Showing posts sorted by date for query BODY SNATCHERS. Sort by relevance Show all posts
Showing posts sorted by date for query BODY SNATCHERS. Sort by relevance Show all posts

Saturday, February 22, 2025


Cross-Cultural Comparative Politics: Social Science or Cold War Propaganda?


LONG READ

Orientation
What is the meaning of politics?

Nine questions for determining what is politics
In Part I of my article Seven Theories of Politics I posed ten questions for narrowing down what the range for defining what is politics.

Temporal reach

How far back into human history does politics go? Does politics go back to pre-state societies? Or does politics begin with state societies? Is politics possible before there were political parties?

Cross species scope

Is politics confined to the human species or does it ooze into the life of other species? If so, which ones? If politics crosses species, is it social species that are political? Is it possible to have animal societies which are social such as lions or wolves, but not political? Does a species need to be social to be political? Is being social a necessary but not sufficient condition for politics? Is being social a necessary and sufficient condition for politics? Or is being social neither a necessary nor sufficient condition? In other words, is it possible for a non-social species to have political relationships?

How much does evolutionary biology impact politics
?

At a macro level, how does natural adaptation impact human politics? In terms of men and women, how much does sexual selection determine politics? At the micro level, how much do genetics and brain chemistry determine the level and the interest and skill in politics? Or is politics primarily a creature of the socio-historical level of reality?

Spatial reach

Where does politics take place? Many political scientists limit politics to what is taking place within states. Is that casting the net too narrowly? Can there be politics through discussions in private  space? Is it politics when I get into a discussion about the viability of capitalism while I am at the unemployment line waiting for my check? Are there politics within families? Are there politics between lovers? Or are politics only about public affairs?

Am I being political if I ask my partner if she wants to go to the movies and propose a movie and she agrees to both proposals, is spontaneous agreement political? Suppose she said she wants to go to a movie but prefers another movie. We debate about it, and one of us persuades the other. Has the discussion become political? Suppose you and I are riding bicycles. We reach a crossroads where we have to decide whether to turn left or right. We each want to go in a different direction. Is the process of deciding this political?

Political agency

Who does politics? Is politics done only by politicians? If I argue with my neighbor about police brutality in my neighborhood, are my neighbor and I political beings in this discussion? Do I become political only when I vote on the issue in the next election? Do I become political when I bring police brutality to a town hall meeting next month? Or is the only person who is political the mayor who decides whether or not to make it part of his platform for his campaign next month?

What is the relationship between politics and power?

Can you have politics without having power? Can you have power without having politics? If power and politics are related, in what way? Are politics and power interchangeable? Is one a means to another? Is power the means and politics is the end? Is politics the means and power the end?

Politics, force and coercion

Let’s go back to this movie issue. Suppose Sandy has been drinking, and in the past she has been bad-tempered to her partner. She starts drinking while they are deciding on a movie. Sandy’s partner starts worrying and gives in to the movie Sandy wants to watch prematurely to avoid the risk of being yelled at. Is that politics?

This example is a small slice of a larger issue: what is the relationship between politics and force or the threat of force? Is violence an inherent part of politics or is politics what you do to win someone over without being violent?  Some political theorists like Bernard Crick say that politics is the art of compromising when you know you cannot get what you want. Others say that the whole political system is based on violence because the entire class system is based on exploitation and force. All attempts to change things must come up against this militaristic force which protects the rulers. Some say that the only force is political and that the state is the ultimate political actor because it has, in Weber’s words, a monopoly on the means of violence.

Interdisciplinary span of politics

How (if at all) is politics related to economics? What is the relationship between technology and politics?  Does the economy dictate politics? Does politics determine economics? Does technology determine politics or does politics determine technology? The same question could be asked about religion or mass media.

What, if any, is the relationship between theories of politics and political ideologies?

Is there a relationship between a consistent set of answers to these questions and whether you are a liberal or conservative? How will the answers of social democrats, communists and fascists be different than that of either anarchists on the left or libertarian capitalists on the right?

As it turns out, the field of cross-cultural politics I will be discussing gives very narrow answers to these questions and therefore leaves a great deal out.

