[Joint House and Senate Hearing, 119 Congress]
[From the U.S. Government Publishing Office]




                       A MARKET BUILT ON VICTIMS:
                   STOPPING ILLEGAL ORGAN TRAFFICKING
                          IN CHINA AND BEYOND

=======================================================================

                                HEARING

                               before the

              CONGRESSIONAL-EXECUTIVE COMMISSION ON CHINA

                    ONE HUNDRED NINETEENTH CONGRESS

                             SECOND SESSION

                               __________


                              MAY 14, 2026

                               __________


 Printed for the use of the Congressional-Executive Commission on China






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              Available at www.cecc.gov or www.govinfo.gov

                               ______
                                 

                 U.S. GOVERNMENT PUBLISHING OFFICE

63-846 PDF                WASHINGTON : 2026













              CONGRESSIONAL-EXECUTIVE COMMISSION ON CHINA

                    LEGISLATIVE BRANCH COMMISSIONERS



Senate                               House

DAN SULLIVAN, Alaska, Chair          CHRIS SMITH, New Jersey, Co-chair
TOM COTTON, Arkansas                 ZACHARY NUNN, Iowa
JEFF MERKLEY, Oregon                 ELISE STEFANIK, New York
TAMMY DUCKWORTH, Illinois            DALE STRONG, Alabama
ANDY KIM, New Jersey                 JEN KIGGANS, Virginia
LISA BLUNT ROCHESTER, Delaware       JAMES P. McGOVERN, Massachusetts
                                     THOMAS SUOZZI, New York
                                     SUHAS SUBRAMANYAM, Virginia
                                     JAMES WALKINSHAW, Virginia

                     EXECUTIVE BRANCH COMMISSIONERS

                           Not yet appointed

                      Scott Flipse, Staff Director

                   Mary Vigil, Deputy Staff Director

                                  (ii)












                            C O N T E N T S

                              ----------                              

                              Statements

Opening Statement of Hon. Chris Smith, Co-chair, Congressional-
  Executive Commission on China..................................     1
Statement of Ethan Gutmann, senior research fellow in China 
  Studies, Victims of Communism Memorial Foundation; author of 
  ``The Xinjiang Procedure'' and ``The Slaughter''...............     4
Statement of Ambassador Sam Brownback, senior fellow, Pepperdine 
  University; former U.S. Ambassador at Large for International 
  Religious Freedom, former U.S. Senator and Governor of Kansas, 
  and author, ``China's War on Faith''...........................     7
Statement of Jan Jekielek, senior editor, The Epoch Times, host 
  of ``American Thought Leaders,'' and author, ``Killed to 
  Order''........................................................     9
Statement of Kalbinur Sidik, survivor of China's genocide and 
  eyewitness to forced labor camps; author of the forthcoming 
  book ``Heart Full of Light: Love, Loss, and Survival Inside 
  China's Gulags''...............................................    13

                                APPENDIX

                          Prepared Statements

Gutmann, Ethan...................................................    31
Brownback, Sam...................................................    32
Jekielek, Jan....................................................    33
Sidik, Kalbinur..................................................    36

Smith, Hon. Chris................................................    39

                       Submissions for the Record

Submission of Seyed Alireza Motevalian...........................    41
Submission of Levi Browde and James Yu, Falun Dafa Information 
  Center.........................................................    45

CECC Truth in Testimony Disclosure Form..........................    54
Witness Biographies..............................................    55

                                 (iii)











 
                       A MARKET BUILT ON VICTIMS:
                   STOPPING ILLEGAL ORGAN TRAFFICKING
                          IN CHINA AND BEYOND

                              ----------                              


                         THURSDAY, MAY 14, 2026

                            Congressional-Executive
                                       Commission on China,
                                                    Washington, DC.
    The hearing was held from 10:00 a.m. to 11:48 a.m., in Room 
2247, Rayburn House Office Building, Washington, DC, 
Representative Chris Smith, Co-chair, Congressional-Executive 
Commission on China, presiding.
    Also present: Representatives Strong, Stefanik, and 
Walkinshaw.

  OPENING STATEMENT OF CHRIS SMITH, A REPRESENTATIVE FROM NEW 
              JERSEY AND CO-CHAIR, CONGRESSIONAL-
                 EXECUTIVE COMMISSION ON CHINA

