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為不餓死,伊朗人正在賣掉自己的睾丸

(2023-06-03 10:16:28) 下一個

Iranians are putting their livers, corneas, and testicles up for sale on Telegram to pay off debts amid rocketing inflation and poverty 

https://www.insider.com/iran-sell-organs-livers-corneas-testicles-on-telegram-poverty-inflation-2023-5?utm_source=

Joshua Zitser  May 17, 2023

  • Iranians are selling their organs on Telegram in the face of harsh economic realities.
  • Insider reviewed Telegram listings showing people selling their livers, corneas, and testicles.
  • Many of the listings said they were selling their organs to pay off debts or to avoid bankruptcy.
 
Top editors give you the stories you want — delivered right to your inbox each weekday.
 
As Iran grapples with rocketing inflation and widespread poverty, some are resorting to desperate measures to try to get out of debt: selling their bodies, part by part.

Insider has reviewed dozens of messages on the Telegram app, widely used in Iran, which appear to show impoverished Iranians advertising a range of organs for sale, with many citing debts and risk of bankruptcy as their reasoning for making such dramatic decisions.

Selling kidneys is legal in Iran, unlike in other countries, but transactions are regulated and the sale of other organs is forbidden.

However, messages reviewed by Insider — of which there are hundreds — appear to show a booming online black market of people selling everything from their livers to their bone marrow.

Perhaps the most shocking sales pitch is from a man advertising his testicles for sale. That listing read: "Selling testicles, 25 years old, blood type O+, left or right testicle (doesn't matter), I am selling because of debt."

Another listing also advertised testicles for sale, with the man offering to travel to nearby cities for the transplant surgery for the right price.

The listings appear on three separate Telegram channels, and follow a similar format: the organ for sale, the gender of the intended donor, their blood type, the proposed price, a location, and a brief overview of their medical history.

One 33-year-old man listed himself as selling his stem cells, bone marrow, and the corneas of his eyes, adding that he is doing so "due to financial problems and bankruptcy."

Another individual, 31, listed his liver for sale for 900 million Iranian Rials, the equivalent of $21,301.78.

How many of these sales or transplants have gone through is unclear, but Dr. Gabriel Danovitch, John J. Kuiper Chair in Nephrology and Renal Transplantation at the David Geffen School of Medicine at UCLA, told Insider he finds the whole thing beyond belief.

He added: "You don't take corneas from living people, I can't believe you would do that."

Iran is the only country in the world where it is legal to exchange an organ for money. It can only be a kidney, and it must be done in coordination with a government foundation, with limits on the compensation offered.

Nonetheless, sellers and donors regularly circumvent the legally-approved process, opting instead for potentially more profitable under-the-table deals, according to a 2022 study in the journal Transplant International.

It's also illegal for kidneys to be sold outside of Iran because this would amount to organ trafficking, or even to non-Iranians in Iran.

But according to Iran International, desperate Iranians have been going to Iraq to sell their kidneys, and others are being led by middlemen to travel to the United Arab Emirates and Turkey to sell other body parts.

It's unclear from the Telegram messages whether these listings, which appear in Farsi, the Iranian language, are targeted at international clients or Iranians.

According to Karmel Melamed, an Iranian-American journalist, it's not a new phenomenon for Iranians to circumvent the official avenues to sell their kidneys, nor is it unheard of for people to sell other organs. What's changed, he said, is how the economy appears to be making it more common.

"The only difference between the situation today and in the past is that the economic situation is worse today in Iran because of the rampant corruption and hyperinflation caused by the Ayatollah regime there," Melamed told Insider.

He added that the struggling economy in Iran has led to much of the population being unable to afford food or household staples, leading some to decide to "sell their organs to feed themselves and their families."

Iran has one of the highest inflation rates in the world, with economic forecasts anticipating hyperinflation in the coming months.

The economy has been hammered by COVID-19, international sanctions, as well as by corruption. And the poorest are suffering particularly, with the cost of many food items going up more than 50% since mid-2022.

Beni Sabti, who was born in Tehran and is a researcher into Iranian social networks at The Jerusalem Institute for Strategy and Security, said financial hardships were forcing poorer Iranians to do anything to stay afloat.

"You cannot believe how the economic situation is that bad in Iran," he told Insider. "Iranians make this very bad compromise with the regime, with their lives, and they are ready to sell their organs to live another day."

