CEMAL SUBAŞI / csubasi@doganburda.com
Name Ayten. Antioch. Nurse. Age 33 He is married and has two children. The announcement to the Internet, writes: "I want to sell urgently needed because böbreğimi. ... Me. You can telephone number. My blood type is B positive. Urgent need. "
Code-named Brady. Live in Bursa. Age 29 Married, father of a child. Unemployed. Among those he has declared: "Let all God healing. Get past. Are all kinds of kidney. Passed to the Commission. Throw me an e-mail. "
The sale, on the Internet in just two of hundreds. Organs, particularly kidneys trade includes all the codes. Organs are sold, 'commission', which describes the formal organization of illegal check can be taken out. In addition, agents of buyers and sellers, as well as the hosting. However, according to the laws ban sale of organs. So, how name trying to ban its release in this sector?
Nurse Alice, 50 thousand pounds for the want of a kidney. For transplantation, we want to come to the city, he says. According to the law until the fourth generation to another organ bağışlayabiliyor relatives. Except that definition, to amputate or to provincial health directorates' must go through the approval of the ethics commission. But we're not kin to wife Alice. So, how will this work? Alice looking for the recipient, such as nurses, says the solution is simple: "First, built and tests, we will learn whether it is appropriate dokularımızın. If appropriate 'Commission, we have to convince that we are distantly related. We can convince, and we want to give the approval of hospital operation him into it. My friends did not have problems in this regard between. "
Body find what to do?
The need for organs in Turkey, as well as in Europe, met two types of cadaveric and living donor. But unlike Europe, we have very few cadaveric organ donation. Around 20 percent. For this reason, the eyes and round creature. But the law, "the children of a parent, child-father, mother, aunt-nephew, cousins to each other organ (kidney or a portion of the liver) can donate," he says. Entrants to this definition, referring to hospitals with organ transplant center, transfer requests can be found. The center is looking at records of the population of those requests. They are close relatives and exchange of money between them is whether you believe Transfers approval. Tangible interest, suspects, "No." he says. Fourth degree relatives if they bring conviction, not be able to specify the transplant, 'depending on the provincial health directorates' is directing Commission under ethical.
But organ transplant centers in the hospitals 'ethics committees' full of the question marks. Proceed step by step in order to understand more clearly the structure of this complex. First organ transplant centers, and then let's look at the ethical committees.
Married for Organ
"A girl brought from Ukraine. Patients with liver cirrhosis, is planning to marry this girl. The man, 'Are we married this girl makes liver transplant my teacher? "He asked. Other than relatives, married for at least two years, admitted to us yaptırabiliyor transport, but the applicants can be illegal ways. "These words, Medicana International Hospital Organ Transplantation Center, Ankara University lecturer Professor and Head of the Department. Dr. Faith of Ersöz'e. Prof. Ersoz, "I suspect that the transport material benefits and by the way I do the degree of kinship. Out of the side of me, someone else can act is meticulous in this regard and of course you can go to the center, "he says.
Experts within the organ transplant center, draws attention to the number of hospitals. There are a total of 56 centers. So, hospitals, organ transplant centers, is why is it so important? Prof. Dr. Ersoz, it answers our question as follows: "Organ transplants are taking money for the social security institution. The state subsidizes implementing transplants, is a good package. Kidney transplant, 35 thousand, 85 thousand pounds of liver transplantation is paying. The result is a sense of commercial enterprises in the private hospitals. Choke in the State bureaucracy, is going public to private patients. "Timur Erk, the President of the Turkish Kidney Foundation Professor. Ersöz support: "As a result of subsidizing the state organ transplant centers began to open up like mushrooms. Timely grocer, opened çakkalın such as dialysis centers. This is because there's good money to take the center maintain a license. "Well, these centers, from organ transplantation to be able to find the necessary? Timur Erk, "Organ transplants are doing trade in? I can not say (laughs). These centers should be under zapturapt. The Ministry of Health has stopped the opening of new centers. Was aware of the issue, "he says.
