China’s organ-transplant system was once a cause of international scorn and outrage, as doctors harvested organs from prisoners condemned to death by criminal courts and transplanted them into patients who often paid dearly for the privilege.

After years of denials, China now acknowledges that history and has declared that the practice no longer occurs — largely thanks to the perseverance of a health official who, with the quiet backing of an American transplant surgeon, turned the system around over the span of a decade.

That official, Huang Jiefu, built a register of voluntary donors, overcoming both entrenched interests that profited from the old ways and a traditional Chinese aversion to dismemberment after death. In true modern Chinese fashion, donors can sign up through a link and app available through the ubiquitous Alipay online payment system. More than 230,000 people have done so, and a computerized database matches donors with compatible potential recipients, alerting doctors by text message as soon as organs become available.

 

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