 

為了不餓死,伊朗人正在賣掉自己的睾丸

發布:2023年06月02日 13:06來源:視覺誌

喧囂的街頭,一位衣衫襤褸的男子,正在張貼一張張廣告。他要廣而告之的不是某種商品,或者說,他已經以此為商品。這位男子要出售的是自己睾丸:男,30歲,O+型血,左右隨意。這看上去驚悚的事情,正發生在如今的伊朗街頭。

如果你行走在伊朗的大街小巷,隨處可以看到售賣器官的小廣告,仿佛在逛一個奇怪的集市:

從腎髒到睾丸,從肝髒到骨髓,眼角膜,卵子……應有盡有。

按照通常人們的認知,人是一個整體,但是在這裏,人是可以拆解的。器官就是一個個零件,各有各的價格。

如果你問他們為什麽會怎麽做?答案很簡單,為了錢,為了活下去!

貧窮讓這些人選擇用犧牲自己的器官的方式,來保證自己和家人的生存。

窮人拿命換錢,富人花錢續命。這心酸的一幕幕,正在真實上演……

這位賣睾丸的30歲男子,是半島電視台的一位采訪對象。

這並不是他第一次售賣器官。

撩開上衣,能發現他的右腹有一道長約10厘米的傷疤。在五年前,他曾經出賣過自己的右腎。

當時他在伊朗打零工,收益很低。他也曾想著出國打工尋求轉機。

後來一位朋友給他看了自己的腎髒手術疤痕,並告訴他,自己正是靠賣腎掙到了足夠的錢,還娶了妻子買了車。

這位所謂的“朋友”其實是器官販賣的中間人。他的工作就是盯著伊朗那些財務狀況幾近破產的人,並說服他們賣掉器官。

同意賣掉器官的人,一般被安排在單獨的房子裏,大多是殘破不堪的出租房,並被禁止外出。

而在手術前,他們都會簽署了一份合同,上麵寫著,“術後有任何並發症都不予承擔責任。”

而為他們執刀手術的醫生從沒有告誡他手術的風險和後果,也沒有提供術後護理。

這位買了腎髒的男子,得到了5千美金,他確實拿著這筆錢娶了妻子並生下了三個孩子,並支撐這五口之家三四年時間。

不幸的是,他的小兒子出生不久,就得了病,去過的醫院都沒能確診。

所以他才打算又一次賣掉自己的其他器官,用這筆錢,帶著孩子去首都看病。順便也給自己治病。因為自從五年前,賣掉腎髒,剛剛二十多歲的他,身體就每況愈下。

都現在他拿不起超過20公斤重的東西。這讓他幹不了很多重體力活,收入大打折扣。

一切仿佛飲鴆止渴。

如今,世界上絕大多數可移植器官都來自腦死亡者生前的無償捐獻。

但是需要器官移植的患者數量是巨大的,很多人等不到死者捐獻的器官。

於是,有償的活體器官交易出現了。

在道德和輿論的約束下,絕大多數國家都禁止有償器官交易。

但伊朗卻是一個例外,它是全球唯一允許有償器官交易的國家。

早在1997年,伊朗就通過了法律,將器官捐獻和交易合法化。這裏可以合法的交易腎髒、肝髒、骨髓、角膜、牙齒、幹細胞、皮膚等等。

再看看伊朗的收入水平,大多數工薪階層每個月的收入僅有1000到2000元人民幣。

而近些年國際油價波動和國際製裁,讓伊朗的經濟發展陷入了更大的困境。

據媒體報道,經濟製裁給伊朗帶來的損失高達500億美元,相當於2019年度的兩倍預算。

自2018年5月,美國前總統特朗普宣布退出伊朗核協議,重啟對伊朗的經濟製裁後,伊朗石油出口總量從巔峰時的每天250萬桶驟降至每天20萬桶,日虧損約1億美元。對伊朗經濟而言,此舉無異於鎖喉。

