Want create site? Find Free WordPress Themes and plugins.

Above: A young kidney patient undergoing dialysis, which helps to purify the blood

While people with clout can get Kidney for transplant within days, commoners run from pillar to post as a complex medical and legal system and high demand leave them by the wayside

~By Usha Rani Das

In a country where donor kidneys are in short supply, some questions are often asked. One of them is whether Finance Minister Arun Jaitley, who was recently admitted to AIIMS for a kidney transplant, would have to undergo the same procedure as the rest of the country under the Transplant of Human Organs and Tissue Rules, 2014.

There was a precedent—in 2016, Minister of External Affairs Sushma Swaraj got a kidney within a matter of weeks (see box). She was admitted to AIIMS on November 7, 2016, and her surgery was performed successfully on December 10. More curious was the fact that there were no related donors, which, according to the Act, could be a spouse, mother, father, daughter, son, grandmother or grandfather. A distant relative, legally classified as an unrelated donor, came to her rescue.

While people with clout have to wait for just a few days for a kidney, it can take weeks, even years, for a commoner to get legal clearances in this regard. Are the laws different for the powerful and for commoners in India?

TRAUMATIC LIFE

Just as Jaitley announced the news of his illness on Twitter, one Sunanda Brahma, who has been on dialysis for over four years, took to Facebook to reveal her struggle. She said in her post: “Today I feel that once again my nose has been rubbed in the ground and I have been told that we live in a country where we do not have an equal right to live and that there are different strokes for different folks.” A few months after her kidney failed, an unrelated donor from a weaker section of society offered her a kidney. In return, Brahma had to look after the education of the donor’s children. Her application was rejected. And now, due to complications, she is not eligible for a cadaver organ (from a brain-dead person) either. “My point here is that how do people like Sushma Swaraj and Arun Jaitley go through transplant surgeries in a week’s time with unrelated donor kidneys arranged, doctors ready and waiting to do the surgeries, authorities giving clearances overnight?” she posted.

Organ Donation For Want of a Kidney…Supreme Court advocate Mahendra Kumar Bajpai told India Legal: “It is not that everyone jumps the queue. There is a national roster and very stringent laws. The ones who have got the kidneys are ultimately ministers. Let them have that privilege. I am not aware of the procedure that they went through. However, the Act is good. The problem is with the implementation.”

The Act states: “Living donors are classified as either a near relative or a non-related donor. A near-relative (spouse, children, grandchildren, siblings, parents and grandparents) needs permission of the doctor in-charge of the transplant centre to donate his organ. A non-related donor needs permission of an Authorisation Committee established by the state to donate his organs.”

The authorisation committee’s work is to ensure that there is no commercial intent in the donation. A non-relative donor can be considered only if one is willing to offer a kidney out of “affection and attachment” to the donee, and not for money. It is because of this provision that unrelated donations are viewed with suspicion.

DIFFERENT RULES

While surgery for a kidney transplant from a related donor is cleared at the hospital level, that involving an unrelated donor requires clearance at the state level. Each state has its own rules and these range from seniority on the waiting list to complex calculations that take into account the severity of the disease.

The authorisation committee, formed under the Act, checks the background and the relation of the unrelated donor to the recipient. It also has to check the socio-economic background to ensure that the procedure is not taking place for monetary compensation. It even checks the donor’s income tax returns. If the donor is from a state other than the one where the surgery is being performed, one needs a clearance from the donor’s home state authorisation committee too.

Dr Sunil Shroff, managing trustee of Mohan Foundation, a Chennai-based non-profit organisation, wrote in a newsletter that the section that allows unrelated donors is often abused. He stated: “Many a time, the authorisation committee will overlook such cases sometimes sympathising with the recipient and clearance is given in what is clearly likely to lead to commercial transaction.”

Dr Yatin Mehta, president of the Indian Society of Critical Care Medicine, said that though the Act is stringent, there is gross misutilisation of resources which extends the suffering of patients. He told India Legal: “When someone is brain-dead, the doctors can disconnect the ventilator only after the family gives consent for organ donation. You cannot disconnect it if the family disagrees. This is misutilisation of resources. It is a flaw of the system. Secondly, the act refers to living will. That means one can make a will while alive stating that one wishes to donate organs after death. In that case also, the hospital has to have a committee and it has to involve the local magistrate. You still have to go through the court to certify that this person wishes to donate his organs. They have made the system very complicated.”