  • Temporal reach – narrow, starts with class societies and leaves out tribal societies
  • Cross-species – narrow, limits it to the human species
  • Is politics biological? Narrow, politics is limited to the social, psychological
  • Spatial reach – narrow, limited to what happens in states
  • Political agency—limited to what politicians do, no one else
  • Relationship between politics and power, wide, used interchangeably
  • How is politics related to force or coercion? Narrow, understates force
  • Interdisciplinary span of politics – narrow, it excludes economics
  • Theories of politics and ideology -narrow, it tries to make politics scientific and above ideology

In Part II of my article, I identity seven theories of politics:

Old Institutionalists

Civil Republicans

  • Weberian political sociologists
  • Marxian political scientists
  • Rational choice theorists
  • Radical feminists
  • Bio-evolutionary

All the answers comparative politics gives to those questions primarily come from two schools, the old institutionalists and rational choice theorists. They pretty much leave out the other five schools.

Connection to past articles
About three years ago I wrote four articles about the ideological nature of political science. One article Anti-Communist Political Science: Propaganda for the Capitalist State was primarily about political science as it is practiced in the United States (not Europe). The second article, Invasion of the Body Snatchersconnects political science to neo-classical economics and shows how both support each other while blocking out an integrated approach called political economy. In my third article Dictatorship and Democracy I expose how Mordor political scientists were quite interested in dictatorships both in Europe and even within the United States in the 1930s. On the other hand, their interpretation of democracy was thin and lacked any subsistence. Lastly, my piece Totalitarian Anti-Communism showed the manipulation of the use of the word “Totalitarian” from the 1930s into the late 20th century. However, there is one topic that I did not cover in much detail and that is the subject of comparative politics. I did discuss it a bit in the last part of my first article but not in any depth. I would especially like to write about it now because while the field of comparative politics is not taken seriously outside the United States because its political manipulation is well-known, it still serves as propaganda for war and imperialism within the United States. It is as part of Yankee self-propaganda that discussing the field of comparative politics is still worth an analysis.

Sources for my criticisms of comparative politics
Sources for my criticisms of comparative politics are as follows. Ronald Chilcote wrote a very good criticism of comparative politics from a Marxian point of view. He was especially good at exposing the ideological nature in the field. For example he pointed out the connection between the social sciences and the CIA. Ido Oren was also really excellent at showing the connection between modernization theorists and the promotion of US foreign policy. Michael Latham’s book Modernization as Ideology
reveals how modernization theory was behind JFK’s international anti-communist program, Alliance for Progress. Lastly, Irene Gendzier’s book Development Against Democracy explains how the word “development” was used by comparative politics involved in foreign policy to railroad countries on the capitalist periphery away from socialist and communist transition programs.

Where are we going?
In this article I will show eight foundational problems with comparative politics:

  • Its characterization of capitalist societies as democratic;
  • Its characterization of states as governing rather than ruling;
  • Its relative exclusion of propaganda from political communication in the West;
  • Its ignoring the presence of how capitalism undermines political relations;
  • Its ignoring of the Secret Service and the rest of deep state in political decision-making processes;
  • Its blanket characterization of socialism with authoritarian;
  • Its neglect of anarchism as a legitimate part of socialism;
  • Its treatment of nation-states as autonomous and not determined by alliances and between larger, more powerful states and transnational capitalists.

Oligarchies vs Democracy

Those of you who were unlucky enough to take a political science class might have been exposed to a cross-cultural version of the same thing. I refer to the field of comparative politics. The first thing that struck my eye in looking at the table of contents of a college textbook on comparative politics was the different types of rule. According to mainstream theorists, there are only two kinds of rule, democratic and authoritarian. The United States and Western Europe are deemed “democratic” whereas Russia, China and Iran are deemed authoritarian.

