[HN Gopher] Alabama prisoners' organs vanish, and there's a whol...
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       Alabama prisoners' organs vanish, and there's a whole lot of
       passing the buck
        
       Author : Jimmc414
       Score  : 115 points
       Date   : 2024-05-14 17:32 UTC (5 hours ago)
        
 (HTM) web link (www.al.com)
 (TXT) w3m dump (www.al.com)
        
       | Jimmc414 wrote:
       | Related:
       | 
       | Case of Alabama prisoner's missing heart is dismissed. His heart
       | was never found. 4/25/24
       | https://www.al.com/news/birmingham/2024/04/case-of-alabama-p...
       | 
       | Alabama prisoner's brain missing after UAB autopsy, says family
       | 2/14/24 https://www.al.com/news/birmingham/2024/02/alabama-
       | prisoners...
       | 
       | UAB stealing dead Alabama prison inmates' organs after autopsies,
       | families claim in lawsuit 4/18/24
       | https://www.al.com/news/2024/04/uab-stealing-dead-alabama-pr...
       | 
       | Alabama House passes bill to make it felony to retain organs from
       | autopsy without consent 4/25/24
       | https://www.al.com/news/2024/04/alabama-house-passes-bill-to...
        
       | ceejayoz wrote:
       | To be very clear: not for transplants, but for training med
       | students.
       | 
       | > The students were told the removal of organs were part of
       | autopsies required by law for prisoners. They were told that
       | using them for teaching future physicians "benefits future
       | patients," and if organs weren't used they'd be thrown away and
       | would serve no useful purpose.
        
         | consumer451 wrote:
         | But money changes hands?
        
           | soks86 wrote:
           | Medical students can't be learning for free now.
        
           | ceejayoz wrote:
           | Is there a line in the article I'm missing saying this?
        
             | consumer451 wrote:
             | I meant to ask the question, and phrased it poorly.
        
             | hammock wrote:
             | "The prison system and UAB have an agreement for UAB to
             | perform autopsies as an independent contractor. That
             | agreement was filed as an exhibit in the new lawsuits.
             | According to that document, the prison system pays $2,200
             | per autopsy and $100 per toxicology test.
             | 
             | "According to the lawsuit, UAB Division of Autopsy
             | publications from 2006 to 2015 show that 23% of their
             | yearly income comes from Department of Corrections
             | autopsies"
             | 
             | https://www.al.com/news/2024/04/uab-stealing-dead-alabama-
             | pr....
        
               | ceejayoz wrote:
               | They'd be having the autopsies regardless. They're not
               | the issue.
               | 
               | > All people who die in custody have an autopsy, multiple
               | prison officials testified in a federal court hearing
               | earlier this year.
        
               | g00gler wrote:
               | I'm not sure if $2,200 is a lot or a little but isn't
               | there some non-zero cost associated with facilitating,
               | transporting, storing and performing the autopsies
               | regardless of whether the examiner is paid or is a
               | student? Eg clerical work, drivers, equipment, use of a
               | vehicle, refrigerators, etc.
        
         | Jimmc414 wrote:
         | The argument that organs would be thrown away otherwise doesn't
         | justify bypassing clearly defined consent and ethical
         | standards.
        
           | ceejayoz wrote:
           | I agree entirely; they're two separate things.
           | 
           | Was this unethical? Yes. Is it the darkly hinted about
           | conspiracy to procure black-market organs some will read into
           | the headline? No.
        
             | Jimmc414 wrote:
             | You'll need to point out this darkly hinted conspiracy in
             | the headline. Nowhere is it implied that someone was killed
             | for their organs. If this was happening at Johns Hopkins,
             | it would certainly be a story. The fact that they are
             | prisoners should be irrelevant.
        
               | jeremycw wrote:
               | It omits that the prisoners are deceased and uses the
               | term "vanish" which implies it's not known where the
               | organs have gone.
               | 
               | "Alabama prisoners' organs vanish, and there's a whole
               | lot of passing the buck" could easily be "Deceased
               | prisoners' organs taken by University of Alabama against
               | families wishes" but that's not going to get the clicks.
        
         | alwa wrote:
         | And also to be clear, "vanish" from people who died in state
         | custody, post-autopsy--not from people who are currently
         | prisoners. And "vanish" to the same medical training uses as
         | non-prisoners' donated organs.
         | 
         | The (very reasonable) question being whether it's appropriate
         | for the warden rather than the family to authorize the
         | donation, when family is in the picture.
         | 
         | The title seems to willfully invoke the far more sinister
         | "organ-harvesting" trope that's alarmingly a live issue in
         | other carceral systems to this day [0], but that's not what the
         | article's actual allegations describe.
         | 
         | [0] e.g. https://www.ohchr.org/en/press-releases/2021/06/china-
         | un-hum...
        
           | ziddoap wrote:
           | > _The title seems to willfully invoke the far more sinister
           | "organ-harvesting"_
           | 
           | No place on earth is more annoyingly finicky about headlines
           | than HN.
           | 
           | Black market organ harvesting of live prisoners didn't even
           | cross my mind when reading this headline. What makes you
           | think they are willfully invoking that trope? The use of
           | "vanish"?
           | 
           | Could you illustrate a better, but still concise, title?
        