    Co-chair Smith. Last September, the world heard something 
chilling. As Xi Jinping, Vladimir Putin, and Kim Jong-un walked 
together in Beijing, a hot mic picked up an unguarded 
conversation about organ transplants and the possibility of 
living up to 150 years. This was not macabre small talk among 
aging dictators. It was a glimpse behind the curtain, a glimpse 
into a world where human beings can be treated as 
interchangeable parts to prolong the lives of autocrats.
    But forced organ harvesting is not healing. It is murder 
masquerading as medicine. Today this Commission examines one of 
the most barbaric human rights atrocities of our time, the 
forced harvesting of organs from prisoners of conscience, death 
row inmates, and other vulnerable people, especially in 
communist China. Let me be clear--ethical organ transplantation 
is noble and lifesaving. What we are examining today is the 
polar opposite. It is the conversion of the imprisoned and 
persecuted into inventory--hearts, livers, kidneys, lungs, 
corneas--taken from the living, sold to the desperate, hidden 
behind hospital walls, protected by secrecy, corruption, fear, 
and state power.
    I've chaired several hearings on forced organ harvesting, 
the first being 30 years ago on June 18th, 1996. And as Jan 
knows, we had many hearings focusing especially on what was 
being done, horribly, to the Falun Gong. And since then, the 
evidence has become even more disturbing, more detailed, and 
more compelling. The most persistent allegations in China 
centered first on the Falun Gong practitioners--peaceful men 
and women targeted by the Chinese Communist Party for 
eradication, genocide. Later came mounting evidence concerning 
Uyghurs, already victims of genocide in the Uyghur region, 
Tibetans, Christians, death row inmates, and others treated as 
property of the state. Experts like Ethan Gutmann have 
documented how this atrocity expanded from death row prisoners 
to prisoners of conscience and religious detainees.
    The China Tribunal concluded that forced organ harvesting 
has been committed in China for years on a significant scale. 
Witnesses at previous hearings have warned us about military 
hospitals, impossibly short wait times in order to procure an 
organ, organs available on demand, and a transplant system that 
cannot withstand scrutiny. And yet Beijing now asks the world 
to believe that the problem has somehow been solved. It says 
the transplant system now meets international standards and 
once again, the disappointing and corrupt WHO takes Beijing's 
claims at face value, just as they did in the early days of 
COVID.
    But today this Commission has received rare and 
extraordinary eyewitness accounts from inside the Chinese gulag 
itself. Ali Motevalian's written submission details his 
incarceration in a PLA-linked prison hospital near Shanghai, 
and Kalbinur Sidik's provides testimony from the detention 
camps in the Uyghur region. Together their accounts shatter 
Beijing's fiction that its transplant system is voluntary, 
transparent, and compliant with international standards. Ali 
Motevalian has spent years inside China's prison system. His 
submission describes coerced thumbprints on so-called consent 
forms, bondage, tranquilizers, last rooms of terminal patients, 
prisoners taken into surgery and not returned, mobile freezer 
carts, and bodies moved toward incineration.
    His account strikes at the heart of Beijing's favorite 
defense. The Chinese Communist Party told the world it had 
ended the use of executed prisoners' organs. And I just point 
out, parenthetically--and Sam will remember this, Sam 
Brownback--Harry Wu brought over a guard who brought evidence 
that was absolutely compelling. He testified in the late 1990s. 
He pointed out that the ambulances would be lined up one after 
the other. They would shoot the prisoner, not to kill, but just 
to put them into a coma, take their organs, and then that 
individual would die. And you know, that was almost 30 years 
ago. The hearing 30 years ago didn't have that, but Harry Wu 
was just amazing, what he brought forward. There were people in 
the administration then that didn't want to hear that, and we 
tried, but they didn't want to hear it.
    Inside the prison hospital system in 2020 and 2021, years 
after the world was told that China had stopped taking organs 
from prisoners, Ali says he saw unconscious, shackled men, 
known as sleepers, brought by armed personnel directly into the 
surgery rooms. They never returned. My God, what a nightmare. 
This is not voluntary donation. This is execution by organ 
extraction. Ms. Sidik brings us inside another part of the 
Chinese gulag, the camps of the Uyghur region. I will not 
summarize her testimony in detail because in just a few minutes 
she will speak for herself. Her account shows a system where 
human beings are reduced to commodities, where the state 
controls the body as well as the mind, and where coercion and 
fear are used to destroy dignity. The prison hospitals and 
gulags described in this testimony are not places of care, 
rehabilitation, or education. They are crime scenes, part of a 
system of coercion, medical abuse that knows no parallel, and 
genocide in China.
    Organ crimes are not just a Chinese problem. It is a global 
one that flourishes wherever coercion, poverty, corruption, 
secrecy, and demand intersect. That's why Congress must act. 
The House has twice passed my legislation with overwhelming 
bipartisan support. Most recently, H.R. 1503, the Stop Forced 
Organ Harvesting Act, passed the House 400 to 1, a full year 
ago, and it's still languishing in the Senate. But it passed a 
full year ago. It would criminalize forced organ trafficking, 
impose serious sanctions, require reporting, deny visas, and 
create penalties of up to 20 years in prison and up to $1 
million for knowingly being complicit in this crime. The bill 
is not a press release. It is enforceable policy. It says to 
brokers, traffickers, corrupt officials, complicit doctors, 
hospitals, researchers, insurers, and middlemen, if you profit 
from coerced transplants directly or indirectly, you are 
risking your money, your visa, your access to the U.S., and 
your freedom. Because if we can get you, you're going to jail 
for these heinous practices.
    The Senate has not yet acted on the bill. And I appeal to 
them. I believe that they must. Delay is denial for that poor 
25- to 30-year-old--as Ethan Gutmann has told us over and over 
again, average age 28--who is killed, murdered just for their 
organs. Every day without consequences is another day of 
perpetrators operating in the shadows. Witnesses are 
intimidated, evidence disappears, and families never learn what 
happened to their loved ones. Forced organ harvesting is 
barbaric. It is systematic. It has stayed enabled. It's a big 
business. And speaking frankly, no one wants Xi Jinping or 
Vladimir Putin to live forever. I suspect on this point there 
would be broad bipartisan agreement. But behind that dark money 
is a deadly serious point. No dictator, no party boss, no 
wealthy patient, and no broker should be able to purchase 
longevity with the organs of the poor and the persecuted. That 
is all the more reason to pass the Stop Forced Organ Harvesting 
Act and make unmistakably clear that the United States will not 
stand by in the face of such cruelty, not with our expertise, 
not with our money, not with one dollar of American complicity. 
Thank you.
    I would now like to introduce our very distinguished panel. 
And let me just say, parenthetically, I'm grateful that C-SPAN 
is here. You know, they can go to any hearing they want. They 
are private, as you know. They have chosen to be here. And this 
is a story that they now will be telling the entire American 
public. I'm very grateful that they give these distinguished 
witnesses the opportunity to be heard, again, throughout this 
country. Hopefully that leads to greater mobilization to stop 
this.
    We will start with Ethan Gutmann, senior research fellow in 
China studies at the Victims of Communism Memorial Foundation, 
and co-founder of the International Coalition to End Transplant 
Abuse in China. He is the author of ``The Slaughter''--I've 
read that book--co-author of the influential 2016 investigative 
report ``Bloody Harvest/The Slaughter: An Update,'' and author 
of the newly published book ``The Xinjiang Procedure,'' based 
on interviews with Uyghur and Kazakh refugees throughout 
Central Asia. His work has been essential to exposing the scale 
and brutality of forced organ harvesting in China. We are 
extremely grateful for his continued leadership.
    We'll then hear from my good long-term friend Ambassador 
Sam Brownback, who served in the House, the Senate, he was a 
Governor, he was Ambassador at Large for International 
Religious Freedom, and just a force for good in the world, 
especially religious freedom. He just today, or in the last 
couple days, released his brand-new book, and I'm looking 
forward to reading it, called ``China's War on Faith.'' Thank 
you, Sam, for that tenacious leadership for all these years. 
You just never quit. You are a national treasure. I am very 
grateful to you. Ambassador Brownback and Ethan Gutmann have 
testified multiple times before this Commission and multiple 
committees of Congress on issues related to forced organ 
harvesting, human trafficking, and, of course, religious 
freedom.
    Then we'll hear from Jan Jekielek, senior editor of The 
Epoch Times and host of ``American Thought Leaders.'' He is a 
journalist, documentary filmmaker, and author of the new book 
``Killed to Order: China's Organ Harvesting Industry & the True 
Nature of America's Biggest Adversary.'' And I encourage people 
to read that. I've started it. I haven't finished it yet, but I 
am looking forward to reading it in its entirety. His work has 
helped bring wider public attention to forced organ harvesting 
and the dangers of continued international complicity. We 
welcome him to the Commission, thank him for his great 
leadership for these many years--and we've known each other for 
a lot of years now--on this and so many other issues. He's a 
great friend of the China Commission.
    We'll then hear from Kalbinur Sidik, a survivor of China's 
genocide and an eyewitness to the forced labor and internment 
camp system in the Uyghur region. Of Uzbek ethnicity, she 
served for many years as an elementary school teacher before 
being forced to work as a Chinese language instructor in 
internment camps. She's testified several times--including 
before the Uyghur Tribunal in London. I want to thank her for 
being here. She'll be coming in through Zoom, right? Yes. Thank 
you.
    [The prepared statement of Co-chair Smith appears in the 
Appendix.]
    So Mr. Gutmann, please. The floor is yours.