The unpopularity of democracy in the West until the 20th century
One problem with this formulation is that it fails to address the unpopularity of democracy in Yankee history itself, not only among conservatives but liberals as well all the way to the end of the 19th century. In the 19thcentury when liberalism really took hold as a political ideology, liberals were not interested in democracy, and considered it “mob rule”. Most industrialized countries did not have the right to vote at the end of the 19th century. Back then farmer populist parties and socialist parties took their democracy seriously, bringing economics into it. The result was a “substantive democracy” championed by Charles Merriman and Charles Beard in the 1930s. But the rise of fascism and communism had shaken liberal confidence in the natural sympathy between democracy and capitalism. So in the 1940s Joseph Schumpeter introduced a weakened form of democracy as simply the circulation of elite politicians  that people choose between. The procedural democracy of Robert Dahl of the 1950s involved choosing between these elites through voting. There was nothing about economics.

In his book Strong Democracy, Benjamin Barber distinguishes “thick democracy” from the “thin democracy” of Dahl. My point is by the standards of thick democracy few if any Western countries are democratic. To call them democratic serves the ideological purposes of cold warriors and their desire to fight communism. Since democracy is a loaded virtue word, and authoritarian is a loaded vice word, a cold war opposition between the two is built into the entire field of comparative politics.

How many parties make a democracy?
What is striking is the criteria for what constitutes democracy when it comes to political parties. For comparative politics, a single party rule constitutes authoritarian rule. But the addition of just one more party, as in the American political system, we suddenly then have a democracy. Countries with many parties including most of Europe are also constituted as democracies. Aristotle argued that there were 3 forms of rule – monarchy, oligarchy and democracy. Oligarchy is the rule of the few. Given the actual nature of who controls the elections in the United States, it is most reasonable to say the United States and Western Europe are oligarchies, ruled by the ruling class, the upper class and the upper middle class. Taken together this is about 20% of the population, hardly a democracy. In the United States most of middle class, working class and poor have no representation and yet the country is called democratic.

One party – authoritarian

Two parties – democratic

Many parties – democratic

In other words, the difference between one and two parties is greater than the difference between two parties and many parties. In fact, the implication of those who defend the two-party system is that having many parties can be confusing and unwieldly. So we wind up with the two parties of the United States as a kind center of stability. This is so despite the fact that for about the last 50 years, forty percent or more people in the United States do not vote. Is this a sign that democracy in the United States doesn’t work? Not at all. Those who don’t vote are dismissed as ignorant, apathetic or pathological in some way. The reason people don’t vote is simply because neither party represents their interest is never present. When voting tallies are presented, the number of people who don’t vote is rarely presented. Voting tallies are presented like 50% vs 49% for the two parties as if that constituted all the people who could have voted. In fact, in the actual tallies the winning party gets 30% of the vote. The loser gets 29%. What is ignored is the highest tally: 40% who don’t vote. This is democracy? What we have here is an oligarchy. But in comparative politics, democracy is not a process that actually exists but a self-congratulating ideology for the ruling capitalist oligarchs who control both parties.

Governing vs Ruling
In comparative politics, “governing” is a taken for granted term for Western capitalist societies. “Ruling” is saved for countries suspected of not being democratic, like “authoritarian” countries. I prefer to take the governing word very seriously as it is used in cybernetic systems. Governing in cybernetic systems means steering a system which includes goals, communication within the system, adaptation to the environment, feedback systems which allow for adjustment and few forward system which results in planning. The human heart is a “governor” of the human body. By these standards the only type of society in which there was governing was the egalitarian politics of hunting and gathering societies. Simple horticulture societies in these societies decision-making was collective. They adapted and moved when the ecology dictated a change.

For the last 5,000 years, complex political systems had rulers. This means that political goals were rarely carried out, communication systems were blocked and muddled by self-interested bureaucracies. Adaptations to the environment were slowed down by the machinations of the short-term thinking of ruling classes. Feedback systems were ignored such as extreme weather and pollution. Feed forward mechanisms were clogged by myopic ruling classes who couldn’t think three months ahead – if that. In Joseph Tainter’s book The Collapse of Complex Societies he describes how inept the ruling classes can be. Calling complex societies “governing” is ridiculous when compared to hunting and gathering societies which prevailed for 90% of human history. We are ruled by oligarchies and this should be reflected in any political field that considers itself scientific.

