PBS’ Frontline Roughcut series lives up to its name with its latest on-line film. You might remember that I have linked to their on-line film series before. The latest one tracks the human kidney trafficing business in a slum near Chennai nicknamed “Kidney-vakkam.” The 10 minute film is titled, A Pound of Flesh: Selling kidneys to survive.

Traveling between Bangalore, India’s thriving technology center, and the slums to the south, Grant spoke to government officials, doctors, kidney brokers and donors to try to find out why so many people are still getting paid to give up their kidneys even though a law was passed 12 years ago to heavily regulate the practice. When Grant arrived in the slums of Chennai, about eight hours south by train from Bangalore, someone offered to sell her their kidney on the spot. “I was stunned,” she says.

A New York Times Magazine article recently asked the question, “Why not let people sell their organs?” From an economic point of view, the article explains, demand for kidneys is far outrunning supply around the world. If people could legally sell, economists argue, more people with kidney disease might be saved, and the poor people willing to sell would have a chance to get badly needed funds.

As Grant reveals, the problem is especially acute in India, where demand for kidney transplants is increasing along with the country’s growing numbers of diabetics, a health problem that has been directly linked to India’s recent prosperity and rise in obesity. Those who can afford medical care are much more likely to receive a new organ, often because inside India’s impoverished slums, many are desperate enough to sell a kidney for as little as a few hundred dollars. [Link]

The film points out that as Indians increasingly adopt a western diet they are becoming more susceptible to kidney disease, thus increasing the demand for illegally sold kidneys.

Above all, Grant’s story shows a vicious cycle among India’s poorest — particularly among women, the family members traditionally expected to sell their kidneys. Holding out her original donor card, one woman tells Grant that she has been waiting 17 years for the rest of the money promised her. [Link]

As the film explains, the quickest way to close down this practice is to limit kidney donations to between blood relatives, but nobody seems incentivized to do this.