                   STATEMENT OF ETHAN GUTMANN

    Mr. Gutmann. In the Chinese transplant industry, humans are 
the only element that can't be fully controlled. That's why I 
swear by field research. And over time I've learned that all 
testimony, even that which doesn't support my ongoing thesis at 
any given time, is valuable. Yet I've also been observing the 
often skeptical Western world. That includes me, back in 2006. 
And all witnesses are taking a big risk. Camp refugees who 
observed the organ harvesting selection process or were nearly 
harvested themselves, as I guess we're going to be hearing from 
some of those today--they matter. But the testimony of a 
medical practitioner who is directly involved in the transplant 
process has a more complex level of risk. And they may matter 
more, in some respects.
    Now I'll briefly focus on these medical witnesses, because 
there's a continuity there that's very interesting, over time. 
I'm going to recap current harvesting rates one more time with 
feeling; I'm sorry about that. I'm going to touch on Uyghur 
deportation from Central Asia. And I'll close with a few 
personal thoughts on policy.
    Now regarding ``The Slaughter,'' we have two witnesses from 
that--15 years ago in a Westminster hearing, Enver Tohti, a 
former Uyghur hospital surgeon, confessed that he used his own 
hands to extract the kidneys and liver of a wounded, but 
salvageable, human being on a Xinjiang execution ground. In 
2013, Dr. Ko Wen-je of National Taiwan University agreed that I 
could publish the story of his quest for organs on behalf of 
his Taiwanese patients. This happened in a mainland hospital, 
probably Wuxi People's Hospital. When Ko expressed doubts about 
the quality of executed prisoner organs, his mainland 
counterparts assured him that all the organs would come from 
Falun Gong.
    ``The Xinjiang Procedure''--I just have to promote these 
things, I'm sorry--adds to this collection. In 2007, an 
accidental witness, Cat--that's Mr. Sugawara--was assisting his 
Yakuza chieftain prepare for a liver transplant in a Beijing 
police hospital. Wandering into the wrong room, Cat found a 
bound and sedated young man, wrist and ankle tendons severed. A 
Chinese surgeon soothingly explained to Cat that the young 
liver donor was Falun Gong. In 2017, Sayragul Sauytbay, a 
teacher in a Kazakh and Uyghur camp, gained exclusive access to 
organize the camp's medical files. A red checkmark next to 
blood results signaled that the individual had been preselected 
for harvesting. Several camp refugees that I interviewed 
recalled guards imposing color coding, from pink vests to 
wristbands, a few nights before the actual disappearances.
    In 2018, Samal, an ethnic Kazakh woman--that is a 
pseudonym--was recruited by a Uyghur veterinarian to extract 
human intestines in preparation for the systematic extraction 
of organs. Why intestines? Because their workspace was in a 
secret medical compound, four floors under a Uyghur and Kazakh 
concentration camp, with substandard ventilation. And an 
update: While Dr. Ko of Taipei knew that the Falun Gong were 
being harvested, according to his Chinese colleagues, Ko became 
``the teacher of ECMO to mainland China.'' That was--let me 
translate that--that is directly instructing Chinese surgeons 
to exploit an off-label procedure for live organ harvesting.
    As mayor of Taipei and as a Presidential candidate for the 
Taiwan presidency, Ko could have been the ultimate medical 
witness. Instead, Ko was recently sentenced to 17 years in 
Taiwanese prison on corruption charges. And I'd love to see a 
plea deal there. Along with a hunger for medical witnesses, 
there is a hunger for scale. And the full publication of 
witness evidence in chapter 5 concludes: 2.5 to 5 percent 
forced disappearance rate in the camps, average age 28 to 29, 
specifications taken at night, final blood DNA test to 
establish health and identity. Assuming 1 million in the 
Xinjiang camps, forced labor factories, and other carceral 
environments, that's 25,000 to 50,000 Uyghurs, Kazakhs, and 
other Turkic groups harvested per year. Two to three organs 
extracted per individual to reach the minimum requirements for 
China's transplant industry volume, 60,000 successful 
transplants per year. That means a minimum cumulative death 
total in Xinjiang of over 200,000 now, and counting.
    Now some analysts recently speculated that the camps are 
closing, and it may be inside baseball, but I would welcome a 
question on that. Either way, forced labor organs are the same 
as concentration camp organs. And per capita, the medical 
attention that Xinjiang receives is extraordinary. Beijing 
recently pledged six more human organ transplantation medical 
institutions in the region by 2030. Now the roundup of Uyghurs 
from China's neighbors is also extraordinary. My interviews 
established that 88 percent of Tajikistan's Uyghurs and 87 
percent of Kyrgyzstan's Uyghurs have been deported back to 
Xinjiang. I also documented a new Chinese military base just 
north of Tajikistan's Qolma Pass, about 30 miles from a Tajik 
mine speculated to contain 50 percent of the world's uranium. 
The energy and mineral reserves of the Pamir and Kyrgyz 
Mountain ranges are the South China Sea of China's western 
frontier. With Russia at war, without a U.S. presence, a new 
nine-dash line is theoretically possible.
    Regarding policy--I'll close with this. I like all the 
bills. But I support passing the Stop Forced Organ Harvesting 
Act first because it follows the surgical lead. The 
International Society for Heart and Lung Transplantation put 
the Chinese transplant industry, and implicitly the 
transplantation society, on notice with an academic boycott of 
China in 2022. Withdrawal of legitimacy by the political side 
should now be immediate and comprehensive. Nothing changes 
without embarrassment and trauma. One day after my press 
conference on Dr. Ko, Taiwanese medical authorities withdrew 
immunosuppressive drug coverage for Taiwanese patients who 
received Chinese organs. We could do that here. And instead of 
attempting to police the entire import-export medical industry, 
we could immediately investigate Thermo Fisher for providing 
the DNA tests used on an estimated 10 million Uyghurs and 
Kazakhs.
    A word on limitations. The Party responds to embarrassment 
by hiding, adapting, altering the production process, and 
adding new layers of complexity. We've seen this in forced 
labor. Beijing loves games. So we might need to consider 
changing the stakes of the game. I don't have a 20-point plan 
here, just a parting thought. Falun Gong is a Han Chinese-
majority Chinese spiritual movement. And they have no choice. 
Their sacred mission is to change China. And they deserve our 
support. Yet small nations rise--often it's a delayed 
response--when mass murder and wanton neglect have placed their 
future survival as a people in question. The potato famine, 
Ireland; Ukraine, Stalin's mass starvation; Israel, the gas 
chambers; East Turkestan, organ harvesting. Re-entering history 
is a bloody affair, yet these nations came back from the dead. 
Even if it begins as a cynical negotiation tactic, a tacit 
threat, a Uyghur state--even a democratic Uyghur state--is 
possible. And the liberation of Central Asia is also possible. 
For the Party, that's the nightmare scenario. And the most 
improbable scenario of all is the systematic reform of the 
Chinese transplant system. But if our first objective is to 
stanch the bleeding, apply immediate and consistent pressure: 
pass this bill. Thank you.
    [The prepared statement of Ethan Gutmann appears in the 
Appendix.]
    Co-chair Smith. Mr. Gutmann, thank you so very much for 
your testimony. And your expertise enlightens this committee, 
and really enlightens all that we do. Thank you so much.
    Ambassador Brownback.