The Exclusion of Propaganda from Political Communication in the West
In part, the reason we have the illusion of democracy and a governing class rather than rulers of an oligarchy is because of Western propaganda. There are many textbooks describing propaganda in the West. If you like videos more than books, check out Adam Curtis’ documentary, The Century of the Self. This video demonstrates how 100 years of psychological propaganda in the person of Edward Bernays and the brainwashing in the work of Ewen Cameron controlled the Mordor public. Despite this, the only mention of propaganda in my comparative politics textbook is when it comes of “authoritarian” regimes. No surprises here.

Comparative Politics Ignores Capitalism
Following the tradition of Mordor social sciences, just as political science excludes economics while neoclassical economics ignores politics, comparative politics ignores the economic system of capitalism when it discusses Western politics. They ignore economic exchange and act as if politics was merely system of law, voting, institutional systems of bureaucracies and foreign policies. Without saying so, countries that count as “democratic” have capitalist exchanges. The field of comparative politics theorists act as if there was a natural, unremarkable relationship between capitalism and democracy. But as Rueschemeyer, Stephens and Stephens have described in their book Capitalist Development and Democracy, it was not the capitalist merchants that brought representative democracy to the West, but the working class. Capitalist economic exchanges should be foundational to understanding political systems. Yet in my comparative poetics textbook that I’m reading, “political economy” is buried in the last chapter of the book.

Two reasons why capitalism should be included in politics
Capitalism should be foundational to politics because countries that have counted as politically “underdeveloped” have become so because of capitalist imperialism, as Gunder Frank pointed out decades ago. At the same time capitalist societies should be foundational to politics because it was under capitalist crisis that fascism emerged. The political ideology of fascism can never be understood without its roots in capitalism. There has never been fascism in human history before capitalism and there has never been fascism without the presence of capitalism.

The Deep State and International Pressure Groups are Not Included in the Decision-making Processes of Politics

Supposedly, democratically elected leaders of political parties govern their populations by carrying out “the will of the people”. I am countering this by saying these politicians represent the will of the oligarchs who rule over people. But the oligarchs do not just use political leaders to carry out their will. Besides capitalists that politicians have to answer to, there are agencies such as the FBI, the CIA as well as international pressure groups such as AIPAC, Five Eyes, and NED. None of these groups are mentioned in my comparative politics textbook as involving political decision making. The textbook on Political Psychology in International Relations writes as if political leaders make decisions for their nation by themselves. It is only in “authoritarian” societies that bureaucracies, revolutionary factions and terrorist groups come into play that constrain the decision-making will of the official political leaders.

Authoritarian Politics is Synonymous With Socialism 

When it comes to the West the field of comparative politics ignores the fact that its ruling oligarchy is run by capitalism. However, they have no problem declaring that authoritarian politics goes with a socialist “command economy”. Western countries that became socialist, such as Sweden and Norway, are presented as socialist democracies only because the presence of a market or capitalism. This made the naturally socialist authoritarian states more democratic.

Most military dictatorships are capitalists

Advocates of comparative politics ignore the fact that military dictatorships are often attempts by capitalists to hold on to power in the face of socialist uprisings. Most dictatorships are not socialist, but capitalist installations. In the case of socialism, the textbook cases that are trotted out are the old Soviet Union, Cuba or China. These countries have oligarchies as well. But whether or not they are more authoritarian than the capitalist West is much more complex than it first appears. Theories of comparative politics play down or ignore the relentless international class war any socialist system has to endure on a daily, weekly, monthly and yearly basis at the hands of the heads of state in the West along with their capitalist rulers. Capitalists in the West act as if the whole world is their private property. They treat any elected national leader (even if not a socialist) who has the nerve to set their own agenda for international trade as an enemy. All socialist leaders have to treat most any oppositional party in their country as potentially a tool of international capital. The extent to which socialist countries are authoritarian has a great deal to do with the pressure they experience from international capital.

What about “totalitarian”? 

