some are pumping and oddly tried but all of them come straight from the heart looks for c.d.'s even when there's no more delusion the mush were injured. from the 1st glimpse of the world to their final resting place the russians are a w documentary. there is a global shortage of organ donors the illicit trade in human kidneys and hearts is booming it's a lucrative business but it doesn't only save lives it also claims that i mean the fact that your life is in danger and you need a heart doesn't give any allowance to us physician to going kill somebody else for

the cost. i pay money and they want to live this is my last chance. how can we solve this problem do we need new laws or artificial organs the only alternative. florence gomez is young and might look healthy but she faces big physical challenges a genetic disorder means that her kidneys barely function the 23 year old is only able to work part time. can fulfill anguish saying i'm a lot more restricted when it comes to certain things. and i have to learn not to allow myself to be defined by this thing on this is after this i have to just carry on business and provides a lot of. dialysis is her only

chance of survival at the moment she has to go to hospital and this was counting of 3 times a week each dialysis session lasts and least 4 hours. her mother and her brother are unable to donate one of their kidneys to her because they have the same genetic disorder our kidneys filter toxins and waste out of the body and maintain our fluid balance florence gomez's body is unable to perform these functions. during dialysis a machine cleaned her blood and removes excess fluid florence doesn't want to be filmed during the treatment. is scary more talk mickle flights are going off and i go on monday wednesday and friday afternoon then there's a long gap over the weekend off and jaring this period i have to really watch what

i eat and drink for the peri it from sunday evening to monday is always terrible is have. i have the most fluid in my body at this point that. the most toxins in my body it's a disease that. florence's life is full of restrictions especially when it comes to what she eats and drinks. she's only allowed to consume at most a leader of water each day and her diet has to be low in salt potassium and phosphorus myself either one as a them because if i eat too much of those things that my heart starts to race and my muscles cramp our it is very unpleasant i get on with mia and that can get very dangerous. it can also even develop into a heart attack if it is not treated in time by 30. florence gomez has been on a waiting list for a donor organ for 3 years now since then she hasn't been able to travel if an organ

becomes available she has to be ready to go to the hospital almost immediately staff have to be able to contact her 247 she dreams of one day leading a normal life is matched anything nice i don't want to have to wait for another 3 is that i have already waited 3 years. this is the result so many things i want to do and i've put all of them on hold across america i like to travel the world to many other things. i'd like things to start moving forward with more to show for it's getting. in switzerland germany and austria there are some 15000 people waiting for a donor organ just like florence and in spain and italy the waiting lists are shorter these countries have an opt out system anyone who doesn't register their opposition is a potential donor and there are other factors that can affect the number of organs available in different nations

a year far more people die in traffic accidents in countries where seatbelts are not mandatory and where cars on top of the same standards that's one reason when of course another significant factor is the high or even very high standard of preventative health care in germany france and switzerland where blood pressure is monitored and regulated if you have people die of complications such as a brain hemorrhage as a result and fewer people are therefore eligible to become organ donors acquire if it's here something that is in fact positive has a negative impact on the number of organs available for transplant like germany switzerland compares unfavorably with other european countries in this respect. came on about the stuff we are concerned about the shortage of organs are plenty of people in countries like switzerland which also had very few donors 56 and 7 years ago quickly ask themselves whether there is any point of putting themselves on the

waiting list here. in switzerland we have a lot of 2nd generation immigrants whose parents come from italy portugal or spain who wonder whether they might not be better off in those countries as the donor numbers are 3 or 4 times higher than the deficits of the donor system and that's no doubt true of germany to take our leading people to look for solutions elsewhere within europe from that also beyond its borders open up with. many people turn to organ trafficking israel is one country where this used to flourish for decades the country had the world's lowest numbers of organ donors many see organ donation as incompatible with judaism according to the old testament bodies have to be buried promptly and should not be desecrated many orthodox jews believe in the physical resurrection of the dead and therefore i think it is essential that the body should remain intact as a result each year there were

a 1000 more potential recipients than actual donors. moti was critically ill only medication was keeping him alive he ended up in hospital for 18 months because of a virus to his heart's performance was reduced to only 10 percent of what it should be his condition was deteriorating day by day. really in the 1st place and the waiting list but. every day i don't have a dog because if you do 1st at the most or it can give me a doubt it's my blood is all. people with blood group oh can only receive a heart from someone with the same blood group could be a. multi has now been married 44 years and has grown children back then it was a race against time he knew that he would die without a transplant and he wanted to be around to see his grandchildren grow up but he