"Body where they find?" Question Organ Transplant Coordinators Association President Dr. Ahmed Blackwell clearer answer: "to you and I are brothers, would you give me organınızı. Body is understood as a result of the tests do not fit me. Then the body is the appropriate one and want to sell. Your identity paste a picture of that person. Then başvuruyoruz an organ transplant center. Brother seemed to transport me to that person's identity card is done.. "Dr. Çakıroğlu'nun Ahmed said, the Ministry of Health inspectors uncovered a similar operation in many fraudulent transfer. Dr. Blackwell, continues: "The ministry did not explain the instances of fraud. Duyurmadığı similar events for the public, the press is tender mafia. "
No Mafia
Prof. Dr. Sadik Ersoz, and Dr. Timur Erk. John Blackwell, Turkey argues that the organ mafia. Their correspondence show: "The Ministry of Interior, MIT, asked the General Directorate of Security and Forensic Tıp'a. Replies, 'We, the bodies were taken and killed in a case registered against no' was the direction. "Istanbul Regional Coordinator for this information, Dr. Organ and Tissue Transplant. Ali Demirel and Istanbul Deputy Director of Health Dist. Dr. Halim Omar Spoons are also supported. "Organ mafia urban legend," they say.
Last month, The Times published a news on this subject, even "organ trafficking Istanbul became the capital," he wrote. Experts in the "Mafia, urban legend," he says. But in the middle of a real organ circulation. So, where transplanted organs? Stairs six clinics? Turkish Kidney Foundation President Timur Erk, "Kidney transplantation is more difficult to by-pass surgery. Always be in a hospital environment, "he says. "Then the eyes round and organ transplant centers," When we give the following reply: "Yes. Perhaps two of the clinics, operating theaters can be a great tale. But there must be a laboratory. And tissue tests will be analyzes up to eight. So, this is not an easy task, so. Does this work be done in the clinic with a large two operating theaters? Registration can be done off-course. "
"My family komisyonculukla geçindiriyorum"
Now, the story itself, is worth returning to Bradley, code-named broker told. "It is kind of kidney. Passed to the Commission, "the Bradley poster, the system explains:" Originally Diyarbakırlıyım, I live in Bursa. I am married. Have a child. Ad on the internet I have to sell due to financial difficulties böbreğimi. Konya was a buyer. We agreed 50 thousand TL. Go to Konya, the city showed ikametgâhımı. Organized a fake ID cards. We went to a hospital in Antalya. Worker, looking at the documentation 'Are you a relative? "He asked,' Yes, 'I said. Gave approval. Transplantation was performed. "
Bradley, after this experience 'brokerage' has started to do. Around friends, the internet brings together the transmitter and receiver advertisements. The receiver is 5 thousand TL. Then, edit and fake identity cards and residence certificate at the hospital has recognized that directs the operation. Hospital, offers a £ 20 thousand for transplantation. "The hospital, to earn money, whether it is fake documents incelemiyor" he says. Bradley, says the unemployed. Geçindiriyor komisyonculukla his family.
'Mis', such as
"Purchaser's name Cihan. Friends of the transmitter. They resorted to the hospital to take ethics commission approval. Documents to be okay transplants were performed. Donor, organ transplant in the hospital until you have done, 'He is my dear friend. I give my life. I owe my all to him, 'he was talking. After surgery, the recipient, transplant coordinator at the hospital, "Mustafa is bothering me a lot. We have the right, but it still wants the money 'he burned mess. In this event, then I have seen a doctor with my friend at başhemşiremiz. "Medicana International Organ Transplant Center Hospital Department, Prof. Dr. Sadik Ersoz, quoted above, says that there were cases in the middle of October and continues: "The receiver and transmitter, along with money to spend a few days after being signed. Learn each other everything. Then they take against the ethics commission. 'Mis' do like. None of the Commission members are not professional in the business. Patients commission, 'We meet the 30 years. Childhood friend. We love each other 'he says. The Commission gives the approval. If you continue like this, science in the world of Turkey, India, the level goes down after more than five years. "
Would give the boss's daughter cunt
Up to seven months in Turkey, except for fourth-degree relatives, were forbidden to be a living donor organ. However, to meet the needs of kidney and liver, the provincial health directorates of the Ministry of Health in April 2010 under the 'ethics committee' has published a directive concerning the establishment. Starting in May 2010 to work 'ethics committee', consists of six members.
Organ Transplant Co-ordinators Association President Dr. Ahmet Cakir-son, ethics commission, often only reviewed the documents, and counterfeit documents, not called to the commission with the buyer physically reviewed kaçabildiğini tells the donor. But this claim, 'San Francisco Ethics Commission Chairman, Deputy Provincial Health Dist. Dr. Halim Omar denied Spoons. "We speak physically call," he says.