Fortunately, this Cold War vice word is now internationally  discredited. However, the use of the term totalitarian to characterize socialist or communist countries, leaves out at least the following. If we grant that Sweden and Norway were once socialist, there has never been a socialist country with an advanced technology, communication systems, or advanced science. These societies have never had the ability to control the messages sent out to the population so that people were all thinking the same thing at the same time due to centralized control of propaganda. It is only advanced capitalist countries that have the capacity to do this. For example, Mordor’s media has roughly five corporations that all send out the same propaganda message in the case of Israel. People are severely punished by the police for supporting the Palestinians. All third parties in Mordor are blacked out. They cannot get into the “debates”. My point is that because of its control over mass media, capitalist control of the state is much closer to real totalitarianism than anything Stalin or Orwell ever dreamed up. The Soviet Union and China are poor countries. Their communist parties have no centralized control over their entire nation state. Peasants in both countries made up their own mind as to what was happening. Only in Mordor do you hear the same anti-working-class slogans against health care, or “welfare queens” from New York to San Francisco, from Houston Texas to Missoula in Montana. This is the power political propaganda holds to be internalized by people who imagine they are making up their own minds.

Comparative Politics Ignores Anarchism as Part of Socialism
The claim that all socialism is authoritarian ignores the 180-year history of the anarchist movement and its leaders from Proudhon to Bakunin to Malatesta, Kropotkin, to Lucy Parsons, Emma Goldman to Durruti. Anarchism was no intellectual movement. It was followed by thousands of people who fought in and out of labor unions and in the Russian and Spanish revolutions. This negligence on the part of comparative political theorists is ironic given that anarchism at its best is the purist form of democracy – direct democracy. If comparative political theorists understood the scale that the anarchists organized during the Spanish revolution of 1936-1939, they would be ashamed to think that what goes on in Western societies has anything to do with democracy, at least comparatively speaking.

Comparative Politics Ignores the International Pressures Within Larger States or Alliances Between other States

Comparative politics acts as if political decisions begin and end at national borders and with only official political leaders. But today’s nation-states have formed alliances with other nation-states. They have agreements about where they or won’t all act together. In the West we have the alliance of United States, England and Israel. None of those countries enacts a political decision by themselves. The same is true with China, Russia and Iran. Nation-states are interdependent, not independent actors.

Conclusion

I began this article with nine foundational questions of what politics is. I described how narrowly the field of comparative politics is in answering these questions. Then I identified seven theories of politics and showed how each of the seven theories of politics answers these nine questions differently. As it turned out, the field of political science uses only two of the seven theories: old institutionalism as rational choice theory.

Then I embedded within this article other articles I had written about how anticommunist domestic political science and neoclassical economics are in their studies and how international political science (comparative politics) is in carrying on that tradition. After that I named eight areas in which comparative politics are weak, including:

  • Its propagandistic use of the word “democracy”. I claim that no state society on this planet is democratic. They are oligarchies.
  • Its propagandistic use of the world governance. I identify with a cybernetic definition of governance, using the heart as an example. With this as criteria, no state system in the world governs a society. They all rule, not govern.
  • Comparative politics over-emphasizes the use of propaganda in “authoritarian” societies while barely even mentioning propaganda in capitalist ruling  oligarchies.
  • Comparative politics does not successfully integrate capitalism into the comparative systems it analyzes . One textbook tacks it on as a last chapter.
  • Comparative politics ignores the power of the institutions of the deep state and transnational capitalists in determining the decision-making capacities of politicians.
  • Its treatment of the term “authoritarian” is more or less synonymous with socialism. It plays down the existence of socialism in Scandinavian countries and communal councils in Venezuela.
  • Lastly, the use of the term “totalitarian” to depict Soviet Union, China and Cuba is completely false. In the case of the Soviet Union and China they were too poor to have a centralized state that could reach down to every peasant village and bombard them with propaganda. The foundation for this totalitarian state is a centralized media apparatus, mass transportation, a country that was electrified. Paradoxically it is Mordor’s control over its mass media where we see the closest approximation to totalitarianism.Facebook
Bruce Lerro has taught for 25 years as an adjunct college professor of psychology at Golden Gate University, Dominican University and Diablo Valley College in the San Francisco Bay Area. He has applied a Vygotskian socio-historical perspective to his three books found on Amazon. He is a co-founder, organizer and writer for Socialist Planning Beyond Capitalism. Read other articles by Bruce, or visit Bruce's website.