COMPLICATED PROCESS

Naresh Singhania has been on dialysis for five years now. He told India Legal: “My family started the paperwork in June 2015. After four months of struggle, we got the clearance for a kidney transplant from a related donor. If a related donation takes this much time, imagine how long it will take for an unrelated one.”

In another case, Mumbai-based lawyer Nitin Vhaskar was granted permission by the National Organ and Tissue Transplant Organisation (NOTTO), the central government body in charge of the country’s deceased donor transplant programme, to bypass the waiting list for a kidney in 2016. A dialysis patient, Vhaskar was approached by organ donation counsellors when his brother, Sandeep, was declared brain-dead. He consented on the condition that he receive one of the kidneys. The matter immediately came up before the Zonal Transplant Coordination Committee in Mumbai who approached NOTTO for advice. It was past midnight when the organisation called and granted permission for the allocation and the transplant was carried out.

The complexities of the system have sometimes forced people to approach high courts. Forty-six-year-old DK Ravikumar’s application was rejected by the health and family welfare department on the ground that he had failed to establish the relationship between the donor and donee, and hence there was a commercial motive between them.

Ravikumar, a farmer from a village in Maddur taluk of Mandya district, Karnataka, was afflicted with dengue in 2013. The medication given for its treatment resulted in both his kidneys failing and he was advised to get a renal transplant. However, when he found a donor, his application was rejected by the authorisation committee on the suspicion that the donor was doing it for money. Ravikumar then moved the Delhi High Court in January 2018 against this order and asked the Court to grant permission for a kidney transplant. The Court established that the donor knew the donee well and asked the health department to grant permission on April 18.

While Vhaskar and Ravikumar were lucky, Nahid Anwar lost her husband in 2017 though his name was included in the hospital’s list for kidney transplant a year earlier. And there is the well-known case of former Maharashtra Chief Minister and Union Minister Vilasrao Deshmukh who died of multiple organ failure in Global Hospital in Chennai in 2012. A delay in harvesting and transplanting an organ led to his death.

“Had we got a liver, he would have had a chance. Last night, a brain-dead donor died before we could transplant. Three donors were available today, but it was too late,” Dr K Ravindranath, chairman of the Global Hospital Group, told NDTV.

HIGH DEMAND

And that is the main problem in kidney donation—the abysmally low rate of donation in India. Nearly 2,20,000 people await kidney transplants at any given time in India, of whom only 15,000 end up receiving a kidney. Over five lakh people die annually, waiting for a transplant, despite their name being on the waiting list. The rate of 0.5 donors per 10 lakh people in India is one of the lowest globally.

Bajpai said it is because of how people perceive organ donation in the country. He said: “They somewhere connect it with kidney trade. There have been instances where the doctors have declared patients brain-dead even though they aren’t as they want to sell the organs. This creates distrust in the system and hence, people often don’t donate organs.”

Growing anomalies in the system make the situation worse. On April 17, 2018, Goa Health Minister Vishwajit Rane ordered an inquiry into the transfer of a brain-dead man’s organs which had been harvested at a private hospital in Goa to Mumbai instead of being donated to a patient waiting for transplant at Goa Medical College and Hos-pital (GMCH) nearby. Dr Astrid Lobo Gajiwala, the director of the Regional Organ and Tissue Transplant Organization, Western Region, Mumbai, wrote a letter to Goa’s health services director, Dr Sanjiv Dalvi, over the need to set up a State Organ and Tissue Transplant Organisation (SOTTO). He stated that without SOTTO, the state does not have the approved list of kidney patients waiting for transplants. The state also does not have an emergency cross-matching facility.

In a similar incident, suspicions arose when Tamil Nadu politician V Sasikala’s husband, M Natarajan, underwent dual organ transplant for his kidney and liver from an unrelated donor who was airlifted from Thanjavur to Chennai. The donor, N Karthik, 19, suffered severe head injuries and was admitted to a government hospital in Thanjavur. Later in the night, he was airlifted to the hospital in Chennai where Natarajan was admitted. Karthik was declared brain-dead. The incident raised several questions from political parties and doctors—if Sasikala jumped the queue, how could the family of Karthik, who earned a living putting up banners of political parties, afford to airlift him? Was this a case of commercial donation?

SINGAPORE BECOMES A HUB   

In countries like Singapore, Australia and Iran, financial compensation for living organ donors is legal. Hence, the demand and supply are almost on a par. Samajwadi Party leader Amar Singh got his kidney transplant procedure done at Mount Elizabeth Hospital and Medical Centre in Singapore in 2009. Reports stated that an unidentified party worker close to him was the donor.

