Nothing Will Change Without Sanctions, Says Israeli Doctor Behind China Boycott

The academic boycott of Chinese doctors is a very significant pressure tactic,' says Israeli author of International Society for Heart & Lung Transplantation’s declaration of boycott against China.

Published in "Haaretz": https://www.haaretz.com/israel-news/2022-09-07/ty-article/.premium/nothing-will-change-without-diplomatic-sanctions-says-israeli-doc-behind-china-boycott/00000183-170a-de57-a7d3-ffbbee160000

After years of receiving reports about thousands of transplant operations being carried out in China contrary to the rules of medical ethics, this June the International Society for Heart & Lung Transplantation issued a declaration acknowledging that China executes prisoners in order to harvest their organs for transplantation.

As a result, doctors from China will no longer be able to publish their research in the society’s prestigious medical journal or to present the results of their work at its annual conference. Practically speaking, the decision amounts to the imposition of an academic boycott on Chinese researchers and surgeons who deal with heart and lung transplants, keeping them out of the international transplantation community.

The organization’s statement explains that there is an accepted ethical framework for organ transplantation, and in particular for heart and lung transplantation. This framework consists of several rules, including that the source of the organ can only be a donation – not through coercion, and not through buying and selling.

Medical ethics also require that the process be conducted transparently, under regulation and subject to national and international oversight. In light of all this, and based on the UN Declaration of Human Rights, the Declaration of Helsinki (regarding medical experiments on humans), the Declaration of Istanbul (regarding organ trafficking and “transplant tourism”) and the World Medical Association’s statement on the transplantation of organs and tissues, the international group is explicitly instructing its members not to cooperate with surgeons and researchers who took part or are liable to take part in “transplantation crimes” such as harvesting organs from condemned prisoners or organ trafficking.

The declaration was issued in wake of a study published in April of this year, which found proof that from 1980 to 2015, China made frequent use of vital organs that were harvested from people who were executed for this purpose. Thus the Chinese authorities and medical establishment violated the most important ethical rule regarding transplantation – the Dead Donor Rule, which forbids the donation of vital organs from living donors and causing a person’s death in order to harvest their organs.

The study also found that Chinese doctors essentially participated in executions. It proves the allegations that have been made against China for many years by human rights activists and investigative journalists, as well as an international tribunal headed by British jurist Sir Geoffrey Nice, which found that “the Chinese campaign of forcible organ harvesting from innocent victims is a crime against humanity and one of the gravest atrocities of the modern age.”

Among the main victims of this practice were members of the Falun Gong, a spiritual movement that was outlawed in China 20 years ago and which faces persecution from the authorities. In recent years, the list of victims has also included the ethnic minorities in Xinjiang Province in northwest China, particularly the Uyghur minority.

The organs harvested from executed victims are allegedly sold to wealthy Chinese in need of a transplant as well as to “transplant tourists” from other countries, who can find information about transplants in China in advertisements that appear in English, Russian and Arabic on the websites of Chinese hospitals.

A website for an agency from Tianjin that offers foreigners transplants in China.
A website for an agency from Tianjin that offers foreigners transplants in China.Credit: Screenshot

The authors of the April study were Matthew Robertson, a doctoral candidate at the School for Politics and International Relations at Australian National University in Canberra, and Prof. Jacob (Jay) Lavee, who is also the senior author of the ISHLT declaration on Chinese organ transplantation. Lavi is a medical consultant to the Sheba Medical Center administration and a member of the transplantation organization’s ethics committee. He established and formerly ran the heart transplant unit at Sheba and served as president of the Israel Transplantation Society.

“The academic boycott of Chinese doctors is a very significant pressure tactic that has previously shown that it can bring about change,” Lavee says, noting that a similar academic boycott of China by international transplantation societies was lifted in 2015 following China’s announcement of the reform of its transplantation system.

“We know that the Chinese did institute a reform, but they also still continue with the organ trafficking and the use of organs from executed prisoners,” Lavee says. He says he hopes that the new declaration will pave the way for other international societies to follow suit. “I’m not so naïve as to think that the desired change in China will come solely from the medical community. If diplomatic sanctions at the level of international relations are not added to the academic pressure, there won’t be any change.”

Prof. Jacob (Jay) Lavee, who is also the senior author of the ISHLT declaration on Chinese organ transplantation. Photo: Tomer Applebaum

The ISHLT is a professional and interdisciplinary international organization whose mission statement says it is “dedicated to improving the care of patients with advanced heart or lung disease through transplantation, mechanical support and innovative therapies via research, education and advocacy.” It has approximately 3,000 members in 50 countries. For years Lavee has been involved in the subject of the medical ethics of transplantation in China and other countries. In 2008, he helped author the Israeli legislation preventing insurance companies and health maintenance organizations from funding transplants for Israelis in countries that engage in organ trafficking.

Lavee says that pressure was exerted on the ISHLT leadership to get it to back off of the boycott. But despite the pressure, the society issued its declaration and became the first international medical society to impose a new boycott on the Chinese medical establishment.

“Practically speaking, doctors’ academic advancement is dependent upon their ability to publish in scientific journals and present at conferences. Now those possibilities are blocked to the Chinese and I hope that this pressure will bring about an end to the criminal use of the organs of condemned prisoners,” Lavee says.

מאת

David Stavrou דיויד סטברו

עיתונאי ישראלי המתגורר בשוודיה Stockholm based Israeli journalist

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