             STATEMENT OF AMBASSADOR SAM BROWNBACK

    Ambassador Brownback. Thank you, Chairman Smith, Senator. 
Good to see all of you. And thank you for doing this, 
particularly today when the summit is taking place in China. I 
think this is just such an incredibly timely thing. And while 
these are hearings and things that you're familiar with and 
have been familiar with for years, the public is not familiar 
with these topics. Unfortunately, in my experience in social 
movements, you've got to really rub the public's face in this 
stuff for them to get it. And once they do, then they'll kind 
of, Okay, what should we do? And thank you for rubbing people's 
face in this stuff that you've known about and heard about for 
20-30 years, as have I.
    Even just yesterday, I was with Mihrigul Tursun. She's 
featured in our book, ``China's War on Faith.'' She's a Uyghur. 
She was told, finally, toward the very end of her 
incarceration--Okay, you can pick the way you die. We'll either 
shoot you three times, three bullets, or you can sign your life 
and your organs away to us. Now, if you pick the three bullets, 
we're going to charge you for each of these bullets a very 
large sum of money and you can do it for free this other way. 
And how cynical can a group of people be? This is her speaking 
yesterday about the technique that was used. Her children, who 
were born in Egypt, ultimately actually were the tool that got 
her out.
    Disfavored religious communities are particularly targeted 
by the perpetrators of forced organ harvesting schemes. Falun 
Gong practitioners--which we've heard about--systematically 
catalogued based on biometric markers and then murdered for 
their organs; Uyghur Muslims--and you've heard this before, 
their organs harvested and marketed to wealthy Middle 
Easterners as halal, in an unimaginably cynical way. I don't 
like even repeating this because these charges are so horrific 
that people have a hard time even getting their mind around it. 
But this is happening, and has been happening, and continues to 
happen. And it's an evil regime that perpetrates it.
    We have here today, and Mr. Chairman if I could take just a 
moment to introduce Peter Xu. You may remember his name. You 
advocated for him, as I did, a number of years ago. He spent 
five different times in Chinese prisons. He's been out here 
helping promote the book. He was considered the Billy Graham of 
China. They nearly killed him when they took him down from--
they put him in a cross formation till he nearly died, then 
they took him down. They said to him, Okay, sign the confession 
that God's a hoax, Jesus doesn't exist. And he looks at the 
warden, and he says, Thank you for allowing me to participate 
in the sufferings of Christ. This is amazing testimony of an 
individual who is here--I've got to recognize Peter Xu. 
[Applause.]
    And then the other person--Bob Fu is hosting these 
gentlemen. You know Bob. But Pastor Pan of the Mayflower 
Church, that got all 64 members of theirs out in a daring 
episode that I believe should be a Hollywood movie, is here 
with us as well. Pastor Pan. [Applause.] Wonderful men. They 
bear witness, and as they bear witness, they get family members 
persecuted back home. These are not free shots that people get 
to take. They get hit. Pastor Pan has relatives still in China 
being threatened. I would ask our State Department to allow 
them to come if they're allowed out of China. Allow them to 
come here to the United States. Here's a brave man being 
willing to speak out and the family members back home are still 
persecuted. I hear this constantly from members of this 
persecuted community--of the various religious persecuted 
communities.
    You have experts that know more of the specifics of it. I 
want to talk mostly about policy. No. 1, the United States 
should lead a global coalition of governments, academics, 
medical, financial institutions, and religious groups to openly 
condemn forced organ harvesting and take concrete steps to end 
the international complicity in this practice. We need a big 
coalition to come together to say, This is horrific. It 
deserves no place in a modern world. And we should condemn it. 
The White House or Congress should host a global summit of 
religious, democratic, and political leaders calling for 
religious freedom for everyone everywhere, including in China. 
This is a hallmark issue for us. And on our 250th birthday, the 
founding of the country is based, the early settlers, primarily 
on seeking religious freedom. It's still a hallmark human right 
of the soul, the right that's closest to who we are as beings. 
And these are the people who are the most persecuted. It would 
help--and it would help them substantially.
    We asked President Trump to raise with Xi Jinping the 
release of Pastor Ezra Jin. And he said that he's going to seek 
that release. Jimmy Lai. I would add the nine Catholic bishops 
currently in detention in China that we don't know their 
whereabouts--nine Catholic bishops. We don't know where they 
are. They're incarcerated. I would ask as well that Pope Leo 
criticize China publicly for the ongoing genocides in that 
country--of the Muslim Uyghurs, of Falun Gong, of the Tibetan 
Buddhists, and seek the release of these nine Catholic bishops 
that are detained in China. And Mr. Chairman, I've got another 
set of additional recommendations that I want to submit for the 
record.
    One of them--we host the G-20 summit this year. We should 
have in that a major section on religious freedom. As we bring 
these world leaders of the top countries here, we should be 
talking about religious freedom and publicly condemning forced 
organ harvesting at that event. This would be something that--
Dr. Gutmann points out the embarrassment factor. It's a true 
issue, and you and I both know it. You've got to raise the 
profile of these issues to the point that governments are 
embarrassed before something happens. We should do that at the 
G-20 summit as well. And then finally, our media, Hollywood, 
academia, big business, must start shining a light on these 
horrific practices being conducted by the Chinese government, 
and no longer look the other way. We cannot look the other way.
    Now, we've got such an integrated economy with China. And I 
hope and pray we're in the process of breaking that apart, and 
breaking our supply chains, and moving them to other places. 
I'm seeing positive trends on foreign direct investment in 
China going down substantially, and a lot of that coming to the 
United States and other places, going up, which is favorable 
toward us. That's the right trend. It's going to take several 
years to disentangle these two economies, but we really have 
got to be clear-minded that we have to move this way. This is a 
communist regime in China that seeks our removal from 
leadership on the world stage.
    Whichever one of these systems--and I contend that--and I'm 
going to end with this point--that we're in a clash of 
civilizations now. And one point of that is the communist group 
and authoritarians that look at the world and individuals as 
tools to be controlled, or economic entities alone. And they 
are pushing aggressively and attacking us today. On the other 
side is Western civilization, the United States leading a 
Western civilization that's built on a Judeo-Christian ethic 
that everybody is created in the image of God. They are 
entitled to incredible dignity. They have inherent worth of who 
they are. And they have rights by virtue of who they are as an 
individual. They have rights. These two systems are in conflict 
and clashing.
    I think we've just got to start being much more clear-eyed 
about what the stakes are, because whichever of these systems 
wins will direct how societies move over the rest of this 
century. And we're in this fight. And we're in it now. And 
we've got to sound the alarm to the public and move forward 
aggressively to win this fight. Thank you, Mr. Chairman.
    [The prepared statement of Ambassador Brownback appears in 
the Appendix.]
    Co-chair Smith. Thank you very much, Mr. Ambassador, for 
your very eloquent and powerful statement and testimony. I'd 
now like to recognize Jan Jekielek for such time as he may 
consume.
    Mr. Jekielek. Mr. Chairman, Mr. Co-chairman, distinguished 
members of the Commission, I want to thank you for the 
opportunity to testify today.