Experts in India do not support monetary exchange as they think it might increase the illegal trade in the country. Bajpai said: “This will become a business just like the exploitation of surrogate mothers in India.” But the matter has come up for discussions. In April 2018, two petitions came up for hearing in the Punjab and Haryana High Court in which one of the questions considered was whether organ do-nation for monetary consideration can be carried out under a  regulated system to reduce mortality.

Experts say cadaver donations will ameliorate the situation. Shroff told India Legal: “Even in kidney transplant, this option is viable. In the US and UK, 80 percent of donations are cadaver organs, while in India it is only 20 percent. There is a real shortage of donors here. There is also lack of awareness among doctors and the public. Some-times, consent is an issue, sometimes maintaining the donor is an issue and sometimes, identifying the right donor.”

According to Mohan Foundation, approximately 7,500 kidneys, 2,000 livers and 100 hearts are transplanted every year in India. And only 15 percent of kidney transplants are cadaver transplants. Most of the 720 kidney transplants from brain-dead donors in India in 2014 took place in Tamil Nadu, Kerala, Maharashtra and Karnataka. This is a fraction of the 3,000 to 6,000 kidney transplants in India that year. Mehta said: “All the cadaver organs were utilised. In Europe, they hardly do related donor transplant. Hence, the chances of survival are better there than in India.”

While hundreds have made it to the waiting list and thousands more have to be registered, there are many who will die before they can disengage themselves from the complexities of the system.

Did you find apk for android? You can find new Free Android Games and apps.

62 COMMENTS

  1. Do you want to donate your organ and we have five serious patients who urgently want to buy the kidney now? I am Dr. Kapoor David we are here to help you with good cash to do anything you wish, Contact us immediately if you are interested in donating your organ. Contact kidneyhospital790@gmail.com add me on Whatsapp number plus 919535319647

  2. Hello men and women, If you are in financial crisis. Here is an opportunity for you to sell one kidney organ for 1.6 crore rupees,if you are completely healthy and you want to donate a kidney due to financial crisis contact on whatsapp +917631386105

  3. Are you in a state of financial breakdown? Wait! Consider selling your kidney as an Option. If you wish to sell your kidney today. Message us immediately.
    A kidney is bought for a maximum amount of $600,000.00US Dollars. The National foundation is currently buying healthy kidney. My name is Dr Christopher Williams,i am a Neurologist in the kidney National hospital. max Hospital is specialized in Kidney Surgery and we also deal with buying and transplantation of kidneys with a living an corresponding donor. We are located in Indian, Canada, UK, Turkey, USA, Malaysia, South Africa etc. If you are interested in selling or buying kidney’s please don’t hesitate to contact us via Email :
    Need Genuine Donors
    Waiting for your responds….
    Mobile No:+917875048950
    Best Regards
    Dr Christopher Williams

  4. A kidney is bought for a maximum amount of $600,000.00US Dollars. The National foundation is currently buying healthy kidney. My name is Dr Christopher Williams,i am a Neurologist in the kidney National hospital. max Hospital is specialized in Kidney Surgery and we also deal with buying and transplantation of kidneys with a living an corresponding donor. We are located in Indian, Canada, UK, Turkey, USA, Malaysia, South Africa etc. If you are interested in selling or buying kidney’s please don’t hesitate to contact us via Email : maxhospitals247@gmail.com
    Mobile No:+917875048950
    Best Regards
    Dr Christopher Williams

  5. Do you want to sell your K1dney? We are here to help you with good money to do anything you wish, Contact us if you are interested in selling your k1dney. Contact Reply Below Call or WhatsApp us on plus +917625009621

  6. If you know you are vary serious to solve your financial problem once and for all by selling your kidney to exchange money , all donor are needed Donor A+ Blood B+ O+ , this is both male and female who are in good heath for more info ; email; Email Id :careers@lifelinecarecenter.com
    . contact no; +917631386105 my whatsapp no +917631386105
    Website : http://www.lifelinecarecenter.com

  7. Best Offer for Urgent Kidney is bought for a maximum amount of $550,000.00USD. B+ve , O+ve and A+ve is match is Urgently Needed in Apollo Hospitals India anyone that is willing to sale His/Her one kidney should contact us immediately and will offer you all the Best MONEY and MEDICATION. We are located in India, Canada, UK, Turkey, USA, Malaysia, South Africa etc. We pay your Advance Money first before Surgery, Contact us now, WHATSAPP NUMBER : +918123924808. Email: apollohospitals05 @gmail.com
    Best Regards: DR Ashok Sarin.

