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80 Crime L. & Soc. Change 1 (2023)

handle is hein.journals/crmlsc80 and id is 1 raw text is: 

Crime, Law and Social Change (2023) 80:1-32
https:Ildoi.org/l0.1007/si0611-022-10068-5




The  organization of the human organ trade: a comparative
crime   script analysis


Frederike Ambagtsheer' - Roos Bugter2

Accepted: 8 November 2022 / Published online: 29 November 2022
©The Author(s) 2022


Abstract
This study fills critical knowledge gaps into the organization of organ trade utilizing
crime script analysis. Adopting a situational crime prevention approach, this article
draws from  law enforcement data to compare  the crime commission  process (activi-
ties, cast and locations) of 2 prosecuted organ trade cases: the Medicus case and the
Netcare case. Both  cases involved transnational criminal networks that performed
kidney  transplants from living donors. We  further present similarities and differ-
ences between  illegal and legal living donor kidney transplants that may help guide
identification and disruption of illegal transplants. Our analysis reveal the similar
crime  trajectories of both criminal cases, in particular the extensive preparations
and high degree  of organization that were needed to execute the illegal transplants.
Offenders in the illegal transplant schemes utilized the same opportunity structures
that facilitate legal transplants, such as transplant units, hospitals and blood banks.
Our  results indicate that the trade is embedded within the transplant industry and
intersects with the transport- and hospitality sector. The transplant industry in the
studied cases was particularly found to provide the medical infrastructure needed to
facilitate and sustain organ trade. When compared  to legal transplants, the studied
illegal transplant scripts reveal a wider diversity in recruitment tactics and conceal-
ment  strategies and a higher diversity in locations for the pre-operative work-up of
donors and  recipients. The results suggest the need for a broader conceptualization
of the organ trade that incorporates both organized crime  and white  collar crime
perspectives.

Keywords   Organ trafficking - Organized crime - White collar crime - Crime script
analysis - Situational crime prevention - Organ trade




E  Frederike Ambagtsheer
   j.ambagtsheer@erasmusmc.nl

   Department of Internal Medicine, Erasmus MC Transplant Institute, University Medical Center
   Rotterdam, Dr. Molewaterplein 40, 3015 GD Rotterdam, The Netherlands
2   Triodos Bank, Zeist, The Netherlands


1  Springer

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