                   STATEMENT OF JAN JEKIELEK

    Mr. Jekielek. How many of us in the United States would 
knowingly participate in a system that rips organs from 
unwilling donors and treats human lives as disposable 
commodities? It should be zero, but it's not. What is happening 
in China is something far more systemic and industrialized than 
the organ trafficking in black markets that one might normally 
think about. It is communist China's state-sponsored killing of 
its own citizens on demand to supply a multi-billion-dollar 
transplant industry.
    I'll start with a telling example from my book, ``Kill to 
Order: China's Organ Harvesting Industry & the True Nature of 
America's Biggest Adversary.'' ``An affluent German woman with 
a rare AB blood type struggled with alcoholism for years and 
faced liver failure. In systems like Germany's, finding a match 
might take years or not happen at all. Yet she obtained three 
livers in China around 2015 to 2019, each in just months, for 
approximately $400,000, involving a visit to China for each 
procedure. Her continued drinking combined with antirejection 
medications led to quick rejections of each liver--one about 
every 2 years.'' In any ethical transplant system, such as that 
of the United States, vital organs typically come from 
catastrophic accidents. To reduce the chance of rejection, 
blood type and histology are also matched. Thus the supply of 
organs is always much less than the demand. Yet wait times in 
China are often measured not in years, not in months, but in 
weeks or even days.
    In another well-documented case, an American man traveled 
to China and received a perfectly matched kidney in just 2 
weeks. According to the 2009 book ``Larry's Kidney,'' he was 
aware someone was killed for it. Now compare that to here, 
where the average wait time for a new kidney isn't 2 weeks, but 
156 to 260 weeks. This is only possible because of two 
essential tools the Chinese Communist Party that governs China 
has refined over decades. No. 1, it's the regime's creation of 
what are called black classes, designated enemy groups that the 
rest of the population is taught to hate, fear, and even see as 
subhuman. First it was the landowners, then 
counterrevolutionaries, and then the intellectuals during the 
Cultural Revolution, with others following. This is the 
pattern--designate a group as subhuman, flood the information 
space with propaganda, and the population becomes 
psychologically prepared for atrocities against the target 
group.
    The second key tool is the infrastructure to incarcerate a 
large number of people at will. Prisons, black jails, 
reeducation camps, and forced labor camps are just part of an 
incarceration system that has the capacity for millions. In 
1999, the CCP designated Falun Gong practitioners as a black 
class targeted for eradication, setting the stage for this 
kill-to-order forced organ harvesting.
    Falun Gong, or Falun Dafa, is an ancient Qigong or slow-
motion exercise practice rooted in the principles of 
truthfulness, compassion, and forbearance. This is also 
translated as being true, good, and enduring. Falun Gong 
features extensive teachings by its founder, Master Li Hongzhi. 
It's also characterized by an unusual lack of organizational 
structure, no collection of funds, no roster, no hierarchy, and 
no worship of a deity. It spread by word of mouth in the 1990's 
in China, growing, by government estimate, to 70 to 100 million 
people from all walks of life doing it.
    There are different theories as to why then-leader Jiang 
Zemin of China ordered the persecution of Falun Gong. Perhaps 
it was because the sheer number of practitioners had grown 
greater than Communist Party membership. Perhaps he was jealous 
of the founder. Or perhaps the CCP, with its decades of 
totalitarian rule, simply couldn't abide the individual agency 
that practicing Falun Gong fostered in people. If one were to 
design a system that could withstand totalitarian control and 
overreach, I believe it might look something like Falun Gong. 
Large numbers of Falun Gong practitioners refused to be 
reeducated. And this happened at a scale that had never 
happened before in this black class creation mechanism. And 
this is what caused the mass incarceration of Falun Gong 
practitioners.
    This is happening in 1999-2000. In 2005, the U.S. State 
Department estimated that half of all the people in China's 
reeducation-through-labor camp system were Falun Gong. In 2006, 
the U.N. Special Rapporteur on Torture, Manfred Nowak, reported 
that Falun Gong practitioners accounted for 66 percent of 
torture cases that he documented. I recount in chapter 5 of 
``Kill to Order'' all sorts of evidence, like that gathered by 
Ethan Gutmann here, among others, research over 20 years by 
many, many different experts. And the regime basically took a 
massive population of healthy people and dehumanized them, 
incarcerated them, and started blood typing, tissue typing, and 
organ scanning them, and creating a data base. When a 
transplant is needed, whether for a Chinese elite or a foreign 
transplant tourist, a match can be made and a victim killed to 
order.
    The years 2000 to 2005 saw a massive surge in growth of 
transplant hospitals in China. Falun Gong refugees who fled to 
the United States have given harrowing accounts of blood tests 
and other costly and suspicious medical exams while detained in 
China. A recent survey identified 113 facilities across China 
in which these health screenings took place, with the most 
recent incident reported in 2024. Shockingly, one respondent 
described how, even in 2023, even non-detained practitioners in 
Anqing City, Anhui Province, were summoned for these detailed 
exams.
    We now have the first known survivor. Cheng Pei Ming, a 
Falun Gong practitioner, was taken for surgery against his will 
while detained, and awoke with a 14-inch gash in his side. This 
was back in 2004. He was later rescued to America through a 
series of unlikely events--kind of a miracle that he survived. 
But basically our own medical scans showed that he's missing 
part of his liver and part of his lung. The liver has since 
regenerated. So after years of very little, frankly, there's 
been some amazing resolutions that have been put forth--that 
Co-chair Smith has put forward, and so forth. But really, 
internationally, there's been very little meaningful action. 
The CCP extended this atrocity--now we're looking at 2015-ish--
to another group. As mentioned, they further dehumanized the 
Uyghur Muslim population and mass incarcerated them. Up in 
Xinjiang, they've even gone door to door to people's homes 
collecting DNA and blood samples.
    Compounding this danger is new technology. Now there's 
technology that can perfuse organs for extended periods, 
basically in a box, potentially for days instead of hours. This 
is a revolutionary breakthrough. For us, you know, this will 
save a great many lives, but from the perspective of the 
Chinese, this is a way potentially to even export forced organs 
out of the country, if they get their hands on it. This is why 
I titled my book ``Kill to Order.'' This is a deadly boutique 
selection and delivery of human body parts, organs matched in 
advance, delivered on schedule, extracted from living human 
beings, who are then discarded for the purposes of power, 
profit, and elite longevity.
    Yet American universities and hospitals continue to partner 
with Chinese transplant centers, train Chinese transplant 
surgeons, conduct joint research. NIH has funded such projects. 
American companies supply critical immunosuppressive drugs and 
medical technologies used in these procedures. And many 
American media continue to ignore, even whitewash, these 
crimes. Perhaps most prominently, a former New York Times 
correspondent testified at the 2019 China tribunal, that the 
Co-chair mentioned earlier, that she was prevented from 
pursuing evidence of forced organ harvesting by her editors at 
the Times. Now this is not an isolated crime. It's part of a 
much broader pattern of egregious abuses. The U.S. Government 
has determined that the CCP is committing genocide against 
Uyghurs, and several international legal experts have concluded 
that the campaign against Falun Gong also demonstrates 
genocidal intent.
    So what can be done here? I want to take this moment to 
commend Co-chair Smith for your tremendous persistent efforts 
over many decades confronting China's large-scale forced organ 
harvesting from prisoners of conscience and for championing 
China's persecuted innocents even longer than that. You grasped 
the totalitarian nature of the CCP long before most people did. 
This is manifested in your bill, H.R. 1503, the Stop Forced 
Organ Harvesting Act of 2025, which passed the House last year 
nearly unanimously. This is powerful, important legislation 
that should be passed. Another commissioner here, Senator 
Merkley, is co-sponsoring S. 4009, the Falun Gong and Victims 
of Forced Organ Harvesting Protection Act, a Senate update of 
H.R. 1540, which passed the House unanimously. This is likewise 
critical legislation that will make a real difference.
    The Senate has a historic opportunity now to pass two bills 
to finally confront this egregious crime. Eight countries have 
enacted binding national laws addressing this issue. It's time 
for the United States to finally do the same. I have a number 
of additional recommendations across the board, but in the 
interest of time perhaps we can do them in the question and 
answer. Happy to discuss. I also wanted to mention that now we 
have many think tanks in Washington, DC, and civil society 
organizations; there's even a satellite Rotary Club dedicated 
entirely to ending forced organ harvesting. There's kind of a 
broad civil society interest in this. And as mentioned earlier, 
the International Society for Heart and Lung Transplantation 
has barred all Chinese submissions involving transplants from 
human donors. You know, this is finally getting traction at 
that level, thankfully.
    So to conclude, here we're on the eve of the 250th 
anniversary of America's founding. And we should remember that 
this country was built on a foundational belief in the God-
given rights of every individual and the inherent dignity of 
every human being. The Chinese Communist Party rejects this 
truth at its core. It views its own citizens not as people with 
innate dignity but as a collection of extractable body parts. 
And here's the hard truth: The CCP looks at America and 
Americans through exactly the same lens. Just as it calculates 
the value of a prisoner's cornea or kidney or heart, it 
calculates how to extract America's technology, markets, its 
alliances, and ultimately its sovereignty.
    Earlier today in Beijing, Secretary of State Marco Rubio, 
who has championed earlier versions of S. 4009 as senator, said 
China's rise cannot come at our expense. The lesson of the 
CCP's decades of kill-to-order forced organ harvesting is that 
the regime is capable of anything at others' expense. Let us 
honor the 250th anniversary of this nation's founding by 
confronting this atrocity. Thank you. I look forward to your 
questions.
    [The prepared statement of Jan Jekielek appears in the 
Appendix.]
    Chair Smith. Jan, thank you so very much for your 
leadership over the many decades as well, and for your new 
book, which I think will open up many eyes, and again, for 
being here today and sharing your expertise with the 
Commission.
    I'd now like to ask Ali to translate. We will be hearing 
from Ms. Sidik, she's in the Netherlands, by way of Zoom. So if 
that could be arranged for her to come in now. Remember, she's 
an eyewitness to China's genocide and to the internment camp 
system. You know, here's somebody who lived it--like many 
people who have testified in the past, and like some people who 
are actually in this audience--and suffered. And just let me 
say one brief thing about Bob Fu while she's coming on. Bob Fu 
has been a mentor to so many of us for so long. I've been to 
China, along with Frank Wolf and along with my good friend the 
Ambassador, many, many times. And again and again, Bob provided 
unbelievable insight to us on the house church movement and all 
the rest. So thank you, Bob, for that with ChinaAid. Is she 
ready?

