends, you cannot say it is exploitation. Go visit people in the poor countries. The ethical issue is that this puts a price tag on a human organ. But I’ll say, life has never been fair. Is it fair to get kidney failure at age 30? Even before you have begun life proper? It is a huge topic to debate about. What irks me is people who pass sweeping statements that it is an ‘exploit’. Go to the homes of the buyer and seller. Tell me that their lives will not change for the better after the transaction has been completed. In my line of work, in technical definition, an exploit can only exist if there is a vulnerability. So what’s the vulnerability here? That one is sick and one is poor? In the ideal world, no one is poor and no one is sick. I will whoever dreams of such a scenario, to WAKE UP! You might as well say if my company is charging my customer Y dollars, but paying me a salary of X dollars only, I am exploited. Feel under paid? Maybe. How many can declare they are happy with what they are paid, or feel they are paid too much? Feel exploited? I don’t think so. Without my company, I may not have a job. And the client may not have someone to solve their problems. Can I just go direct to the client? In theory yes, in reality things do not work that way.
So deny the trade. The sick, will die within a couple months. The other, will continue to live day to day. That’s helpful. Is that fate? Bullshit. If you got the chance to change things, and you don’t, it is not fate. It is stupidity.