             | ceejayoz wrote:
             | "used after death without family consent to train medical
             | students" is much more accurate than "vanish".
             | 
             | Quite a few people hold conspiratorial opinions of organ
             | transplantation, like that doctors won't work as hard to
             | save people flagged as donors.
             | https://www.mayoclinic.org/healthy-lifestyle/consumer-
             | health...
        
               | ziddoap wrote:
               | I believe that _" Alabama prisoners' organs used after
               | death without family consent to train medical students"_
               | exceeds HNs title character limit, and it also leaves out
               | the fact that the blame for it is being shifted around --
               | an important component (arguably the most important
               | component) of this story.
        
             | dsr_ wrote:
             | It crossed my mind, because it is strongly suspected that
             | China does that to low-level political prisoners and
             | members of despised minority groups.
             | 
             | 2018: https://www.bmj.com/content/363/bmj.k5250
             | 
             | 2019: https://www.theguardian.com/world/2019/jun/17/china-
             | is-harve...
        
               | Natsu wrote:
               | Yeah, it also crossed my mind.
        
               | woooooo wrote:
               | It's confirmed that, if you're executed by the state for
               | treason there, you become an organ donor as part of that
               | deal. Waste not and all that.
               | 
               | The speculative part is where people start making organs
               | the main point of the whole thing, it has a great ick
               | factor if you're doing nationalist flamewars.
        
               | more_corn wrote:
               | "Deal" implies consent. But it's also a dangerous
               | financial incentive. Oh innocent? Humm, I can make 10k
               | from his organs if that evidence gets lost.
        
               | woooooo wrote:
               | Of course nobody consents to being executed.
               | 
               | There are numbers on how many people get executed there: 
               | https://en.m.wikipedia.org/wiki/Capital_punishment_in_Chi
               | na#...
               | 
               | It seems unlikely that the person making prosecution and
               | judgment decisions is also in a position to personally
               | acquire and sell the person's organs but hey what do I
               | know.
        
               | Nasrudith wrote:
               | There is no speculation needed - the perverse incentives
               | are a matter of fact. Whether it has happened yet or not
               | is academic. Sure, by some miracle the government resists
               | them for now, but that panglossian optimistic view still
               | leaves it a ticking timebomb.
        
               | jajko wrote:
               | I recall reading report of exactly this at least 25 years
               | ago, with grainy images of soon-to-be-executed folks
               | standing in the row on some field, blindfolded, hands
               | behind the back. Families got receipt for the bullets.
               | And just on the side stood ambulances ready to take
               | whatever was good and sell it to whomever would pay
               | enough.
               | 
               | I don't think they stopped, just got smarter about it, if
               | done organized en masse the amount of money is insane for
               | people who don't earn so in their entire lives. Nobody
               | sane will brag how they got new kidney from shady chinese
               | guys when this was well known.
        
               | tqi wrote:
               | Just to clarify, in this scenario where the state is
               | harvesting organs for transplantation (a complicated
               | medical procedure), you are saying that the methodology
               | employed was to do it en-masse outdoors with guns (with
               | cameras present), as opposed to individually in a
               | hospital?
        
               | pessimizer wrote:
               | No, it's constantly accused of such by the Falun Gong (a
               | religious cult that officially believes that David
               | Copperfield is a real wizard), and a lot of western
               | governments looking for something to attack China with
               | amplify the accusation without any evidence. A good way
               | to do that is to cite the conclusions of an "independent
               | tribunal" that no one had heard of, whose only concerns
               | are spreading the consensus about the evils of China and
               | the Chinese, and who are mysteriously funded.
               | 
               | Western governments attack enemy regimes by funding
               | religious cults (with associated militias) like MEK and
               | Falun Gong (which are allowed to have multiple OTA TV
               | channels while the Chinese government are banned from
               | most of the internet.) They also fund fundamentalist
               | Islam in northern Africa, and neo-Nazis in central Asia
               | and eastern Europe.
               | 
               | It's important to dismiss "strong suspicions" from semi-
               | anonymous sources and ask for actual evidence,
               | circumstantial or not. _Propaganda is supposed to be what
               | we dislike about China._ We shouldn 't help spread
               | innuendo if that's actually a value we have.
        
             | darby_eight wrote:
             | > Black market organ harvesting of live prisoners didn't
             | even cross my mind when reading this headline.
             | 
             | It's not that crazy:
             | https://www.westernmassnews.com/2023/05/11/getting-
             | answers-b...
        
             | more_corn wrote:
             | Words have meaning and meaning is important.
        
               | ziddoap wrote:
               | Yes, and none of the words in this title mean "illegally
               | harvesting organs of live prisoners and selling them on
               | the black market".
        
             | idiotsecant wrote:
             | It definitely is what I thought of and the headline is
             | pretty clearly deceptively cultivating this response.
        