also realized that finding a suitable donor in israel would be difficult then by chance he met someone in the hospital who had just had a heart transplant and had bought the organ abroad. take it from were not. met with come from china i see him in and those with that it tell me that now i come from china and make it in this china in china is china that said siri. i have more office one full of china now one from colombia more places because this is big money back then israelis were among the world's leading transplant tourists my a brokers you could range operations in many parts of the world particularly in china eastern europe and south america. who was $55.00 at the time opted for china a broker in tel aviv organized the all inclusive deal for him 415-0000 us dollars

he bought himself a donor heart and surgery and his health insurer was even willing to reimburse the costs this is. a broken the this man's not speak with me speak with the insurance and give all the documents they give him all the documents and they take them are needed the are going to zap me that i was put. there. we have people in china one from here or one from china and then. this will take the money from here and then me yeah you send me to china with the doctor. for it would fly would allow dr oxygen a big balloon and that's all. of them jack up levy is the director of the heart

transplantation unit of sheba medical center in tel aviv and a leading cardiac surgeon when he heard about his patient morty's plans he questioned the service being provided in china we came to me one day and told me that he's care jeweled to undergo heart transplantation in china and he designated the specific date of the transplant 2 weeks ahead of time and i looked at him and i told him what he did you listen to yourself how can a surgeon how can anybody promise you a heart transplant 2 weeks ahead of time you know that somebody has to die on that very day in order for you to go to god and he told me i'm not asking question that's what my insurance told the company told me and that's what i'm going to do. but in the absence of alternatives and with time running out moti brushed aside any moral scruples and flew to shanghai with his family there he was admitted into a renowned teaching hospital. and i go into hospital after 12

days come the professor professor jan. and c.m. their meal with probably because. blood these oh and it's a difficult problem with find the man with the oh ok i think then we will have time. and after. 3 days come another time the professor and tell me maybe tomorrow 2 o'clock. then the. nurse in a coma for their. life it merely by the by and a glow. a heart on demand that's possible in china received a donor organ with blood group oh he was told it had come from

a 23 year old man of roughly the same height and build who had been killed in a road traffic accident. in china $4000.00 transplants are carried out each year more than in any other country. western transplant specialists regularly get invited to china to watch demonstrations of chinese expertise in france imma a heart surgeon at the time got a surprising offer. of anything in response to my interest they said i could watch a heart transplant in the morning all the afternoon and this troubled me because of course an organ donation is a very seldom event we can never plan heart transplants and so that was the 1st thing that really took me aback and i asked myself how can a planet like that and how can that be possible that you got. the fact is the only way that a heart transplant can be scheduled is when the death of the donor can also be

pre-arranged since $984984.00 they cheney's have developed a huge industry of all the nation based on organs from executed prisoners over the years it came out that not only formally executed music business where the source of organs in china but mainly prisoners of conscience among the following one petitioners among the wars among the tibetans amount of the new christians who were designated by the communist party as enemies of the party and they were concentrated in concentration camps that certainly the term concentration camps and the way they were have been executed by killing them and sending their organs to transplant tours not only from israel israel was only a small part from all over the world starting for the united states many european countries in eastern asia $1010.00 of thousands of patients come each year until

today and get their organs in trying to escape to prisoners and even doctors have made such allegations beijing denies the practice not interested me nothing and this is not my problem i pay money and i want to leave this is my last chance but in the earth into this can be nothing. moti didn't ask any questions about where his heart had really come from nor did the doctors in shanghai who perform the surgery those kinds of questions are frowned upon in china organ to or ism is a big moneymaker there's absolutely no ethical way to justify the killing of one human being in order to save the life of another human being i mean the fact that you your life is in danger and you need a heart that doesn't give any allowance to us physician to go and kill somebody