Monday, January 27, 2025

PRIVATIZATION

Novel organ recovery and logistics company celebrates 500th transplant



ProCure On-Demand surgeons recover organs that would have been discarded without expert-level, technology agnostic, locally-based surgeons



Aaron Cohen




New York, NY – January 27, 2025 – ProCure On-Demand’s 500th transplanted organ, being announced today, is emblematic of the gaps and inefficiencies in the current transplant system that the organ recovery, technology and logistics company is regularly solving.

 

The case involving the transplant of the 500th organ underscores ProCure's reputation for quality work, efficient logistics and swift turnaround times, which have become integral to their success. With less than five hours to recover bilateral lungs, ProCure tapped into its unique Recovery Team Network, to deploy a surgeon within seven miles from the donor hospital. Soon after, the lungs were on a 700-mile flight and transplanted into a recipient.

 

Within a day of the transplant, the recipient of the gift of new lungs was breathing on their own and was able to get back home to continue healing within a few weeks.

 

This case represents a new paradigm in organ recovery that has been created and replicated by ProCure. The November 2024 milestone comes at a propitious time: the national organ donation system is undergoing historic modernization in an effort to hit the goal of 60,000 transplants by 2026.

 

It’s a significant milestone for the New York-based Public Benefit Corporation, founded by two innovative transplant surgeons.

 

Co-founder and CEO, Dr. Zachary Kon is best known as the surgeon who first performed Normothermic Regional Perfusion (NRP) for the purpose of organ donation in the U.S. Co-founder and Chief Medical Officer, Dr. Bartley Griffith is a pioneer in the field of xenotransplantation. The mission of the company is to increase the quality and quantity of organs available for transplantation.

 

“These 500 transplants chip away at the unacceptably long organ wait list, but does so in ways no one has tried,” says co-founder, CEO Dr. Zachary Kon. “The first step in an organ transplant is recovering the organ from the donor. This step is critical but has been historically under-valued and under-resourced.”

 

Since its launch, ProCure has rapidly expanded to serve the nationwide transplant community. Its Recovery Team is made up of locally-dispersed abdominal and thoracic surgeons in 24 states, as well as Certified Clinical Perfusionists, first assistants, and other credentialled recovery personnel who strive to better the community by professionalizing the recovery process like never before.

 

Reaching the milestone is also attributable to ProCure’s meticulous operational staff which elevates the recovery process, as well as the company’s flexible model. The model allows a transplant center or an Organ Procurement Organization to cover variable gaps in their recovery, supplies, transportation or technology usage by calling on ProCure to perform all components of every recovery mission – or just one component where they need support. This comprehensive offering deployed in a bespoke manner has allowed ProCure to save over $5 million for its customers to date.

 

These five hundred transplanted organs are the result of many more recovery missions, because not every mission results in an organ being transplanted. However, it is important that every mission happens in a high-quality manner, as efficiently as possible. The assessment of more organs will lead to more organs being made available for transplant.  Some examples of ProCure missions that resulted in successful organ transplants last year include:

 

  1. Too far away doesn’t exist. The lungs had to get from a donor in Anchorage to a recipient in Boston. But with no recovery surgeon available, a ProCure surgeon took a 5.5-hour direct flight from Los Angeles, performed the 2am surgery and the lungs were on the way to Boston by 7am. Had the ProCure surgeon not been available, the healthy lungs would have been wasted.

 

  1. No organ is too small, no task too large. A New York-based ProCure thoracic surgeon stepped in to manage and perform a tricky recovery in a tragic case; a heart from a <4 kg. baby. Not only did the ProCure surgeon recover the walnut-sized heart but then assisted the abdominal surgeon in recovering the tiny kidneys. The collaboration in the OR ensured at least two pediatric patients would receive life-saving organs and that the donor family’s gifts were maximized.

 

  1. Flexibility to cover gaps. ProCure brings surgeons to cover staffing gaps to ensure that organs are recovered even when no staff surgeon is available. Recently, ProCure repositioned surgeons to an Organ Procurement Organization’s (OPO) area to cover for staff that were on leave. ProCure surgeons recovered 24 kidneys, 5 livers and 2 pancreases that went on to be transplanted.

