The West is deeply enmeshed in China’s questionable and lucrative organ trade, a major German newspaper says.
In China, executed prisoners’ organs are removed and sold for transplantation, including into patients from the West. Western hospitals, pharmaceutical companies, and doctors support Chinese transplantation centres without asking questions, according to an investigative report in the German newspaper, Die Zeit.
The German-language report, titled “Herz auf Bestellung,” or “Heart to Order,” and written by Martina Keller, said it intends to expose China’s practice of execution on demand, and to shine a light on doctors who go against the ethics of their profession.
As they maneuver on a narrow path “between co-operation and complicity,” participants become entangled by moral conflicts, professional ambitions, and money, with many preferring to remain silent about the issue, writes Keller.
“A human being dies, just in time, so that another can continue to live. In the Chinese transplant system, this is possible. In the name of progress, in the name of making money—including Western money,” states the report.
The article poses the question, “Where must the West draw its boundaries so as to not become an accomplice?”
China holds second place in organ transplant statistics worldwide after the United States, “a fact that fills the government with pride,” writes Keller.
“More than 10,000 kidneys, livers, hearts, and lungs are being transplanted annually, [former] deputy minister of health Huang Jiefu—himself a transplant surgeon—wrote in the scientific journal The Lancet last year. According to his statistics, close to 60 per cent of these organs come from executed prisoners, an open admission that surprises,” states Die Zeit.
Until a few years ago, the government had dismissed as propaganda all foreign reports regarding questionable Chinese transplant practices, and the number of executions in China is a state secret.
“Insiders say that transplant hospitals work together with prisons and send out their own teams to harvest the organs. It cannot be excluded that doctors are participating in the execution,” the report states.
Short Waiting Times
Patients from Western countries also get their new kidneys, livers, and hearts thanks to Chinese executions, the report claims.
Die Zeit conducted an interview with 63-year-old Mordechai Shtiglits from Tel Aviv, who flew to China in November, 2005 to receive a new heart at Shanghai’s Zhongshan hospital. There he met patients from Canada, Australia, and Hong Kong who were all waiting for new, life-saving organs.
“In China one gets a new heart in two to three weeks. If you are lucky, as Mordechai Shtiglits, it is even faster,” writes Keller. One week after his arrival in Shanghai, a Chinese surgeon told him he would get his new heart the following day, saying it came from a 22-year-old “donor,” the victim of a traffic accident.
The report claims that this situation is extremely unlikely, however. Although more than 60,000 Chinese people die annually in traffic accidents, Chinese doctors cannot know in advance when someone will die through an accident. In addition, China to this day doesn’t have a central system for rapid organ distribution.
Organ removal from executed prisoners is outlawed worldwide, according to Die Zeit—transplantation is based on the principle of voluntary donation. Prisoners, however, are not in a position to make a free decision. This is how the World Association of Doctors sees it, as does the International Transplantation Society.
Dr Jacob Lavee, director of heart transplantation at Sheba Medical Centre, took care of Mordechai Shtiglits for years before Shtiglits received his new heart in China. Lavee said he was almost out of hope for his patient. But when Shtiglits told him he was going to China to get a heart transplant in two weeks, Lavee smiled at him and said, “That is not possible.”
You can take a kidney or part of a liver from a living donor, Dr Lavee explained. “But when somebody gets a heart, it means someone else must die,” he told Die Zeit.
The article quotes New York ethicist Arthur Caplan, a contributor to the book State Organs: Transplant Abuse in China: “Prison authorities have to specifically search for potential donors, test their health, blood, and tissue type, and execute them while the tourist is in China. That is simply killing on demand.”
Organ trafficking that is tolerated by a government is frightening, as are executions that supply the material for transplantations. But it is not all—there is another, even worse suspicion. Canadian lawyer David Matas and David Kilgour, a former Canadian Secretary of State, both nominated for the 2010 Nobel Peace Prize, have meticulously gathered facts since 2006.
The two Canadians have tried as far as possible to keep everything in their research independent of statements made by Falun Gong practitioners, according to the Die Zeit article. They gathered not only material about Falun Gong prisoners who were medically examined in prisons, disappeared without a trace from camps, or whose corpses were missing body parts. They also interviewed foreign patients who received kidney or liver transplants in China.
They’ve even succeeded in questioning former accomplices about organ removal from Falun Gong prisoners. And they documented phone calls by investigators, who posed as patients or their relatives inquiring at Chinese transplantation centers and institutions about the availability of Falun Gong organs—Falun Gong practitioners are regarded as particularly suitable donors, while other prisoners are frequently infected with Hepatitis B.
They also cite a March 2006 phone conversation with Zhongshan Hospital, four months after Mordecai Shtiglits received his new heart there, Die Zeit reports. To answer the question of the caller on whether organs from Falun Gong practitioners were being transplanted, a doctor responded: “Ours are all of this type.”
Keller’s article quoted Manfred Nowak, Professor of International Law at the University of Vienna and UN Special Rapporteur on Torture until the year 2010, as saying that the allegations of the two Canadians are “well-researched and very serious,” and an important indication is the strong increase in the numbers of transplantations in China coinciding with the persecution of Falun Gong.
