IN THE HIGH COURT OF KERALA AT ERNAKULAM
DEVAN RAMACHANDRAN, J.
Ramachandran P. – Appellant
Versus
State Of Kerala – Respondent
WP(C) No. 35672 of 2023
Decided on : 06-11-2023
Altruism - Organ Transplantation - The court found that the District Level Authorization Committee (DLAC) erred in its decision to reject the organ transplantation based on the presumption of exploitation of the donor due to her disadvantaged social status. The court directed the DLAC to reconsider the matter and issue a fresh order, taking into account the Certificate of Altruism produced by the petitioners.
Fact of the Case:
The petitioners challenged the DLAC's order rejecting organ transplantation, claiming that the donor was acting out of affection and love for the recipient, not for any other reason. They sought the setting aside of the order and a direction for the DLAC to issue appropriate authorization for the transplantation.
Finding of the Court:
The court found that the DLAC's decision was based on an erroneous presumption of exploitation of the donor due to her disadvantaged social status. It directed the DLAC to reconsider the matter and issue a fresh order, taking into account the Certificate of Altruism produced by the petitioners.
Issues: The issues revolved around the DLAC's rejection of organ transplantation based on the presumption of exploitation of the donor and the petitioners' plea for setting aside the order and obtaining appropriate authorization for the transplantation.
Ratio Decidendi: The court held that the DLAC erred in presuming exploitation of the donor based on her social status and directed the DLAC to reconsider the matter, taking into account the Certificate of Altruism produced by the petitioners.
Final Decision: The court allowed the writ petition, set aside the DLAC's order, and directed the DLAC to reconsider the matter and issue a fresh order, considering the Certificate of Altruism produced by the petitioners.
JUDGMENT :
The petitioners challenge Ext.P12 order issued by the 3rd respondent – District Level Authorization Committee (‘DLAC’ for short), in which, they have opined that 2nd petitioner -who is the donor of the organ, is not offering it to the 1st petitioner for altruism.
2. The petitioners say that the afore findings in Ext.P12 are egregiously improper particularly, when the husband of the donor and her brother have made it unequivocally clear before the ‘DLAC’ that she is acting solely on account of affection and love for the 1st petitioner, and not for any other confutative reason. They, therefore, pray that Ext.P12 be set aside and the ‘DLAC’ be directed to issue appropriate authorization, so that transplantation can be done in favour of the 1st petitioner, without any avoidable delay because, otherwise, his life will be in peril.
3. In response to the afore submissions of Sri.Suresh Kumar C.R. -learned counsel for the petitioner, the learned Government Pleader – Sri.Sunil Kumar Kuriakose, took me through Ext.P12 to show that, there are inconsistencies in the statements given by the donor and her supposed husband and brother; and therefore, that ‘DLAC’ could not take a proper decision in her favour. He argued that when the donor is a person from a disadvantaged class of society, more care has to be taken by the ‘DLAC’, to ensure that she is not being exploited; and that this is all that has been done through Ext.P12. He pointed out that, in fact, the ‘DLAC’ had rejected the plea of the petitioners earlier; and that when Ext.P12 was issued, there was no change in the circumstances noticed. He thus prayed that this writ petition be dismissed.
4. I have examined Ext.P12, which is the order now impugned in this writ petition.
5. I must record upfront that I cannot find why the ‘DLAC’ has found that versions of the ‘parties’ who appeared before them, to be “wholly inconsistent”. As is evident from Paragraph No.4 of the said report, the 2nd petitioner -who is the donor, conceded that she and her husband – Sri.Manoj, are not legally wedded, but that they are living as husband and wife for the last more than 16 years. She is also stated to have said that Sri.Manoj is working with the 1st petitioner since 2006 as a Driver and that it was he who had helped both of them to find a shelter after their ‘marriage’, since their relationship was not approved by their families.
6. As far as Sri.Manoj is concerned, he is seen to have stated before the Committee – as discernible from Paragraph No. 5 of Ext.P12 that he worked as a Driver on call with the 1st petitioner, but asserting that his wife was offering her organ voluntarily to him, particularly because he was unable to do so since he met with an accident.
7. The ‘DLAC’ further records that brother of the Donor – Sri.Ajay, had appeared before them in the earlier meeting, but did not do so in the latter one, which led to Ext.P12 order; and that even when he appeared, he had said that he does not know anything about the connection between the petitioners.
8. As I have already said above, the afore statements of the parties cannot be seen to be inconsistent because, the 2nd petitioner – donor and her husband – Sri.Manoj, speak with the same voice, that the latter among them was working with the 1st petitioner and that former is donating her organ to him out of affection and altruism.
9. I cannot, therefore, fathom how the ‘DLAC’ could find that they could not ‘trace out any altruism on the part of the donor, especially a lady’ (sic).
10. I am guided to the impression that ‘DLAC’ appears to have taken the afore view being swayed by the social status of the donor, who appear to be from a disadvantaged one; and thus somehow has presumed that she appears to be subjected to exploitation by the 1st petitioner. However, the impugned Ext.P12 report cannot add any force to this presumption or assumption -as the case may be; and am, therefore, of the firm view that ‘DLAC’ must reconsider the matter, based o
The main legal point established in the judgment is that decisions regarding organ transplantation should not be based on presumptions of exploitation due to the donor's social status, and the releva....
The court ruled that the rejection of organ donation authorization lacked sufficient justification, emphasizing the need for credible evidence of altruism and allowing for further medical examination....
The court emphasized the dignity and individual respect of the petitioners, highlighting that refusal based on conjectures and suspicion was against constitutional imperatives.
The court emphasized the need for a reasoned order when rejecting an application for organ transplantation, focusing on the requirement for proper evaluation of evidence.
The court emphasized the necessity for independent decision-making by authorities in organ donation cases, mandating clear reasoning for rejections to uphold the right to life and health.
The court upheld the denial of kidney transplantation based on insufficient evidence of donor-recipient relationship and consent, aligning with the protective measures for women under the THOTA Act.
Altruistic organ donation requires evidence of emotional connection; financial motivations taint validity of consent.
The court emphasized that altruistic organ donations must not be denied based solely on financial disparities, requiring thorough evaluation by the Authorisation Committee to prevent arbitrary reject....
The court held that rejection of a kidney donation application requires comprehensive consideration of all evidence presented.
The court ruled that the rejection of an organ donation application based on suspected financial exploitation without adequate evidence is arbitrary, emphasizing that altruistic intent must be evalua....
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