Of course, even if small in numbers' can not get ethical approval from the Commission, there are mustard or even criminal investigation. However, at the instance of Dr. John Blackwell said: "One man, one woman to donate kidney to Istanbul was admitted to the Ethics Commission, presented the certificates. Şüphelenip Police Department investigated. Bordrosunun salary transmitter, the last six months have found significantly increased. Derinleştirdiklerinde body of research, his boss wants to give her daughter was born. "
Apparently, both cadavers, as well as from a living donor 'organ sistemimiz'de have serious shortcomings. Gaps in the law and regulations, the most important cycle of the system from time to time by officers who makes ineffective.
"Avoidance of debt if they want to give my heart"
Hundreds of the internet 'kidneys for sale' s announcement. Mail: Kimi, who is leaving the mobile phone. All of them the same question: "Property difficulty."
Alice: "I want to sell urgently böbreğimi" he also declared that the mobile phone and leaving Alice, live in Hatay, is a debt of £ 50 thousand, he says. We want to agree the future of the city, he says. Lived separately from her husband and two children says that it was forced to look at. "One, I have to find the money to two weeks. Otherwise, the landlord will remove me, "he says.
H: One year ago, has opened a blog to find her kidney recipient. He is here as many people as 'dealer' added announcement. Initially, the recipient was delighted to set up a blog brings together a dealer. Then I began to fear. Explains why: "Jobs was giving thousand böbreğime 2-3. Two events caused the block to turn: one is called, has offered 30 thousand TL. Antalya, said the operation would be. Wanted a picture of me. Close relatives, the identity of a picture, paste, like me, a relative of the commission başvuracakmış show. I was afraid. İlanımı removed. Then I learned that such işliyormuş system. Also, they throw me an e-mail, 'Contact us, or those receiving lead, I'll let the commission' There were people. Began to disturb. "I hung up on the block. But after a short period of time, for the financial status of the düzeltemediği, scared or
block and the 'kidney for sale' poster aktifleştirdi.
Erdal Küçükkaykı: "41 years old. Was working in the tourism sector. I've been guiding sea coast of Turkey. But I can not find work for months. My country came to Manisa, in the same situation. There are four executive pursuit. Total debt to £ 7 thousand. Ödeyemiyorum. I am the voice will not come because of the Employment Agency. Tea centers do not even work. But I know English, have driver, but it does not work. Due to my husband because he left me. Even seven-year-old child can not see (crying). This year my daughter started elementary school, but I do not have any money. One remedy böbreğimi sell. What I never thought to want to pay. I the, the attitude of the receiver is connected. For the avoidance of debt my daughter, I am ready to give my heart if they want. I already dying every day. Böbreğimi give a time, take my money, get rid of borçlarımdan. "
"Name of the Mafia intermediaries"
Organ Transplant Co-ordinators Association President Dr. John Blackwell, drawing attention to the importance of increasing the rate of cadaveric organ donation, criticized the Ministry of Health.
"One person after brain death has occurred, the delegation will report to the calling of death, surgical teams and the organization that provides families in need of organ transplant centers, organ name of the person calling, coordinator of organ transplants. This system is applied in Spain is considered the best in the world. Each hospital, the coordinator has a salary and bonus. Patient, yet when the door is followed by an emergency. Brain death is followed closely incidents occur. Brain death occurs now, get in touch with relatives and undergoing organ transplant centers. Spain has a population of 45 million to 33 million people each cadaver organs falls to 33. This figure is 4.1 per million population of Turkey is 75 million. Because Turkey is not professional. The Ministry of Health issued a regulation to set up a coordinator. But not complete the legal infrastructure, training of our friends could do the job. Ministry hanged in this business too. As for the rumor that the organ mafia, fake documents, organizing, bringing together buyers and brokers have the transmitter. The receiver to receive the commission. Here are the mafia. I am your doctor. Not understand my way from the birth certificate is fake. "
"Professional do not have a system"
Organ and Tissue Transplant Istanbul Regional Coordinator Dr. Ali Demirel told cadaveric organ transplant procedure.
Cadavers for transplant, the organ procurement process, how does it work?