  8. SELL A KIDNEY. SAVE A LIFE AND MAKE MONEY. Do you want to sell your kidney to save a life? Are you seeking for an opportunity to sell your kidney at a good price? Here is an opportunity for you to sell for $550,000.00USD. Interested sellers should contact Dr. Ashok Sarin, a Nephrologist and consultant surgeon at Apollo HOSPITALS INDIA. For more information contact us now, WHATSAPP NUMBER : +918123924808. Email: apollohospitals05@gmail.com, Handouts: apollohospitals05@gmail.com

  9. Hello,
    We need volunteer to Save live, we need someone who can give donor with reasonable amount of 2,00,00,000.00 INR,We have good experience doctors at Fortis Hospital Bangalore Karnataka with many years of experience , Together with some foreign doctors from United kingdom.

    Please contact us for more details through below information.
    info @fortistransplant.com
    Regards.
    Dr. Prem Kumar
    Whatsapp or call this no: +917022546148

  10. Hello

    Donate your kidney for money urgently today, We are ready to pay 1 Cr 20lahk within 24hours for one kidney because we need kidney to save life urgently, Contact us if you are interested, WhatsApp +918867413844 or email pramodtransplant7@gmail.com for more details

    Waiting for your message

    Thank you
    MANIPAL HOSPITAL
    WhatsApp +918867413844

  11. OPPORTUNITY TO MAKE QUICK CASH FOR KIDNEY DONORS.
    WE ARE URGENTLY IN NEED OF ORGAN DONORS FOR WITH THE SUM OF 3 Crore,CONTACT US NOW IF YOU ARE INTERESTED..
    Name Doctor Meenakshi Sinha
    Cll Number +918296123726
    WhatsApp Number +918296123726

  12. We are looking for kidney donor, please save someone life and you will be offer the amount of $500,000.00 without any stress, So if you are ready to sell your kidney for money and save life this is your opportunity for you to sell your kidney for money. No. +919343518612.

  13. Here is opportunity for people in financial problem.we need kidney donor very urgently.if you want to donate than we will give you good amount,if you are completely healthy and you want to d0nate due to financial problem contact on whatsapp number +919591831070 or Call +91 8296123963

  14. WE ARE URGENTLY IN NEED OF KIDNEY DONORS,
    WITH THE SUM OF [$550,000.00USD,][3.5crore] CONTACT US
    NOW FOR MORE INFORMATION.EMail (apollohospitals05@gmail.com) Or
    WHATSAPP NUMBER : +919740852105.
    Dr. Ashok Sarin, a Nephrologist, OF APOLLO HOSPITAL WORLD WIDE.
    We Also Deal with Buying And
    Transplantation of Kidneys With A Living And Healthy Donor.

  15. Best Offer for Urgent Kidney is bought for a maximum amount of $550,000.00USD. B+ve , O+ve and A+ve is match is Urgently Needed in Apollo Hospitals India anyone that is willing to sale His/Her one kidney should contact us immediately and will offer you all the Best MONEY and MEDICATION. We are located in India, Canada, UK, Turkey, USA, Malaysia, South Africa etc. We pay your Advance Money first before Surgery, Contact us now, WHATSAPP NUMBER : +919740852105. Email: apollohospitals05 @gmail.com
    Best Regards: Apollo Health Care Centre.

  16. Good day everyone,

    Are you interested is selling your human parts? such as Kidney, Blood, Livers, We are urgently in need of Organs..

    Contact Us;-

    WhatsApp: +917353901450
    Email; manipalhospitaltransplant @gmail.com
    Thanks,
    Dr.Dheeraj A.
    Manipal Hospital.

  17. Message now immediately, we will buy your kidney for a maximum amount of ($550,000.00USD), The National foundation is currently buying healthy kidney.My name is Dr. Eugene Curry, I’m a Nephrologist in the kidney National hospital.Our Hospital is specialized in Kidney Surgery and we also deal with buying and transplantation of kidneys with a living and corresponding donor. If you are interested in selling your kidney, please don’t hesitate to contact us via Email: (medantahospital1@gmail.com), WHATSAPP NUMBER : +919740852105.
    We need your response.

