In the last decade, health authorities in China have made a series of policy announcements concing organ procurement programs and changes in practice have been intermittently reported (1). The intational community of transplant professionals has followed these reports closely, preoccupied with one fundamental issue: the procurement of organs from executed prisoners, a practice that for many years has provided the majority of organs transplanted in China. Sharif et al. describe this practice as ethically indefensible (2), an evaluation that reflects the position embraced by the intational community for more than two decades (3-5). Sharif et al. express conc that whilst some transplant programs in China have ceased using organs from executed prisoners, others continue to do so, and that all organs procured from the deceased may be allocated through a collective pool as part of the new China Organ Transplant Response System, effectively launderingorgans obtained from prisoners. They also note that one of the new strategies to encourage deceased donation of organs among the Chinese public has involved financial incentives for donor families, another practice that has been strongly critiqued by the intational professional community and global health authorities (6,7).