 

  1. Taking the middle seat in the nick of time. One of ProCure’s west-coast based abdominal surgeons was needed to recover a pair of kidneys. With minimal turnaround time, ProCure’s Coordination team was able to book a commercial flight to get the team there quickly, recovering both kidneys – and saving the client over $10,000.

 

  1. Creating capacity for more transplants. With ProCure On-Demand performing its’ recoveries, one growing heart transplant program has been able to nearly triple its volume from last year, helping more patients on the wait list.

 

ProCure’s co-founder and CMO, Dr. Bartley Griffith concludes, “ProCure is building a vast, regional network of trusted, highly-credentialed surgeons and other recovery professionals and ensuring they have access to the latest recovery-related training. By offering a model where the team is geographically closer to the donor and introducing a new approach to transportation and logistics that removes excessive costs and inefficiencies, we are making progress towards our goal of significantly impacting the waste and unprofessionalism that plagues our field.”

About ProCure On-Demand

ProCure On-Demand is transforming the human organ transplant ecosystem and enabling more thoracic and abdominal organs to reach recipients in need. Founded as a Public Benefit Corporation, ProCure provides professional, high-quality organ recovery services worthy of the first step in the transplant process. ProCure’s flexible model offers a nationwide network of recovery surgeons and clinical professionals, advanced logistics and engagement with innovative technology solutions enabling more patients to receive the transplants they need. For more information, visit www.procureodx.com.

Monday, January 06, 2025

Dying for a Kidney:  Can Anyone Stop The Burgeoning Black Market in Human Organs?



 January 3, 2025
Facebook

Image showing the human trunk with positions of the organs.

It’s practically an urban legend:  A man blacks out after meeting a woman for a drink at a bar. When he comes to, he finds himself naked in a hotel bathtub covered with ice.  And there’s a throbbing ache in his side.  A hand-scrawled sign blares the bad news:  “Go to the ER right away!”

He suddenly realizes:  His kidney is gone.

It rarely happens that way anymore, but there’s reason to fear illegal organ harvesting. The practice is rampant and getting worse by the year.

While official data is still somewhat sketchy, it’s estimated that 12,000 illegal transplants are performed annually, about 10% of the total number of transplants conducted each year.  The organ trade is immensely profitable, generating between $840 million to $1.7 billion in revenue for a relatively small number of traffickers, according to estimates compiled in 2017.

Organ trafficking survives, in part, because the demand from affluent consumers in the advanced capitalist West is so high and the legal supply of organs – primarily (about 80%) kidneys, but also lungs, livers and cornea – barely keeps pace.  Many people wait at least two years to qualify to receive an organ transplant legally and thousands die every year – about 25 daily, according to the World Health Organization – because no organ becomes available in time to save them.

Where do the illegally harvested organs come from?  Primarily from North Africa and South Asia.  Organ traffickers prey on poor and vulnerable rural dwellers, offering cash in exchange for an organ, usually a kidney.  Like other forms of illicit human trafficking, some organ donors are recruited under false pretenses – for example, the promise of a job that never actually materializes. Donors are led to hospitals, drugged, and a doctor, who’s typically in on the scheme, removes the organ, for a fee paid by the traffickers.  The duped donor is compensated – perhaps several thousands dollars, but maybe far less  – and then shuttled back to their village to try to survive.  Their organs may get as much as $30,000, or even $200,000 on the black market.

In some countries like Nepal the illegal organ trade is so firmly entrenched that a number of adjacent rural areas have come to be known as “Kidney Valley.”  Anti-trafficking activists say that every other house in the region has at least one individual that has donated an organ in exchange for cash.  Often the donors are transported to neighboring India where the illicit operation is performed.  They come back in a debilitated state, with reduced physician capacity. Many lose their jobs and once the cash runs out, their families are reduced to poverty again.

Many of the countries where the organ trade occurs may have strict laws on the books that forbid illegal organ harvesting, but government officials are subject to bribes from traffickers.  But governments alone are not the problem.  Many Western hospitals and doctors – like their Third World counterparts – are also playing a role in the trade, sometimes unwittingly, but just as often with a tacit complicity.  Doctors in major urban metropolitan hospitals in US cities may agree to conduct a transplant, for a fee, not really caring how they obtained the organ – or from whom.