else for this is because of the one of the missions of the medical community in the world in order to stop that because this is a crime against humanity which by. the a couple of the has fought to change israeli law to stop organ tourism and forced organ harvesting health insurance companies no longer reimburse the costs for transplants performed abroad new legislation gives people who register as organ donors preferential treatment if they subsequently needed donor organ this is led to a 20 percent jump in organ donations. and one of the clauses of the old one flies from floor is a unique clause again there's no such precedent in the world giving priority in all than a location to any candidate of organ transplantation who has been registered as an organ donor at least 3 years before he became a candidate. moti is happy to be healthy again and back at work at his store in the

tennis club he's grateful to the chinese for saving his life even if they sacrificed another person's life to make it happen. it's mostly poor people from emerging countries who sell their non fight a war get to people from affluent countries the world health organization estimates that 10000 illegal transplants are performed annually generating more than 1000000000 euros often at the donors expense. because i know of an example from pakistan people who want to donate their kidney in return for payment have to stay in a hospital room until the recipient finally arrives. on the donors have to pay for their board and lodging themselves but just imagine that and when the transplant is actually performed and they have had their kidney removed they only receive a very small sum for the organs and then these costs are subtracted from that these people are then sent home without any kind of medical care and of course these

living donors are at risk of getting an infection or developing complications that are so severe that these patients die because. 70000 people in europe are waiting for a donor kidney every day 12 of them die iran is the only country in the world where the organ trade is legal could we ever imagine that in europe economist bryer believes it could help curb organ trafficking and tourism down young because there are a shortage of kidneys and there are not enough organs donated after death i could imagine health insurance companies buying kidneys in land but domestically and not abroad a lot of the victims we shouldn't exploited people from developing countries can get payment could be offered to residents prepared to voluntarily donate a kidney. to latin. a kidney transplant costs 18000 euros while 10 years of dialysis costs 400000 euro.

of course you also have to count the costs of the transplant but yet even if you generously factor in aftercare at 12000 euros a year that still leaves a saving of 200000 euros for the health insurers if the donor got half of that it would be a win win situation for $31.00. would the introduction of an opt out system increase the number of organs donated if everyone were considered a potential donor unless they made a statement to the contrary. experts say this would only help in part frequently smaller hospitals are not equipped to perform transplants or even identify potential donors and then there is the question of the potential costs. for a long time it was the case that if a hospital wasn't a transponder and just happened to have

a patient who had been declared brain dead that it would actually make a loss removing a donor organ the form that the situation has been improved in germany with the reform and the transplantation law but nevertheless the efforts involved in removing a donor organ to disturb the hospital's daily routine that i'm calling all strut. the demand for donor organs continues to outstrip the supply even despite changes in the law and german scientists are among those looking for alternatives to conventional organ donation. could pigs be the solution to the shortfall in human donor organs. the university of new nick is breeding animals that might be used as potential donors in the future. trial its interest rates are relatively similar to humans anatomically and physiologically and you can read papers efficiently on the gestation period of us

hours just 3 months 3 weeks and 3 days that's $114.00 days in total and the young animals are ready to breed at 6 months if they have a lot of piglets between 8 and sometimes 14th so you could actually produce a sufficient number of picks to act as organ donors for humans. cross species transplantation is called xenotransplantation if pig to human transplants were to work then they could provide an almost endless supply of organs but there are still many hurdles to overcome. side on from since the beginning of the 2000 so we have been able to genetically modify pigs in a very targeted manner which we can and inactivate certain problematic big genes and all modify them to include human genes and thereby reduce all completely overcome the risk of rejection. by any basis growth very quickly they way

around a kilo at birth and can reach a weight of almost 100 kilos within 6 months. and their inner organs obviously grow at the same pace just because if it does fall the pre-clinical experiments involving transplants from takes to baboons in particular that means that the organs quickly become to a cell in addition to the other genetic modifications needed for there's a new transplantation we have knocked out of pig jane responsible for growth regulation these pigs only reach half the body weight of normal payouts for their organs are correspondingly small. although pigs are relatively similar to humans genetically only the organs of genetically modified. this is did i mean use life from burnet european union leaders have held marathon days long talks to break a deadlock on a contentious coronavirus recovery plan

a special summit wasn't deadlock over the aid package just mix of loans and grants and who controls how countries spend their money in leaders i giving a closing press conference let's listen in. on the northern israel. or where you live or for the dual us you will draw measured you've shown that the magic of the european project continues to work because even when one thinks it is no longer possible there is always that. ability to go forward thanks to respect to corporation a desire to work together to. mutual respect get past obstacles and to face the future together that's the magic of the european project there are differences of views there are different opinions. different approaches

