Despite the provisions of the Indian Act that practice of medicine regarding the transplantation of organs is unregulated and numerous problems arise For instance even though there are numerous reports of complaints of racketeering in organs being laid with the State Medical Councils the complaints are never investigated The Councils seem to have ignored such complaints and this leads to exploitation of organs and a thriving of black market trade in organs The other major problem that exists in India is that the majority of the population live below the poverty line in areas with weak regulatory systems regarding organ procurement This leads to exploitation of the poor for money and their lack of protection weaknesses in the implementation and enforceability of the Indian Act As stated in the Lancet The success of transplantation as a life saving treatment does not require nor justify victimizing the world's poor people as the source of organs for the rich The Indian Act is an example as stated before of despite having legislation in place to prevent organ trafficking the black market still thrives as stated above This is influenced by factors such as poverty and people in dire need of money to meet their needs There is also insufficient regulatory work being done in this aspect to implement the Act correctly so despite the Act criminalising the selling of organs the system is flawed and the trafficking of organs thrives Ideas elicited from these international instruments and models that will benefit the world wide organ shortage problem South Africa and that will curb the black market organ trafficking syndicate
