Letters Section Editor: Stephen J. Lurie,
MD, PhD, Senior Editor.
In Reply: In response to Dr Steiner, it is
often difficult to identify precisely what is being advocated in the name
of organ sale. A kidney exchange program (in which no payment is involved)
is entirely different than selling one's organs for money. Steiner cites the
statistic that as many as 25% of kidney recipients may return to dialysis.
The finding might well be used to argue more strongly against kidney sales.
I am also doubtful that being successfully recruited to join a professional
football team is analogous to being successfully solicited in an Indian slum
to sell one's kidney. Most important, Steiner suggests that "outright kidney
selling" might go forward "uncoerced." However, if the "practicalities" are
an "insurmountable" issue, then organ sale should be opposed even more steadfastly.
Rothman DJ. Consequences of Selling a Kidney in India. JAMA. 2003;289(6):697. doi:10.1001/jama.289.6.697-a