Nancy Scheper-Hughes, a professor of medical anthropology at UC Berkeley and co-founder and Director of Organs Watch, a medical human rights project, says the demand for illegal organs is “insatiable.”  And despite the passage of national laws and the adoption of international protocols in recent years, there’s been virtually no slowdown in the illegal trade thus far.

Scheper-Hughes, who also serves as a WHO consultant, has frequently gone undercover to expose the corruption that fuels the illegal organ trade.  She’s tracked organs to “broker-friendly” hospitals and medical centers in New York, Los Angeles, and Philadelphia, among other places.

It’s not just hospitals.  Corruptible funeral homes may harvest organs prior to burial.  Women and girls sold into sexual slavery are also common victims.  There are even confirmed reports that ISIS and other terrorist organizations have engaged in the illegal organ trade to finance weapons purchases.

Many of those seeking illegal organs aren’t actually on a waiting list for a donor.  Some are people who can’t qualify for a donor because of their medical condition.  They may have had cancer, are too old, or have other “triage-based disqualifiers.”

In addition, even those that get a transplanted organ generally face the need to take auto-immune suppression drugs to stave off organ rejection, while the same drugs also lower their overall immune competence.  “If all of that works out, they will still be facing the fact that transplant organs often need to be replaced within 10 years of implant,” says one expert.

Organ donation is potentially a major life-saver for those with serious illnesses. More than a third of all US deaths – about 900,000 annually – might have been prevented if an organ had been available, experts say.  But woefully few are – hence, the burgeoning illegal trade.

What’s the answer?  Ultimately, increasing the supply of organs available to be transplanted.  And that means increasing the willingness of people to allow theirs to be harvested when they die, as well as boosting approval for transplants from live donors.  According to surveys, 95% of all American say they favor organ donation.  But only 35% of all Americans are registered as donors.  Closing that gap would go a long way to ensuring that the supply of organs meets the ever-burgeoning demand.

Another possibility – strictly long-term — is to grow organs from stem cells, or to replicate them using 3D imaging.  The technologies are promising but haven’t been fully tested with animals, let alone humans yet.  It could take years to develop viable prototypes.

Both Trump and Biden have taken modest steps to improve the organ donation process.  Trump, in late 2020, signed an executive order to boost the availability of kidney organs by 5,000 annually.  Biden went a step further, pushing through a bipartisan bill to break-up the monopoly exercised by a single non-profit that was slowing the approval process for organ transplants, while boosting costs.

Congress is also getting into the act.  In 2023, new legislation required the State Department to improve its monitoring of groups and individuals found to be engaged in illegal organ trafficking and to deny US visas and property rights to the perpetrators.

These steps, while welcome, are far from enough.  Currently, more than 95,000 people are on the kidney waiting list, and about 3,000 people are added to the wait list each month.  Most of these prospective recipients will die within 5 years unless they receive a kidney in time.  The threat to those with liver damage is even worse. Liver failure is usually fatal unless the victim receives a new organ promptly – usually within days.

Predictably, it is people of color that are suffering the most from our nation’s dysfunctional organ harvesting system.  For example, while non-Hispanic Whites and African-Americans have comparable needs for a new organ, in 2021, Black people received 27.8% of the organ transplants performed, while non-Hispanic Whites people received close to double that share – or 47.2%.  But cultural attitudes and mistrust of the mainstream public health establishment also play a role.  African-Americans are less than half as likely as non-Hispanic Whites to agree to become organ donors, according to recent research studies.

Given the current shortfalls and disparities in the legal donor system, the incentives for the illegal organ trade aren’t likely to be affected in the short-term, experts say.  U.S. crackdown measures still depend upon the willing cooperation of foreign governments that too often remain deeply implicated in the trade.  More public education and support for organ donation and continuing reforms to the approval system will certainly help, but as long as the richest and most powerful Westerners can access illegal organs with relative impunity, the poorest of the world – at home and abroad – will continue to be trade’s primary victims.

Stewart Lawrence is a long-time Washington, DC-based policy consultant.  He can be reached at stewartlawrence811147@gmail.com.