           | sdwr wrote:
           | > The title seems to willfully invoke the far more sinister
           | "organ-harvesting" trope
           | 
           | That's exactly what I thought this was about until halfway
           | through the article - for-profit prisons expanding in another
           | direction
        
         | fransje26 wrote:
         | > To be very clear: not for transplants, but for training med
         | students.
         | 
         | And that is less worse because..?
        
           | ceejayoz wrote:
           | Because "we took organs to divert into the black market" and
           | "we let the med students poke around during the routine
           | autopsy for training" are very different things?
        
             | Nasrudith wrote:
             | Med students are just the least-bad black market customer.
        
         | segmondy wrote:
         | Never can be sure, plausibly deniability. If there was a trade
         | going on were 5% were traded for transplants, it would be
         | covered up that it's used for training med students.
        
           | ceejayoz wrote:
           | These are people who died in prison and were sent off-site
           | for autopsy. Organ transplantation is... unlikely.
        
       | TacticalCoder wrote:
       | > Stripped of humanity, exploited for labor or whim or scientific
       | advancement because - because we can call them criminals instead
       | of people. > > It's as simple as that.
       | 
       | Ah yeah. I'd like a rapist to be called a criminal. For victims,
       | you know.
       | 
       | It's also as simple as that.
       | 
       | Now should a rapist's schlong be used for scientific experiment?
       | I mean... I'd joke that at least we'd be sure he wouldn't use it
       | to do mischief anymore but I understand it's a bit harsh. It's
       | not what we're talking about here: it's about harvesting organs
       | from dead people.
       | 
       | But the point would be better made if _some_ compassion was shown
       | towards the victims instead of only ever showing compassion to
       | the criminals.
       | 
       | FWIW there are _western_ countries where the corpse of _any_ dead
       | human being can be used for scientific experimentation, unless
       | specified otherwise.
       | 
       | What about an article about that instead of an article lacking
       | any compassion towards rape victims and parents of murdered kids?
        
         | chmod775 wrote:
         | > FWIW there are western countries where the corpse of any dead
         | human being can be used for scientific experimentation, unless
         | specified otherwise.
         | 
         | Examples?
        
           | fngjdflmdflg wrote:
           | >There is an international trend to move from explicit
           | consent (opt-in) to presumed consent (opt-out) policies for
           | deceased organ retrieval: Chile (2010), Finland (2010),
           | Greece (2013), Uruguay (2013), Wales (2015), Colombia (2016),
           | Iceland (2019), the Netherlands (2020), England (2020),
           | Scotland (2021), and the province of Nova Scotia in Canada
           | (2021) have implemented opt-out policies. Switzerland is
           | presently considering it, and Australia, Denmark, Germany,
           | Israel, Romania, and several states in the USA had been
           | discussing this as well.[0]
           | 
           | [0] https://www.medrxiv.org/content/10.1101/2021.08.27.212620
           | 33v...
        
             | chmod775 wrote:
             | As far as I'm aware, none of the listed western countries
             | (except Chile, whose status as a "western" country is
             | dubious) allow the use of organs for 'scientific
             | experimentation' without consent. Additionally many of the
             | listed countries (Finland, Greece, ...) require attempts to
             | ascertain consent for those organ donations, which means
             | asking family members of the deceased.
        
         | chmod775 wrote:
         | > But the point would be better made if some compassion was
         | shown towards the victims instead of only ever showing
         | compassion to the criminals.
         | 
         | This is not about compassion for any criminals. They're dead
         | anyways. This is about the families of the deceased who find
         | that someone has been cutting away at their dead relative.
        
         | 0x112233 wrote:
         | What changes would you make to this article to show greater
         | compassion towards the victims of violent crime?
        
           | etc-hosts wrote:
           | > What changes would you make to this article to show greater
           | compassion towards the victims of violent crime?
           | 
           | Your comment made me curious about Brandon Dotson's crime. I
           | can't find a lot of info for it, I haven't started delving
           | into legal databases, but I was able to gather several
           | sources that state Brandon Dotson was sentenced to 99 years
           | for a Class C felony (Burglary) + a parole violation. There
           | might not even be other people involved in the crime he was
           | convicted for. Sentencing someone to life in prison for
           | burglary, even with a parole violation, seems needlessly
           | cruel.
           | 
           | Alabama's sentencing guidelines for a Class C felony are
           | between 366 days and 10 years. The man served 19 years (and
           | is now dead).
        
         | aaplok wrote:
         | Treating prisoners like animals isn't showing compassion for
         | anyone, neither the criminals nor their victims. Refuting the
         | claim that even criminals should be treated humanely by saying
         | we should also show compassion for victims is not logical.
         | 
         | The victims of crimes absolutely should receive much empathy
         | and compassion. They should receive free and unencumbered
         | medical (including mental health), legal, and financial support
         | to help them reconstruct themselves. Paid for by the community.
         | They should be guaranteed safety, even more than the rest of
         | the population.
         | 
         |  _That_ is compassion. Harvesting their aggressor 's heart and
         | brain for teaching purpose, on the other hand, is not.
        
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