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The statement by Anand and co-workers that “there may be movement of
kidneys from poor countries with population explosions to rich nations.
$40,000 seems fair compensation and tempting even to us ” they I am afraid
have sadly missed an important point. In advocating the sale of kidneys
Friedman E A, and Friedman A L ; Erin C A and Harris J ; and Ahmad R ;
have all proposed that there would be only one central purchaser in the
country viz. Medicaid or Medicare in the USA, and the NHS in the UK. It
was further suggested that there would be no direct sales or purchases, no
exploitation of low income countries and their population (no buying in
Turkey or India to sell in Harley Street) . The logic being simple that
goods hold values according to the economic environment. If for financial
gains the kidneys were to be exported, the Indian patient requiring a
kidney would not be able to afford it! I am afraid to some extent this is
already happening and I am against such cross border movements.