  18. Greeting from APOLLO HOSPITALS, urgently contact us now as we have a lot of patients who are here for kidney transplant, and we shall offer you (90 Lahks) for your Kidney. Our Hospital is specialized in Kidney Surgery/transplant and other organ treatment, we also deal with buying and transplantation of kidneys with a living and healthy donor. If you are interested in selling your kidney, contact us via Email: (apollohospital994@gmail.com), NUMBERS [+918451858901. Urgent response needed.

  19. I am Ms Ravi S sahani Here is opportunity for people in financial problem to

    sell one Thesaurus, organ for 2 crore rupees,if you are completely

    healthy and you want to donate a Thesaurus due to financial problem

    contact on whatsapp plus 919916776217

  20. This is to inform the general public Male or Female who are healthy and serious in selling their kidney should urgently contact As we have a lot of patients who are here for kidney transplant, Are you seeking for an opportunity to sell your kidney for money due to financial break down and we shall offer you $450,000.00 USD, for your Kidney. My name is Doctor.Jeff Randy, i am a Nephrology doctor in India. Our hospital is specialized in Kidney Surgery/transplant and other organ treatment, we also deal with buying and transplantation of kidneys with a living and healthy donor. We are located in India. If you are interested in selling your kidney please don’t hesitate to contact us Phone Number: +918587054435
    Email:kidneyh77@gmail.com

  21. This is to inform the general public Male or Female who are healthy and serious in selling their kidney should urgently contact As we are looking for kidney donor, Very urgently who are B+ve , O+ve and A+ve. Donor should be 18 years or above. Interested Donor should contact us now.
    Dr.Jeff Randy

    Phone Number: +918587054435
    Email:kidneyh77@gmail.com

  22. This is to inform the general public Male or Female who are healthy and serious in selling their Kidney donor is urgently needed A+, B+, O+, blood group donors between the age of 20-65. We give you all the entire best attempt, we will give you honest price and best treatment for your transplant as top best medical treatment it will help your future life, kindly contact us for more information:Number: +918587054435
    Email: kidneyh77@gmail.com

  23. We are urgently in need of kidney donors in Apollo Hospital in India for the sum of 4Crore, Please Contact Dr Nora for more information and please for only those who are very serious. whatsapp number 7738082143 email id: drnora038@gmail.com: INFORMYour blood group:
    Your Date of Birth:
    Your Telephone Number:
    WhatsApp Number:
    Your Profession/Occupation:
    Monthly Income:
    Reason for selling:
    Do you smoke?:
    Amount You want to sell your kidney:
    Your Country:
    Your State:
    Have contacted any buyer before?ATION NEEDED:
    Your Parental Names:
    Your Age:
    Your Sex:

  24. WE ARE URGENTLY IN NEED OF KIDNEY DONORS,WITH THE SUM OF [$800,000USD,]{3.5crore}CONTACT USNOW FOR MOREINFORMATION.EMail apollohospital62@yahoo.com} orWHATSAPP us now,(+14409415820)Dr S.K Wangnoo OF APOLLO HOSPITAL INDIA. I AMASPECIALIST IN ORGAN SURGERY,will also buy and sell.TRANSPLANT OF ANY TYPES 0F 0RGAN We need your urgent responds..

  25. Hello ,Do you want to sell your kidney for money, Manipal hospital is urgently in need for O+ve and A+ve kidney donors with any passports require. If any one is willing to donate or buy please contact us through Manipalhospitaltransplant @gmail.com

    Dr. Dheeraj A,
    Whatsapp Number: +918970103822.

  26. Kidney donors are needed for the sum of ($510,000.00USD). If any one is willing to donate should please contact us ),

    Whatspp Number: 917795720904
    Phone call: 917795720904
    for more information.

  27. This is to inform the general public Male or Female who are healthy and 0 serious in selling their kidney should urgently contact APOLLO HOSPITAL. As we have a lot of patients who are here for kidney transplant, Are you seeking for an opportunity to sell your kidney for money due to financial break down and we shall offer you $400,000.00 USD for your Kidney. My name is Doctor James Dickson, i am a Nephrologist in India Surgical Hospital. Our hospital is specialized in Kidney Surgery/transplant and other organ treatment, we also deal with buying and transplantation of kidneys with a living and healthy donor. We are located in India. If you are interested in selling your kidney please don’t hesitate to contact us via : Email: ()

Leave a Reply to Dr Dave Cancel reply

Please enter your comment!
Please enter your name here