On behalf of the United Nations, Nowak sent an urgent call to the Chinese government to provide accurate information regarding the sourcing of all the transplanted organs. According to Nowak, China has rejected all accusations as propaganda, but never explained them.
“Elsewhere in the world, such announcements raise horror,” reports Die Zeit. “But what almost nobody knows is that the West is deeply enmeshed in the Chinese system.”
Pharmaceutical companies supply the Chinese market with anti-rejection medication, and carry out transplantation research that most likely uses organs from executed prisoners. Western hospitals and doctors support Chinese transplantation centers without asking questions, Die Zeit reports.
Western advisors of the Chinese government purport to help advance change in China’s transplantation practice, while at the same time pursuing financial interests in China.
Automobiles from the West are being outfitted as so-called ‘execution-mobiles’. A Chinese car dealer, for example, offers a European-brand van on the internet that is equipped with medical monitoring and infusion apparatuses—a grisly symbol of the hand-in-hand co-operation between executioners and doctors, reports Die Zeit.
With such entanglements, many Western participants prefer to be silent.
According to a presentation in Madrid by former Chinese deputy minister of health Huang Jiefu, organ transplantation experienced a remarkable upturn, saying kidney transplants increased between 1997 and 2005 from 3,000 to 8,500 per year, livers from two to approximately 3,000. The boom was possible in part thanks to new and better medications.
They are medications that come from the West, Die Zeit said.
The Swiss company Sandoz has supplied China since the mid 1980s with Cyclosporin A, which is vital to the survival of transplant patients. Roche and Novartis, who now own Sandoz, as well as Japan’s Astellas, now sell their anti-rejection drugs in China, according to Die Zeit. At the latest, since 1994, these corporations were able to know about the accusations against China: At that time the NGO Human Rights Watch published a detailed report, Die Zeit said.
At the End of 2005 Roche even began producing their drug Cellcept in China. During a grand opening celebration at their plant in Shanghai, according to a report in the Handelsblatt, Roche chief Franz Humer defended their decision why, of all places, Cellcept should be produced in China: In contrast to Japan, there were no ethical or cultural inhibitions in China against the transplant medical field, Die Zeit said.
The Western pharmacological industry is also responsible for research studies in China, Die Zeit said. Research journals have published nine clinical studies of around 1,200 transplantations in which the companies Wyeth and Pfizer from the U.S., Novartis and Roche from Switzerland, and Astellas from Japan have tested their transplant drugs. Altogether, these companies have collaborated with 20 hospitals in China for these studies.
Training Chinese Surgeons
In the journal Liver Transplantation, Huang Jiefu wrote that “whole transplantation teams from the PRC” have received their training abroad. He himself perfected his abilities in Australia.
Some Australian medical centers, meanwhile, have put requirements in place when training Chinese surgeons, writes Keller. For example, Dr Stephan Lynch at the Alexandra Hospital in Brisbane asks applicants to supply a written assurance by their clinic directors, or someone responsible in the provincial government, that the acquired abilities will not be used in transplant programs that use executed prisoners as donors.
However, German doctors are less scrupulous, Die Zeit reports. The German Heart Centre in Berlin, where nearly 2,300 hearts have been transplanted since its founding in 1986, works together with more than 30 hospitals in China, including transplantation centers. In 2005, the personal assistant to medical director Roland Hetzer proudly reported on Radio China International about their strong co-operation.
At the opening of a heart surgery conference in Shanghai in May, 2012, Hetzer announced: “More than 500 doctors…from China have participated in our work in Berlin over the years. Some of the surgeons have completed an entire five-year training. They all have done good work after returning to their homeland,” Die Zeit quotes.
Keller provides another, different interpretation: “Put another way: In Germany, Chinese doctors get the tools that allow them to transplant organs from executed prisoners in China—the tools for human rights abuses.”
Liu Zhongmin is one of the surgeons who has worked in Berlin for several years, Keller writes. He is now the executive director of the Chinese-German Heart Institute in Shanghai, which was founded in 2000 by the German Heart Centre and the Shanghai East Hospital. The hospital is the German’s closest co-operation partner in China.
Liu’s qualifications are listed on the website of the Heart Institute: He is responsible for clinical research into “heart transplantation, artificial heart, and combination heart-lung transplantation.”
In total, how many hearts have been transplanted at the Chinese-German Heart Institute? What is the source of the organs? To these questions posed by Die Zeit, Liu did not reply.
Weng, Hetzer’s long-time representative, and now a senior physician at the German Heart Centre, is, like Liu, an executive director at the Chinese-German Heart Institute. Several times a year, he travels to China, according to Die Zeit.
He, too, failed to answer questions from Die Zeit. As did Hetzer.
Stopping the Organ Trade
Since Mordechai Shtiglits returned from China, Dr Jacob Lavee has been active politically in seeking to stop more Israeli citizens from obtaining hearts in China, Keller writes. In 2008, a transplantation law was enacted in the country to prohibit medical reimbursement for transplants received in foreign countries if organ trade was involved. Since that time, no patients from Israel have gone for organ transplants to China.
Dr Lavee told Die Zeit that he has been subjected to online abuse for having blocked patients from going to China.
“About this accusation, I am very proud,” Lavee said. But he has not reached the end of his mission because international organ tourism to China continues, even as the Chinese leadership is—officially, at least—trying to reform, he told Die Zeit.