                  STATEMENT OF KALBINUR SIDIK

    Ms. Sidik [through Translator]. Honorable Chair, 
distinguished members, and respected committee members, thank 
you for giving me the opportunity to testify today. My name is 
Kalbinur Sidik. I am from Urumqi. Our homeland is Turkestan. 
I'm a witness to the detention camps and I am ethnically Uzbek.
    For 20 years, I worked as a Chinese language teacher and 
held important administrative positions at Urumqi No. 24 
elementary school. Never did I imagine that one day I would be 
forced to teach inside a detention camp or that I would become 
a witness to the crimes committed by the Chinese Communist 
Party against Uyghurs and other minority peoples. Today I stand 
before you to speak about atrocities, including the possibility 
of organ harvesting. I'll tell you only the truth, only what I 
personally witnessed and experienced.
    In March 2017, I was sent under a six-month contract to 
teach in a men's camp located on a mountain in No. 5 
Sangfanggou Village, Urumqi City. The authorities told us we 
would be teaching students in a literacy training course. But 
they were not students. They were prisoners. They were fathers, 
young men, businessmen, religious figures, intellectuals, 
people from all walks of life. They were ordinary citizens. 
There were also elderly men among them. They had been taken 
from their homes, imprisoned behind barbed wire, triple iron 
gates, surveillance cameras, armed guards, and locked cells.
    Every Monday, no classes were held for the detainees. 
Instead, blood was drawn from them. They were given 
unidentified injections. Afterwards, they were given small 
white pills. Chinese nurses told me these are vitamins or 
calcium supplements . . . since the detainees never see 
sunlight, the government ordered us to take care of them this 
way. But I did not believe them. How could the government that 
imprisoned, starved, tortured, and humiliated these people 
suddenly care about their vitamins? No. That was impossible. At 
that time and even now I believe there was another purpose 
behind it.
    I also witnessed healthy men disappearing. I clearly 
remember one man named Ozman. He was active in class and eager 
to learn. He was a wealthy businessman and appeared very strong 
and healthy, at first. Among hundreds of people, I could easily 
recognize his face. Then one day, he disappeared. When I asked 
what happened to him, I was told he suffered from high blood 
pressure and diabetes and had died on the way to the hospital. 
There was another man who sat at the far end of the first row 
in the classroom. He too was hard working. And I still remember 
his face vividly. Later he also disappeared. I was told he died 
from kidney poisoning. I did not believe these explanations. 
Every day in the classroom detainees were constantly replaced. 
Older and stronger prisoners were taken away while new ones 
arrived. A familiar face disappeared and we were expected to 
accept whatever explanation the guards gave us.
    Later, when I testified before parliaments in various 
countries, I was asked about the disappearance of detainees and 
organ harvesting. I told them what I had heard while working in 
the camps. The special police driver who transported me and the 
police officer assigned to accompany me often talked among 
themselves. They said, Right now in our country the halal organ 
trade is booming. The detoxification center in Miquan County, 
Urumqi has now become an organ transplant center. I did not 
witness the surgeries. I did not personally see organs being 
removed. But I heard these conversations.
    Later, after hearing my testimony, a close relative and 
friend of mine living in Europe, and married to a foreigner, 
spoke to me on the condition of anonymity. She personally told 
me that Miquan's detoxification center had indeed been 
transformed into an organ extraction hospital. In 2018, she and 
her foreign husband were sent there for medical examinations 
before leaving for Europe. During that process, she saw many 
young detainees wearing prison uniforms, lined up under heavy 
Chinese police supervision, entering designated rooms. She also 
observed that the number of doctors had increased greatly and 
that doctors were carrying unusual containers in their hands as 
they exited the rooms.
    She told me this and begged me to speak about it in my 
testimony. So for the second time, I heard directly from 
someone I personally knew, someone who claimed to have seen 
with her own eyes that this place had become an organ 
harvesting hospital. In the camps, I witnessed blood 
collections from detainees, injections, forced medications, 
disappearances, and secrecy surrounding everything. Therefore, 
if you ask me today whether I believe the Chinese Communist 
Party turned Uyghurs in the camps into a source of profit 
through so-called halal organ trade, my answer is, yes. Yes. A 
hundred times, yes.
    While I was in those camps, I witnessed horrors beyond 
words. Chinese police humiliated detainees to a level no human 
being should endure. They stripped them of their humanity. They 
did not call them by their names, but by numbers. They tried to 
break their minds, destroy their faith, and erase their 
destiny. Let me tell you more about what I witnessed, so the 
world will never forget about the genocide that's taking place 
in East Turkestan.
    When I first entered the men's camp, I walked into a 
building surrounded by barbed wire, electric doors, armed 
police, soldiers, locked gates. The detainees were brought out 
from their cells. Chains and shackles were on their hands and 
feet. Many still had unshaven beards because they had only 
recently arrived. Their eyes looked at me with desperation, as 
if I had come to save them. But I could not save them. I could 
not even help them. Guards surrounded me everywhere. The cells 
were dark. The windows were still shut. The detainees slept on 
bare concrete floors with only a thin blanket. For all three 
meals they received only a small Chinese bun and watery rice 
soup. They were allowed to use the toilet only for a very short 
period of time.
    During the entire six months I was there they were never 
once allowed to bathe. Their bodies were weakened. Their faces 
changed. Healthy people became thin, pale, and exhausted. I 
taught four hours in the morning, two hours in the afternoon, 
sometimes even for additional hours during inspection periods. 
But gradually I realized the purpose there was not education. 
The purpose was control. Later, detainees were forced to 
memorize red songs, patriotic songs praising the Chinese 
Communist Party and Xi Jinping, and political slogans. The 
detainees were forced to praise the same Communist Party that 
had imprisoned them. They were forced to express gratitude 
toward the very system destroying them.
    During lessons, police would call detainees out not by 
name, but by number, then take them for interrogation. The 
interrogation room was next to the classroom. Shortly after 
they were taken away, heartbreaking screams could be heard. 
They were tortured with devices such as electric batons, 
electric tiger chairs, electric gloves, and electric helmets. 
After my six-month assignment in the men's camp ended, I was 
sent to a women's camp located at Tugong, Saybagh District, 
Urumqi. There I saw many women and girls. Most were highly 
educated. Their hair had been cut short. They wore gray prison 
uniforms with blue numbered vests over them. Their faces were 
pale and lifeless.
    About 90 percent of these detainees were between 18 and 40 
years old. The remaining 10 percent were older women, some even 
in their seventies and eighties. These women and girls were 
also given medication and unidentified injections. As a result, 
many of them completely stopped menstruating. Some had studied 
abroad. During lessons, they were forced first to thank the 
Chinese Communist Party and the government before telling their 
stories. One woman said she had recently given birth and still 
had a nursing baby, but her breast milk had stopped. Another 
young woman said she had been preparing for marriage when she 
was suddenly taken to the camp. And she no longer even knew 
where her fiance was. Yet she was forced to thank the 
government for providing such a great opportunity to learn the 
national language.
    Others said they had been taken directly to the camp 
immediately after returning from studies abroad. From the way 
these women painfully sat and stood, I could sense the severe 
abuse they had suffered. Tears constantly streamed from their 
eyes. In this camp, I heard about rape and sexual violence 
committed by Chinese police. I heard that guards use electric 
batons and other weapons to abuse these detainees. I personally 
witnessed the body of a young girl around 18 to 20 years old 
being carried away before my eyes. I later heard that she had 
bled to death. Outside the camps, the control continued. The 
Chinese government placed so-called Chinese parent relatives, 
Han Chinese men, inside the homes of Uyghur women, especially 
in homes where husbands had been taken to the camps. Even in 
their own homes, these women faced various forms of abuse and 
humiliation.
    People are afraid to speak. Phones were monitored. 
Relatives abroad became a source of danger. My daughter, at the 
time, was in the Netherlands. And we lived constantly in fear 
and anxiety, under pressure from neighborhood committees, 
assigned police officers. We were also forced to undergo 
sterilization procedures at Changleyuan Hospital in Tianshan 
District. Even though I did not want this, I had no choice. My 
safety and the safety of my family depended on obeying 
government demands. That's why I say we no longer had ownership 
over our bodies. I am one of the fortunate few who managed to 
escape after enduring tremendous suffering. The people inside 
the camps cannot speak to you. They have no way to make their 
voices heard. I'm standing here today, and at enormous personal 
cost, to tell you this truth--because the men who disappeared, 
the women who were abused, and the mothers separated from their 
children, and the families destroyed by this genocide, need 
witnesses.
    Honorable Chair, distinguished members of the committee, I 
ask you not to turn away--turn your eyes away--from this 
tragedy. The horrific violence taking place in East Turkestan 
is not merely a crime. It's part of the system that sees 
Uyghurs, the original inhabitants of this land, as less than 
human. This is genocide. The world once said, never again. Yet 
in East Turkestan, it is happening again. I ask the U.S. 
Congress never to forget the Uyghur genocide. I urge you to 
continue your investigations and hold the Chinese Communist 
Party accountable. Thank you.
    [The prepared statement of Kalbinur Sidik appears in the 
Appendix.]
                              ----------                              

