日本NPO仲介海外器官移植違反「臟器移植法」【寰宇醫事裁判】 試閱
A Nonprofit Organization Intermediating Foreign Organ Transplantation Against Human Organ Transplant Act
被告人為日本非營利組織被告法人「難病患者支援會」理事長，從2003年起在未取得厚生省許可下從事海外器官移植仲介，涉嫌非法招募欲至境外進行器官移植手術者。2021年底與2022年初，分別有患者A與B有償委託被告法人安排手術，由被告法人向境外醫療機構簽訂契約，被告陪同患者前往境外接受手術。被告抗辯，所謂斡旋不涉及境外仲介，且意指相關聯絡與仲介乃同一人所為。東京地院鑑於買賣或有償斡旋不論國內外進行，均使得器官提供不再是自願的，嚴重破壞國內患者接受手術的公平性和排序，更無法保障境外手術的安全與隱私以致影響國內後續醫療。因此所謂斡旋，自當包含國內招募和註冊患者，以及境外聯絡與調整。
The accused of this issue, the chairman of the Support Group for Patients with Intractable Diseases, intermediated foreign organ transplantation without permission of the Ministry of Health, Labour and Welfare, recruiting illegally patients who want to undergo organ transplantation overseas. At the end of 2021 and the beginning of 2022, patients A and B, respectively, entrusted the accused to arrange surgeries for them for a fee, and the Defendant signed contracts with overseas medical institutions and accompanied the patients to undergo surgeries overseas. The accused argued that the so-called mediation did not involve overseas intermediaries and that the contact and the intermediary were made by the same person. According to the Tokyo District Court, the sale of organs or the provision of mediation for a fee, regardless of whether it is performed domestically or internationally, makes the provision of organs no longer voluntary, seriously undermines the fairness and orderliness of surgery for domestic patients, and fails to protect the safety and privacy of surgery performed abroad, thereby affecting the follow-up medical care in Japan. Therefore, the so-called mediation should include the recruitment and registration of patients in Japan, as well as liaison and adjustment overseas.
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