而2020年以來,新冠疫情把伊朗通脹水平推向了曆史頂點。

工薪族們能拿到幾千萬甚至上億的工資,個個都是“千萬富翁”,但在物價飛漲的情況下,超市裏的洋蔥都要十多萬。

而在伊朗,一個腎髒的價格往往能夠賣到3萬到7萬人民幣之間,肝髒的價格最低也能賣到3萬塊錢,一份眼角膜差不多也能賣個2萬多塊錢。相當於伊朗工薪階層幾年的收入。

所以賣器官成了伊朗窮人、甚至是遇到緊急財政狀況的普通伊朗人最無可奈何的抉擇。

按照伊朗法律規定,器官的價格與移植方式都是牢牢控製在政府手中的。

伊朗政府並不稱此為器官買賣,而叫做“捐贈”。 捐贈者可以拿到政府的一筆補償金還有一年的健康保險,捐贈者還可以向被捐贈者索要一筆額外的酬勞。

2020年1242次腎移植中,有420次器官來自活人捐獻。

而且捐贈人需要通過伊朗政府運營的醫療組織找到需要器官的人。然後進行正規手術,捐贈人也隻允許捐贈一顆腎髒。

可以看出,伊朗政府在器官買賣中扮演了重要角色。客觀上也對捐獻者起到了保護作用。

然而,隨著經濟惡化,越來越多的人選擇繞開政府和官方流程,通過網絡或者貼小廣告的方式私自販賣器官,這就是器官黑市。

因為按照伊朗政府監督的模式,即便是富人也必須按規矩排隊等待器官。而從黑市購買器官可以讓他們節省時間。

而從出售器官人的角度看,繞開政府讓他們健康安全大大降低。但是器官卻可以賣出更高的價錢。遇到緊急情況或者稀有血型,價格還會更高。

發達的器官黑市,讓更多國家把目光投向伊朗。尤其是科威特、沙特這些海灣國家的器官需求者,他們的收入要比伊朗人高出很多,可以出更多的錢購買器官。

甚至有人,出巨額同時買了一個人的兩個腎髒。賣腎者必死無疑,可他就是為了用兩個腎髒的錢,給家人一個生的機會。

而伊朗仿佛成了中亞的器官倉庫,任人拿取。

直到2014年,伊朗立法,禁止外國人移植伊朗人的器官。

但是緊挨著伊朗的更貧窮的鄰國——阿富汗,成為了又一個器官交易中心。

雖然器官買賣合法化的國家隻有伊朗一個,但是在阿富汗、在尼泊爾、在也門……在許多貧困國家,器官黑市都發展蓬勃。

世界衛生組織調查顯示,全球每年約有5000人在黑市上出售器官,這些器官的提供者多來自發展中國家。他們賣出的器官大多流向發達國家。

在尼泊爾首都附近甚至有一個“賣腎村”,這裏幾乎每一個村民的身上都有一道手術後的疤痕。傷疤裏有這他們對未來美好生活的向往。

但是販賣器官真的能使窮人致富嗎?現實是殘酷的。

器官黑市有個不成文的規定:年齡越接近35歲,器官會被認為折損過多,售價就越低,大多數賣家的年齡都是二十多歲。

就連器官販賣都有逃不過的年齡危機。年齡超過35歲,器官隻能賤賣。

而年輕力壯的器官出售者,為了把器官賣個好價錢,通常要背井離鄉去更富裕的國家售賣自己的器官。可一旦手術完成,中介販子便不會再管他們的死活,這些人隻能千裏迢迢自己回到家鄉,很多人在旅途中就死去了。

而這些人,還是自願售出器官的。

在更偏僻更貧窮的地方,人們並不知道這些器官對自己意味著什麽。

就拿尼泊爾的“賣腎村”來說,第一個村民說自己去“賣了一塊肉”,就真的得到了很多錢,買了地蓋了房。

而器官販子進一步補充,這對人的健康不會有任何的影響,而且這塊肉以後還是會長出來的。

村民們由於貧窮終日為生計奔波,沒有接受過任何知識的教育,不懂醫學常識,更不懂得腎髒之於人體的重要性。他們被懵懵懂懂地推上了手術台。還自以為找到致富的捷徑。

事實上,人體的很多器官之所以成對出現,都是有它的道理的。

少了一個腎髒,另外一個會超負荷運轉,更容易罹患尿毒症。

而由於腎髒缺失,泌尿係統會出現各種問題,有的人需要一直吃藥治療。其實是得不償失的。

而當一個經濟上絕望的人捐贈器官後,由於健康狀況會大大下滑,經濟狀況會更加不穩定。

出售器官並沒有帶來夢寐以求的人生轉變。許多人重新陷入新的健康危機裏。

器官售賣後,窮人還是窮人,隻是少了一個腎。

這裏小視想起了羅翔老師舉過一個例子:

一個有錢人需要器官移植,而一個窮人已經快餓死了。

這時候雙方達成交易,一百萬買一個腰子,這場買賣看似提供了兩全其美的解決方案:有錢人可以得到延續生命的器官,潦倒者則能換回繼續生活的本錢。

可是對於器官售賣者而言,一次交易或許可解燃眉之急,但生活的底色依舊是水深火熱。當身體成為了迫不得已地成為了支付方式,人們就丟失了繼續生活的底牌。

正如羅翔老師所說,“不加限製的自由必將導致強者對弱者剝削!”有償器官交易不僅是對窮人健康權益的踐踏,更是不把窮人再視為人,而且一堆等待被切割的器官。

生命是平等的,窮人的命也是命。器官買賣,猶如打開潘多拉的魔盒。

尊重與敬畏每一個生命,則值得所有人深思。

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