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Turkey Medicals member and President Of Antalya Medical Chamber Prof. Dr, “Organ transplants remain the bleeding wound of the health system. While the number of people suffering from Organ failure increases a little more every day, neither donations made after “brain death”nor live donations can meet the need. It’s not just our country’s problem, it’s the whole world’s problem. Heart and liver failure have no choice. And in kidney failure, dialysis is a temporary solution. As many solutions as you can call it!

Recently, the news of “peasants selling their organs” reflected in the media once again revealed the depth of this wound. The news showed that those who needed an organ were looking for a cure that they could not find in legitimate ways in illegitimate ways. It should not be surprising to those who are intermediaries in this trade, because in every society it is possible to see such immoral and ruthless haramzadeh. The most surprising group here is those who sell their organs for money. Their reason is that they are mired in money and debt. If we act with this logic, anyone who is penniless and stuck in debt can commit an act that is religious forbidden, legally considered a crime and morally ashamed. For example, he can steal, sell drugs, or become a prostitute.

This news caused outrage in many. “So this is what happens in the country.” it was said. A friend of mine, who is also a dialysis patient, expressed surprise at these reactions. Because these” issues “are one of the” ordinary conversations ” in dialysis centers. According to his testimony, “when your color changes a little,” they come and find you and say, “Do you need a kidney?” he was asking. The University mentioned in the news is also “famous”among patients in this sense. According to my friend, there is no way that ethics boards and doctors are not aware of this “agreement.” “Kirvem” is enough for kinship. It must be up to the health ministry’s inspectors to question whether there is a kinship called “kirvelik” in the law. Here’s what I’m writing! You’ll see, investigators won’t find any flaws in these ethics boards or in the center where the transfers were made. Because they think it will hurt their” big case ” (cases to increase organ donation and organ transplantation). But they don’t know, “the mouth of your hand is not a bag, but you are shrunken.”The people talk about everything among themselves. I believe that the fact that those responsible in the health system are not punished will increase the distrust that already exists against the system in terms of organ transplantation.

As those who follow my column will know, I have previously contacted the topic of organ transplantation in two separate articles. In one, I argued that what is called “cadaver transplantation” is actually a live transplant, and in the other, I argued that dead bodies are confiscated by the state and made in the public domain so that the needs of those waiting in line for organ transplantation will be met in a short time. Today, I will have a proposal that I hope will be more comprehensive and more carefully considered. It’s a system proposal.

This system first of all requires a central coordinator (Figure 1). This could be the Department of Health, as well as a separate unit under it. Although our proposal aims to remove organs from cadavers (brain-dead individuals), it predicts that a person will donate their organs while they are alive. In this system, the coordinator at the center has 3 lists. One of these lists is a list of those who donated their organ for use After Death [List A], and the other is a list of those who need an organ [list B1 and list B2]. In the proposed system, when the name of the person who needs an organ transplant is notified to the center, the name is written to the waiting list, while this person is written to the list numbered B1 or B2, looking at whether he has donated his organs before (i.e. whether he has a name in List A). A prerequisite for being listed on the B1 list in this system is that people have applied to donate their organs after death, at least 1 year before the first diagnosis of their diseases in question. While those who have donated before and currently need an organ are listed in this way (list B1), those who have not donated before, but today need an organ will also be listed in the Order of application within the B2 list.

In the system, organs will be transplanted starting from list B1, giving priority to people who have previously donated their organs to save the lives of others. Organs provided in this way will only be given to patients in B2 after all patients in B1 list are finished.

Thanks to this system, which has been widely publicized and announced in advance, people will donate their organs without dying, thinking that they may one day need it. In this way, the double standard of” I don’t donate organs, but I can accept organ donation when I need it ” will be avoided. Of course, the system will respect the decision of citizens who do not donate their organs and do not want organ donation.

Given that the organs most suitable for transplantation come from people who have lost their lives in road accidents, and given that thousands of people lose their lives in road accidents every year in our country, unfortunately, it is clear that with this type of system, within a year or two, the waiting list will be dissolved.
As it should be noted, this system also disables dead relatives. But despite everything, an arrangement should also be made for them, considering that there may be relatives of the dead who want to prevent the operation of this system, who do not respect the memory of the dead person, as an obstacle to the realization of the donation made by the deceased person. This system, according to the records at the center, a person who has donated their organs, records the relatives of the dead who prevent their organs from being taken, and provides that they will never be included in the B1 list.

We believe that the list of patients waiting for organ transplantation, which has lasted for years, but cannot be found, can be melted down in a short time with such a system, and the lives of thousands of people can be saved in this way. No doubt, as with any package of proposals, this proposal may have shortcomings, but with the discussion of these and similar proposals in the medical and ethical community, it will be a step closer to finding the most ideal system.

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President of Organ Transplant Center at MedicalPark Hospital Antalya

Turkey's world-renowned organ transplant specialist. Dr. Demirbaş has 104 international publications and 102 national publications.

Physician's Resume:

Born on August 7, 1963 in Çorum, Prof. Dr. Alper Demirbaş has been continuing his work as the President of MedicalPark Antalya Hospital Organ Transplantation Center since 2008.

Prof. who performed the first tissue incompatible kidney transplant in Turkey, the first blood type incompatible kidney transplant, the first kidney-pancreas transplant program and the first cadaveric donor and live donor liver transplant in Antalya. Dr. As of August 2016, Alper Demirbaş has performed 4900 kidney transplants, 500 liver transplants and 95 pancreas transplants.

In addition to being the chairman of 6 national congresses, he has also been an invited speaker at 12 international and 65 national scientific congresses. Dr. Alper Demirbaş was married and the father of 1 girl and 1 boy.


Eczacibasi Medical Award of 2002, Akdeniz University Service Award of 2005, Izder Medical Man of the Year Award of 2006, BÖHAK Medical Man of the Year Award of 2007, Sabah Mediterranean Newspaper Scientist of the Year Award of 2007, ANTIKAD Scientist of the Year Award of 2009, Social Ethics Association Award of 2010, Işık University Medical Man of the Year Award of 2015, VTV Antalya's Brand Value Award of 2015.


Doctor of Medicine Degree Hacettepe University Faculty of Medicine Ankara, General Surgeon Ministry of Health Turkey EKFMG (0-477-343-8), University of Miami School of Medicine Member of Multiple Organ Transplant, ASTS Multiorgan Transplant Scholarship. Lecturer at Kyoto University. Lecturer at University of Essen, Research assistant at the University of Cambridge .

Professional Members:

American Society of Transplant Surgeons, American Transplantation Society Nominated, Middle East and Southern Africa Council Transplantation Society 2007, International Liver Transplantation Association, Turkish Transplantation Association, Turkish Society of Surgery, Turkish Hepatobiliary Surgery Association.


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Medically Reviewed by Professor Doctor Alper Demirbaş
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