A Suitable Donor: Harvesting Kidneys in the Philippines
Rey Ventura
1. Along the coast of Manila Bay in the Philippines, behind the grand Manila Hotel, there is a slum district called Baseco. Hidden by towering container yards and cargo ships, this shantytown had been virtually unknown until a few years ago when a television report broadcast nationwide put a red pin on the map of Manila.
Describing it as “a place where the people of damned souls (mga halang ang kaluluwa) sell their kidneys to survive,” Baseco brought to public attention the scandal of what is essentially a human organ farm.
This vote-rich village—where local and national politicians occasionally paid visits (and often made fantastic promises)—has been quietly providing fresh and healthy organs for moneyed foreign and local patients. Recipients have come from the Middle East, North America, Hong Kong, Japan, Korea, and most recently, Israel.
Originally the name of a shipping company where most of the men had worked as part-time stevedores, repairmen, and laborers, Baseco is a community of some twenty thousand people living literally on the margins of the sea and society.
2. There is no sign that leads to Baseco. Why should there be? Why would the Manila government waste its resources in drawing attention to a spot better hidden than seen? Nor is there any jeepney or bus on an officially sanctioned route to this place. Indeed, there is no single means of transport that says: “to Baseco” or “Baseco Express.” Baseco, it seems, simply does not exist. For the twenty years I have lived in Manila, I had not heard of Baseco. When I searched for it in December 2000, it took me two days to find it. It was only a thirty-minute drive from my parents’ residence!
3. He is walking on the narrow breakwater under the midday sun. Fire had just ravaged and reduced to coal and ashes a large part of the slums. Periodic fire often broke out here and many believe they had been deliberate and aimed at clearing the area of slum dwellers. Fire, occasionally, has been an absolute tool that the authorities employ when reason and force became inutile. The ruins are still smoldering and many residents are trying to salvage any piece of junk they could use to assemble a mosaic-like dwelling.
Leo is walking on the breakwater half-naked, wearing only a pair of loose basketball short pants. He has wrapped his head with a white towel. At a distance, he looks like just another skinny and undernourished young man living in the slums. But on closer look, after my guide had pointed it out, he bears the trademark of an operado—the foot-long, centipede-like scar on his left side. He had “donated” a healthy kidney! He wears his cut like a badge of honor or a brand of manhood. He was never ashamed of it nor even tried to make it less conspicuous. In fact, he is proud of it. He looks tough and confident.
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