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为不饿死,伊朗人正在卖掉自己的睾丸

(2023-06-03 10:16:28) 下一个

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."

 

为了不饿死,伊朗人正在卖掉自己的睾丸

发布:2023年06月02日 13:06来源:视觉志

喧嚣的街头,一位衣衫褴褛的男子,正在张贴一张张广告。他要广而告之的不是某种商品,或者说,他已经以此为商品。这位男子要出售的是自己睾丸:男,30岁,O+型血,左右随意。这看上去惊悚的事情,正发生在如今的伊朗街头。

如果你行走在伊朗的大街小巷,随处可以看到售卖器官的小广告,仿佛在逛一个奇怪的集市:

从肾脏到睾丸,从肝脏到骨髓,眼角膜,卵子……应有尽有。

按照通常人们的认知,人是一个整体,但是在这里,人是可以拆解的。器官就是一个个零件,各有各的价格。

如果你问他们为什么会怎么做?答案很简单,为了钱,为了活下去!

贫穷让这些人选择用牺牲自己的器官的方式,来保证自己和家人的生存。

穷人拿命换钱,富人花钱续命。这心酸的一幕幕,正在真实上演……

这位卖睾丸的30岁男子,是半岛电视台的一位采访对象。

这并不是他第一次售卖器官。

撩开上衣,能发现他的右腹有一道长约10厘米的伤疤。在五年前,他曾经出卖过自己的右肾。

当时他在伊朗打零工,收益很低。他也曾想着出国打工寻求转机。

后来一位朋友给他看了自己的肾脏手术疤痕,并告诉他,自己正是靠卖肾挣到了足够的钱,还娶了妻子买了车。

这位所谓的“朋友”其实是器官贩卖的中间人。他的工作就是盯着伊朗那些财务状况几近破产的人,并说服他们卖掉器官。

同意卖掉器官的人,一般被安排在单独的房子里,大多是残破不堪的出租房,并被禁止外出。

而在手术前,他们都会签署了一份合同,上面写着,“术后有任何并发症都不予承担责任。”

而为他们执刀手术的医生从没有告诫他手术的风险和后果,也没有提供术后护理。

这位买了肾脏的男子,得到了5千美金,他确实拿着这笔钱娶了妻子并生下了三个孩子,并支撑这五口之家三四年时间。

不幸的是,他的小儿子出生不久,就得了病,去过的医院都没能确诊。

所以他才打算又一次卖掉自己的其他器官,用这笔钱,带着孩子去首都看病。顺便也给自己治病。因为自从五年前,卖掉肾脏,刚刚二十多岁的他,身体就每况愈下。

都现在他拿不起超过20公斤重的东西。这让他干不了很多重体力活,收入大打折扣。

一切仿佛饮鸩止渴。

如今,世界上绝大多数可移植器官都来自脑死亡者生前的无偿捐献。

但是需要器官移植的患者数量是巨大的,很多人等不到死者捐献的器官。

于是,有偿的活体器官交易出现了。

在道德和舆论的约束下,绝大多数国家都禁止有偿器官交易。

但伊朗却是一个例外,它是全球唯一允许有偿器官交易的国家。

早在1997年,伊朗就通过了法律,将器官捐献和交易合法化。这里可以合法的交易肾脏、肝脏、骨髓、角膜、牙齿、干细胞、皮肤等等。

再看看伊朗的收入水平,大多数工薪阶层每个月的收入仅有1000到2000元人民币。

而近些年国际油价波动和国际制裁,让伊朗的经济发展陷入了更大的困境。

据媒体报道,经济制裁给伊朗带来的损失高达500亿美元,相当于2019年度的两倍预算。

自2018年5月,美国前总统特朗普宣布退出伊朗核协议,重启对伊朗的经济制裁后,伊朗石油出口总量从巅峰时的每天250万桶骤降至每天20万桶,日亏损约1亿美元。对伊朗经济而言,此举无异于锁喉。