    Co-chair Smith. Thank you very much for that very powerful 
testimony. It's shocking. And it hopefully is a wake-up call to 
even more people who will hear it today. And we will amplify it 
through this Commission, I can assure you.
    I'll ask my questions last, but I'd like to yield to my 
good friend and colleague, Mr. Strong of Alabama, and then to 
Congresswoman Elise Stefanik from New York.
    Representative Strong. Thank you, Representative Smith, for 
holding this hearing. Thank you to the staff for their hard 
work. Thank you to all the witnesses for being here today, for 
bringing attention to China's forced organ harvesting and 
trafficking.
    This first question is for any of the witnesses that would 
like to answer. Can you provide an assessment of whether any 
U.S. entities, such as hospitals, universities, or research 
partners, have collaborated with the CCP transplant 
institutions engaging in illegal organ harvesting and 
trafficking practices?
    Mr. Jekielek. I can speak to it briefly, but in terms of 
the details, probably afterwards. I understand that there is 
actually information that has been gathered at HHS. There's 
some sort of report that's been gathered by HHS that touches on 
this question, that you know, perhaps needs to be dislodged 
from under a lot of bureaucracy. That's one quick answer. 
There's an example. The Select Committee wrote a letter to 
Harvard University about a number of research partnerships that 
they had. I believe that was last year, or within the last 
couple of years. We trained over a hundred transplant surgeons 
here in the United States from different institutions. That's 
an obvious connection. I think it would be an amazing effort to 
try to catalog all of this. This is something that I'm actually 
in the process of trying to do, but obviously institutions are 
uninterested in being terribly cooperative and in providing 
that information, if they can avoid it. So that's a roundabout 
answer for you. Perhaps some of the others here can provide 
some more exact specifics.
    Representative Strong. Any other insight from any of the 
other witnesses?
    Mr. Gutmann. You know, I did mention Thermo Fisher, because 
they stand out. What our witness here was talking about really 
didn't begin in 2016 or 2017. It was signaled in 2013 by an 
unusual tactic, which the police of China used on Falun Gong, 
actually, initially. And they were coming into people's homes. 
These were people not in detention. But they were coming into 
their homes and doing a blood test and a DNA cheek swab. This 
happened in five to six provinces. There's a little dispute 
about the sixth. The point is that the DNA cheek swab indicated 
a new method. Human Rights Watch interpreted it as a 
surveillance tool. I think that's probably right. But it's also 
completely compatible with tissue matching--tissue typing and 
cross matching. So that is followed by Thermo Fisher supplying 
the DNA kits for testing the entire Uyghur and Kazakh 
population of Xinjiang. Now this is not something that Han 
Chinese--they were exempt. And they're practically half the 
population. But the entire population, everybody above the age 
of 12, had to be tested. And the DNA kits, apparently, were all 
supplied by Thermo Fisher. They made a killing in this market.
    Representative Strong. Let me ask you this right here. Do 
any of the witnesses have factual data related to how these 
body parts are coming to America? And, you know, they've got to 
get here somehow. Any of that going on?
    Mr. Gutmann. Can I just jump in on that? I don't believe 
parts are coming to America really. I mean----
    Representative Strong. There are people that believe they 
are.
    Mr. Gutmann. Well, that's fine, but it's certainly not my 
experience in China on the ground, as they like to have 
complete control of organ harvesting. And I've never seen 
absolutely persuasive evidence, other than certainly there's 
good speculation, and probably correct, about fetal body parts 
or fetal tissue being sold to our great universities. I don't 
think there's any question that they've moved on from Planned 
Parenthood and China's the supplier. Proving that conclusively, 
of course, is very important.
    Representative Strong. Absolutely. Okay. Do you believe the 
existing U.S. safeguards are enough to prevent American 
institutions from indirectly endorsing or profiting from these 
practices? Or should the U.S. Government explore further 
measures, such as increased transparency, reporting, or funding 
restrictions?
    Mr. Brownback. I think those are absolutely necessary and 
totally plausible. And they are things that we should be doing 
in the face of this documentation, eyewitnesses, of what's 
taking place. I mean, that's what Congress should be doing. And 
passing the bills, like the Stopping Forced Organ Harvesting 
Act, and including these types of provisions in that type of 
bill, broad support. And I think it also is a moral stand for 
people in this country to take, through their Members of 
Congress, to pass such legislation. We will not participate in 
any way, shape, or form in this type of horrific practice. And 
here's how we're expressing that.
    Representative Strong. Thank you. Mr. Gutmann, in your 
estimation what is the scale and scope of illegal sourced 
organs in China?
    Mr. Gutmann. I'm not there with a clipboard, but--and my 
work has concentrated on the Uyghurs--but I do believe that 
this is the main source now. Our 2016 report was done with 
David Kilgour and David Matas, and a team of Falun Gong 
researchers who spent 5 years collecting the data. Now we came 
up with the idea that organs were basically--the transplant 
hospitals had been rationed to about 150, or now it's more like 
200, and that they were doing at least one transplant per day, 
based on their capabilities. That quickly leads you to a number 
at least of 60,000. Personally, I believe that it's closer to 
100,000.
    Representative Strong. Thank you, Mr. Gutmann.
    Mr. Brownback, can you elaborate on how religious freedom 
can play a strategic role in our diplomatic engagement strategy 
with the CCP? And how would you recommend that tool be wielded 
to strengthen U.S. leadership and diplomacy?
    Mr. Brownback. You could just watch and study what Ronald 
Reagan did in the faceoff with the Soviet Union. It was the 
same godless, atheistic society. He traveled across the 
country. He pointed this out. He said--and then he also talked 
about the treatment of Jews in the country and evangelicals, 
the Jewish refuseniks. He brought the American public into it. 
And that's what has to be done. I think we can, as--and I think 
this is a critical piece of our theater engagement strategy 
with the CCP, which we're now engaged in, how we're going to 
fight with this group--is religious freedom. They can't 
tolerate it. They can't stand it. The American public strongly 
supports it. Western civilization does.
    So we need to start talking about that differentiation. And 
we need to start thinking about it in those sorts of strategic 
engagement ways. We ought to invite Chinese dissidents that 
have been persecuted for their faith to the White House to meet 
with the President, the Vice President, to meet with the 
Secretary of State as a show. They ought to invite the person 
that started Falun Gong, Li Hongzhi, see if he would come to 
the White House to meet with the President. He's exiled in the 
United States in New York. And this is a group that's been 
decimated, slaughtered, in the most vile of ways, because they 
can't tolerate this indigenous faith that is so natural to 
China.
    It's a blended kind of faith of Buddhism, Taoism, Confucian 
thought, but it's very natural to China. And it was a complete 
threat to the Chinese Communist Party. And all that Falun Gong 
wants is a return to the old Chinese civilization that existed 
before the communists took over. That's really all they want. 
So bring them in--and then I also think it would be wise for us 
to start talking with Tibetan individuals and Tibet authorities 
about the future of Tibet. This is a place that's never been a 
part of China. We should be--we should be bringing those 
individuals in and talking with them as well. I've got a list 
of other specific items in my testimony.
    Representative Strong. Thank you. Mr. Brownback, this will 
be my final question. How has intimidation against religious 
groups outside of China impacted these groups, their worship, 
their advocacy, their personal lives?
    Mr. Brownback. Oh, horribly. Most Uyghurs I talked to and 
work with have had family members back home that have 
disappeared, been killed. Falun Gong members that will cite 
those. I've had people in this country who have been tracked, 
shot at, that have testified to me, that have been open people 
that have testified against what's going on in the CCP--
tracked, marked, tires slashed, in this country. This is 
transnational oppression--or another person referred to it as 
transnational terrorism. I think we've really got to be much 
more aggressive at prosecuting these cases when they happen in 
this country.
    Representative Strong. Thank you. I thank each of our 
witnesses for being here today, and also Peter and Bob. It's an 
honor to have each of you here.
    Mr. Jekielek. Could I answer your earlier question, 
Congressman? Just one thing that the U.S. Government--one way 
in which we've interacted with Communist China in the past is--
you know, there's all these methods that were set on autopilot. 
For example, we're still transferring technology to Communist 
China as a matter of policy in different places, like in 
embassies. One example of this in this context is these 
Federal-wide assurances that HHS grants to different bodies 
around the world. And basically, it's sort of--it's been 
described to me by someone as kind of a rubber stamp in some 
terms. Basically, what it says is, from the perspective of the 