According to the Law on Organ Transplantation, the realization of the death of the patient's brain and organs can be obtained with the consent of the family. Brain death report, anesthesia, brain surgeons, neurology and cardiology specialists are given with consent. Brain death, lying in intensive care, ending the brain functions, but the beating heart of the people who called. Brain death, organ donation card, even if held over a person in our country due to socio-cultural structure, the coordinator appointed by the provincial health directorate colleagues in hospitals, is negotiated with the family on donations. Answer is positive, the organs begin to be deployed by us. "No," denirse organs can be taken.
Nakledileceği how organs are determined to whom?
Ministry of Health, for kidney transplantation, organ transplant centers reported a national list of names there. 20 organ transplant center in Istanbul, as the organ of the report coordinator. Team appropriate center, one of the kidneys for the patient gets their own list. The other one, registered 15 thousand kidney patients to be given to one of the Ministry of Health provides national system. Ministry is the most appropriate patients; district, last the duration of dialysis, age, texture, harmony, and that makes the region the most appropriate according to the scoring 5-10 patients were identified and the one sent for transport.
Do you have a coordinator appointed by the provincial health directorates in each hospital?
According to the directive, have to be in hospitals with intensive care unit. Hospitals in Istanbul, the 46 certificate courses organized by the Ministry of Health has co-ordinator.
Organ Transplant Co-ordinators Association President, "Legal Infrastructure Can not complete the job professionally," he says.
True. Gönüldenlik, on the basis of the assignment is done. No Extra Charge coordinator system.
In Turkey there are 55 thousand kidney disease. But you said that the Ministry of Health is the name of the national list of 15 thousand people. Why not all?
Dialysis centers have obligation to provide information. File 'was informed' that is written, this requirement will be eliminated! These patients entering dialysis.
Does the State money for dialysis?
Meet all the costs. One session £ 170. Comes three times a week. Plus there are remedies. When a person lives five years on dialysis, the cost of the government 300 thousand TL. Artificial heart for the Social Security Institute (SSI) pays £ 297 thousand, but best of all, going to a maximum of six months. But orthotopic heart transplant 70 thousand TL. Organ transplant centers, the money won does not make this work. There are just a bunch of money without working: Organ transplant co-ordinators. Money must be given to those who found the death of the brain.
BUT CAN NOT SELL cunt!
After 18 years of law school won the state hospitals, doctor, lawyer Ertug Under the Stars, Organ Transplant Act evaluated.
"The Turkish Penal Code Article 91'inci, prohibits the exchange of money, organ. Article 92'nci the 'Necessity has given organ case, the penalty may not be' called. This 'necessity', is one of the items discussed in the symposiums. Have the image, as if to protect the transmitter. In a sense, opens the way to organ trafficking. Start-up, entering the conflict of interest. 95'inci penal code bans advertisements for the sale of substance in the body; this point, the prosecutors need to take action. But the court houses have a large workload. Therefore, it does not pass motion to accept postings may be filed. Law sell 'penalty may not be' saying, wants to declare the penalty for a year is gone. There is a conflict between nouns. "
Answered CLAIMS COMMISSION PRESIDENT
Istanbul Provincial Health Ethics Committee Chairman and Deputy Dist. Dr. Spoons Halim Omar, says that applicants çağırdıklarını commission.
Periods in which the Commission collected?
Gather in case of need.
How do I need determined?
If the application is a request to transport members coming together.
How many times have gathered since May 2010 Activity in the pass and check how many people did you?
We gathered a total of 12 times in five months. At these meetings, more than one donor or incelenebiliyor reference. Approval was given to 18 people. One müracaata, exchange of money for doubts, "No," we said.
The transmitter and receiver çağırmadığınız the commission, only the documents are claimed to have received over the decision. Is it true?
No. We want them to come to the Commission at physically. If necessary, the çağırabiliyoruz relatives, listening to the statements.
Among them is the material you believe to be a buyer, and makers of sanctions implemented?
Of course, the police, the prosecutor's office through the open investigation. We did not check a müracaata. Rights judicial process began.
Well, some of the chain rings have problems? For example, safety, the commission's decision before the receiver with the transmitter can be incelemiyor enough?
The law points to the director of safety, a competent authority. Need to keep out biased.
Hundreds of the internet 'organs for sale' s announcement. The law is the "necessity organ sellers may not be criminal," he says. Advocates of this approach has opened the way for organ trafficking. What do you think?
I stick to my field of judiciary....
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