而2020年以来,新冠疫情把伊朗通胀水平推向了历史顶点。

工薪族们能拿到几千万甚至上亿的工资,个个都是“千万富翁”,但在物价飞涨的情况下,超市里的洋葱都要十多万。

而在伊朗,一个肾脏的价格往往能够卖到3万到7万人民币之间,肝脏的价格最低也能卖到3万块钱,一份眼角膜差不多也能卖个2万多块钱。相当于伊朗工薪阶层几年的收入。

所以卖器官成了伊朗穷人、甚至是遇到紧急财政状况的普通伊朗人最无可奈何的抉择。

按照伊朗法律规定,器官的价格与移植方式都是牢牢控制在政府手中的。

伊朗政府并不称此为器官买卖,而叫做“捐赠”。 捐赠者可以拿到政府的一笔补偿金还有一年的健康保险,捐赠者还可以向被捐赠者索要一笔额外的酬劳。

2020年1242次肾移植中,有420次器官来自活人捐献。

而且捐赠人需要通过伊朗政府运营的医疗组织找到需要器官的人。然后进行正规手术,捐赠人也只允许捐赠一颗肾脏。

可以看出,伊朗政府在器官买卖中扮演了重要角色。客观上也对捐献者起到了保护作用。

然而,随着经济恶化,越来越多的人选择绕开政府和官方流程,通过网络或者贴小广告的方式私自贩卖器官,这就是器官黑市。

因为按照伊朗政府监督的模式,即便是富人也必须按规矩排队等待器官。而从黑市购买器官可以让他们节省时间。

而从出售器官人的角度看,绕开政府让他们健康安全大大降低。但是器官却可以卖出更高的价钱。遇到紧急情况或者稀有血型,价格还会更高。

发达的器官黑市,让更多国家把目光投向伊朗。尤其是科威特、沙特这些海湾国家的器官需求者,他们的收入要比伊朗人高出很多,可以出更多的钱购买器官。

甚至有人,出巨额同时买了一个人的两个肾脏。卖肾者必死无疑,可他就是为了用两个肾脏的钱,给家人一个生的机会。

而伊朗仿佛成了中亚的器官仓库,任人拿取。

直到2014年,伊朗立法,禁止外国人移植伊朗人的器官。

但是紧挨着伊朗的更贫穷的邻国——阿富汗,成为了又一个器官交易中心。

虽然器官买卖合法化的国家只有伊朗一个,但是在阿富汗、在尼泊尔、在也门……在许多贫困国家,器官黑市都发展蓬勃。

世界卫生组织调查显示,全球每年约有5000人在黑市上出售器官,这些器官的提供者多来自发展中国家。他们卖出的器官大多流向发达国家。

在尼泊尔首都附近甚至有一个“卖肾村”,这里几乎每一个村民的身上都有一道手术后的疤痕。伤疤里有这他们对未来美好生活的向往。

但是贩卖器官真的能使穷人致富吗?现实是残酷的。

器官黑市有个不成文的规定:年龄越接近35岁,器官会被认为折损过多,售价就越低,大多数卖家的年龄都是二十多岁。

就连器官贩卖都有逃不过的年龄危机。年龄超过35岁,器官只能贱卖。

而年轻力壮的器官出售者,为了把器官卖个好价钱,通常要背井离乡去更富裕的国家售卖自己的器官。可一旦手术完成,中介贩子便不会再管他们的死活,这些人只能千里迢迢自己回到家乡,很多人在旅途中就死去了。

而这些人,还是自愿售出器官的。

在更偏僻更贫穷的地方,人们并不知道这些器官对自己意味着什么。

就拿尼泊尔的“卖肾村”来说,第一个村民说自己去“卖了一块肉”,就真的得到了很多钱,买了地盖了房。

而器官贩子进一步补充,这对人的健康不会有任何的影响,而且这块肉以后还是会长出来的。

村民们由于贫穷终日为生计奔波,没有接受过任何知识的教育,不懂医学常识,更不懂得肾脏之于人体的重要性。他们被懵懵懂懂地推上了手术台。还自以为找到致富的捷径。

事实上,人体的很多器官之所以成对出现,都是有它的道理的。

少了一个肾脏,另外一个会超负荷运转,更容易罹患尿毒症。

而由于肾脏缺失,泌尿系统会出现各种问题,有的人需要一直吃药治疗。其实是得不偿失的。

而当一个经济上绝望的人捐赠器官后,由于健康状况会大大下滑,经济状况会更加不稳定。

出售器官并没有带来梦寐以求的人生转变。许多人重新陷入新的健康危机里。

器官售卖后,穷人还是穷人,只是少了一个肾。

这里小视想起了罗翔老师举过一个例子:

一个有钱人需要器官移植,而一个穷人已经快饿死了。

这时候双方达成交易,一百万买一个腰子,这场买卖看似提供了两全其美的解决方案:有钱人可以得到延续生命的器官,潦倒者则能换回继续生活的本钱。

可是对于器官售卖者而言,一次交易或许可解燃眉之急,但生活的底色依旧是水深火热。当身体成为了迫不得已地成为了支付方式,人们就丢失了继续生活的底牌。

正如罗翔老师所说,“不加限制的自由必将导致强者对弱者剥削!”有偿器官交易不仅是对穷人健康权益的践踏,更是不把穷人再视为人,而且一堆等待被切割的器官。

生命是平等的,穷人的命也是命。器官买卖,犹如打开潘多拉的魔盒。

尊重与敬畏每一个生命,则值得所有人深思。

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