Involuntary Donors - A Report on the Practice of Using Organs from Executed Prisoners for Transplant in China

Release date: 

02/2014

The roughly ten thousand organ transplant surgeries performed annually in China makes it the world’s second leading transplant destination as measured by the number of procedures conducted, trailing only the United States. Many of these surgeries are performed on foreigners who come to China for organ transplants because of the relative short waiting period, often only weeks long. Despite such impressive statistics, China’s nascent organ donation system has existed for less than a year, and the rate of organ donation from the general public remains extraordinarily low. These circumstances raise troubling questions: Where do these organs come from, and why is the waiting time so short?

Here are some basic facts:

  • The majority of organs used in transplant surgeries in China are harvested from executed prisoners;
  • China executes several thousand people on an annual basis;
  • Chinese law sanctions the use of prisoners’ organs for use in transplant operations;
  • Executed prisoners rarely consent to donating their organs;
  • The waiting time for an organ transplant largely depends on how much one is willing to pay.

China has systematically harvested organs from executed prisoners for more than 30 years. Although the Chinese government now openly admits to the practice, discussion of organ harvesting is still taboo. The subject is rarely mentioned in Chinese media or academia. Lamentably, foreign media outlets only occasionally report on it. To date, nobody has conducted a comprehensive study on historical and contemporary human rights abuses perpetrated by China’s organ transplant system. This report is an attempt to address such shortcomings.

This report is the product of extensive research and interviews with transplant recipients and professionals who have participated in China’s transplant system. It reveals how various Chinese government agencies and hospitals coordinate with each other to inhumanely extract organs from unwilling donors for the sole purpose of earning profit.  Such abuses are among the most severe, and perhaps most underappreciated, human rights violations that occur in the Chinese prison system.