but we sent a strong signal to europe to europeans tend to the rest of the world that we share the values that the union is a union of values and of citizens and that it can with strength and in a robust manner when needed we send a signal of faith in the future of confidence which is needed the world and europe have been headed by an unprecedented crisis. the figures 600. dead were the last figures i saw a few hours ago this crisis continues and will continue to affect people. families women children as political leaders we have responsibilities we have a democratic mandate which we all share and we have to answer that challenge by showing that we able to deal with these through concrete real results

through decisions concrete this is not virtue this is the decision which will have an impact it must have an impact a positive impact so that we can move towards the future in them and meet our challenges thank you president a messy vocal made. of a mess he well it isn't gentlemen thank you very much i'd like to start by thanking the president of the council shall michel for his really hard work and his tremendous perseverance. because this excess of this european council is his success as well i'd like to think i'm going to america for her exceptional guidance . we spent 4 long days and nights of negotiation more than 90 hours but it was worth it this agreement is a signal that europe is able to act. now in germany after all.

people often accused europe as being too little too late whereas here we're demonstrating that the opposite is the case at the end of april the european council gave us at the mandate of designing a recovery package and today today only 2 months later next generation europe is. up and running and it has the agreement of the european council and in the history of the european union that is an absolute record for a new budgetary instrument. and next generation europe is very extensive more than 1.8 trillion euros and that's more than 5 percent of the g.d.p. of the e.u. 27. europe still has the courage and the imagination to think big. and in so doing we. are fully aware that this is a historic moment in europe. we are currently in one of the most difficult

economic and health crises but nonetheless europe is managing. having worked really hard to tackle this crisis in a really effective way and this will benefit the u. budget and it will link solidarity with responsibility solidarity here because all 27 countries together her. barin support next generation e.u. and responsibility because next generation the e.u. doesn't just point the way out of the crisis but also it serves the very foundation of a modern and sustainable europe. of 2 more points we have now the new only resources tightly linked to the repayment this is a big step forward with a clear timetable member states which states will benefit as they will contribute less to repay the investments and then your own resources will strengthen the

european union also in the long term i'm glad that we managed to safeguard this achievement during the whole negotiations and europe's recovery will be green the new budget will power the european green deal. it will accelerate the digitalisation of europe's economy thanks to next generation new national reforms will be boosted we invest in europe's future. and finally. unlike in previous crisis is this time member states have not opted for an intergovernmental agreement but they haven't trusted the european commission of europe's recovery we will together manage a total of $1.00 trillion euro the bulk of the money will be channeled through the

programs in which the european parliament is involved. next generation e.u. comes with a great responsibility and we are determined to bring about reforms and investment in europe. nevertheless i must also mention a difficult point in their search for compromise leaders have made far reaching adjustments into the new m.f.f. and next generation you for example in health migration external action invest you they have not taken up with the solvency instrument this is regrettable it decreases the innovative part of the budget even if more than 50 percent of the overall budget m.f.f. and next generation you will support modern policies and so finally to conclude europe as a whole has now a big chance to come out stronger from the crisis today we've taken

a historic step we can be all proud of. but another him porton step remains ahead of us 1st and foremost we now have to work with the european parliament to secure agreement. we have a lot of work ahead of us but tonight is a big step forward towards recovery thank you thank you madam president we'll be taking a couple of questions and 1st on is it get it or it's messy that would get it and i didn't thank you david kirk to. your early curly. she was mission impossible you've pulled it off congratulations having said that i have a couple of questions if i may 1st of all the rule of law there's a compromise which seems to be at

a very low level if you look at the initial proposals the commission and you yourself had had did you sacrifice the rule of law at the altar of compromise and secondly for. a person for the lion. with so little money will you be able to carry through your programs a 100000000000 less in the recovery plan. through the european budget. which generation if any is going to get this well i'll try to cover both points but michelle to start with on the rule of law we are fully determined and this is the 1st time in the history of you that there is this link between governance and mobilizes of funds of the rule of law and mobilization of funds we've shown that the. transfer.