U.S. Government, this institution is okay to work with.
    We know some number of these transplant hospitals--we 
should make sure that none of them have one of these Federal-
wide assurances. I mean, again, there's a whole bunch of 
different specific policy recommendations that can help us cut 
off all relationships with their transplant system. Obviously, 
if we accept that this is real, which I hope we can--we can 
finally put it into law sometime soon. Why are we working with 
any institutions that are involved with this?
    Representative Strong. Thank you. Chairman Smith, I yield 
back.
    Co-chair Smith. Thank you very much.
    I'd now like to yield to the distinguished gentlewoman from 
New York. I want to thank her as well for her new book, 
``Poisoned Ivies,'' which is a really, really incisive book 
about antisemitism and the Ivy League. And, you know, Sam 
Brownback, before I yield, made a very good point about Reagan 
and what he did vis-a-vis the Soviet Union. He raised human 
rights, and did it tenaciously, as did Shultz, his Secretary of 
State, and others. He always named names. And that's what 
President Trump was trying to do with Jimmy Lai and others. And 
both the House and the Senate passed resolutions to that 
effect, and named names that hopefully can effectuate or help 
them gain their freedom. But China has always gotten a bye. 
Years ago, there was a book called ``China Misperceived.'' And 
Steven Mosher wrote it and how they always are given a bye when 
it comes to human rights. Well, that has to end. It is ending. 
Your testimony and your great work, and your books, have made a 
difference. And I want to thank my good friend for her new book 
and for her leadership.
    Representative Stefanik. Thank you so much, Chairman Smith. 
And thank you to the Chairman for his extraordinary decades of 
leadership on human rights issues and so many other important 
issues. Thank you to each of you for testifying today. 
Incredibly disturbing testimony, but important to hear this in 
Congress and for the American people to hear this.
    I want to start with you, Mr. Jekielek. In your testimony 
you mentioned American universities partnering with CCP 
transplant centers to train transplant surgeons and conduct 
joint research. You also mentioned that some of these 
partnerships received NIH funding. Do you have a comprehensive 
list that you can provide this Commission of instances where 
there are U.S. Government-funded American universities that are 
funding transplant research supported by the CCP? I know you 
mentioned you're putting together that list.
    Mr. Jekielek. Correct. I will--I don't know if I can 
provide a comprehensive list, because it's a process, but I 
will provide the best list I can.
    Representative Stefanik. I recently introduced legislation 
to ban Federal funding to universities that employ foreign 
researchers who were previously employed by the Chinese 
Communist government, specifically those that work in sensitive 
research areas. Do you agree that U.S. taxpayer dollars should 
not go to universities that financially, directly or 
indirectly, support the Chinese government facilitating illegal 
organ harvesting?
    Mr. Jekielek. This is a complete no-brainer. Absolutely. As 
a matter of fact, even people that come here--there are people 
that come here that want freedom, that are not wanting to work 
for the Chinese Communist Party. But their national 
intelligence law demands that they do, that they provide--that 
they basically spy, and not admit that they're doing so. So 
it's a very difficult situation people are put in. But I would 
say any sensitive area--forced organ harvesting, absolutely--
but any sensitive area, it doesn't make sense.
    Representative Stefanik. One other concern that I have 
raised is some American universities, as we know, operate 
branch campuses in communist China. And I recently introduced 
legislation to stop the flow of taxpayer dollars to these 
institutions that, frankly, are profiting off of our 
adversaries. Are you concerned that these universities, and 
therefore American taxpayers, could be directly or indirectly 
implicated in cases of organ harvesting?
    Mr. Jekielek. I'm absolutely concerned. I don't know of 
specific instances of this, but again, you can sort of imagine, 
this is the thesis, I guess, of my book--the true nature of 
America's biggest adversary. You have to understand the 
Communist Party--this is a group--this is a regime that does 
these sorts of horrible things to people. Imagine how they 
view, you know, sort of gullible or financially incentivized 
Americans who have set up a campus in communist China. It's not 
good intent, let's say.
    Representative Stefanik. Thank you. Ambassador Brownback, 
thank you for your leadership. You mentioned a number of 
actions the U.S. should take on the world stage to raise this 
issue. And yet we have seen in international organizations like 
the U.N. they have been incredibly uncooperative, despite the 
fact that American taxpayers are footing the majority of the 
bill. Do you think--let me ask it this way--how can the U.S. 
strongly lead on these issues of human rights? And--I think I 
know the answer to this--do you think the U.N. can be a 
reliable partner of the United States when it comes to 
addressing this? I certainly do not think it's a reliable 
partner.
    Mr. Brownback. I think they've proven, no, they're not 
interested. But I think more than that, they're so infiltrated 
by the Chinese Communist Party, the U.N. is, and so many of the 
various branches and entities of it, even if they wanted to I 
don't think they could get it--I don't think they could get it 
done. But that's why it's incumbent upon us. And we're the only 
country in the world that can do this. Nobody else. So at the 
G-20, religious freedom should be front and center. And 
remember, they fear religious freedom more than they fear our 
aircraft carriers or nuclear weapons. This goes right at 
control to them. And they've got the fastest growing Christian 
population in the world. So they know this. And they're looking 
and saying, We've got to hold this down. And these are people 
we should be standing with and backing aggressively everywhere 
that we can. And we've got a lot of tools so we can do that, as 
I mentioned some of those already.
    Representative Stefanik. Thank you very much. Again, thank 
you, Mr. Chairman, for conducting this very important hearing. 
I yield back.
    Co-chair Smith. Thank you very much, Ms. Stefanik. Again, 
good luck on your book. I think everyone needs to read it.
    Just a couple of thoughts. And again, I want to thank you 
all for your brilliant testimony. Just on the point of 
universities and colleges, because I held a whole series of 
hearings on the soft power of trying to get these colleges to 
conform to the CCP's will. I had a hearing with the head of 
NYU. I had the top person there, the chancellor, testify. I 
invited myself to go, because I'm barred from going, like you, 
Sam, and like our--you know, I'm on their hit list. And I 
actually got a visa when he said I could come.
    But what shocked me about NYU is that they get a campus in 
Shanghai, fully paid for by the Chinese Communist Party. I 
asked them about if somebody raises Tibet or Falun Gong on the 
campus, or they go online and they--because obviously the 
internet is completely policed, or if a woman gets pregnant and 
she's single, did not get permission by the government--and 
this is in 2016 when I had this hearing--is she forcibly 
aborted? Because we know that forced abortion is absolutely one 
of the most horrendous things. It was a crime against humanity 
at Nuremberg against the Nazis. And it's no less by the Chinese 
Communist Party.
    Scott Flipse and I went on that trip. The students seemed 
eager to hear about human rights. Not so much so with some of 
the other people, particularly the Chinese top people who were 
teaching at that institution. But I was shocked that they were 
charging an enormous amount of money to go there. I asked, who 
picks who gets in here? You know, what kind of selection 
process? I only say this because there has been shameless 
complicity on the part of our universities and colleges. Some 
may have stood up.
    Steven Mosher exposed forced abortion in China in the early 
80's. And then I started, I did an amendment on it in 1984, to 
stop any funding to the UNFPA or anybody else. Based on his 
research--Michael Weisskopf wrote a great piece for the 
Washington Post on that very thing, three-part series about how 
horrible it was--but Stanford then went to him and said, You're 
out. You're not getting your doctorate. Because they wanted 
access. So I hope that our universities, if there's any 
complicity--and I'm sure there is--with this terrible cruelty 
of forced organ harvesting, will absolutely disassociate, call 
it out. You know, maybe you're going to be denied some access. 
And we see what the business is. Sam, you remember--Mr. 
Ambassador--just how conforming American corporations are and 
continue to be to what the mantra is being spread by China and 
by Beijing, because they don't want to lose access. They don't 
want to lose their market. We saw it even during the most 
recent Olympics.
    So my thought is--again, Scott and I went over there. I 
gave a major speech on human rights. And I saw people 
grimacing. And it was a one and done. They didn't invite me 
back. But I'm just so worried about this complicity. Our bill 
will say anybody in that supply chain for forced organ 
harvesting, we're going to come after you and we're going to 
prosecute you. You know, you can't let these Falun Gong 
practitioners continue to be killed, and Uyghurs and others. 
Twenty-eight years old, as you said, 29 years old. And maybe 
Mr. Gutmann, you could further elaborate on what--and any of 
you--what do they go through? You know, when you're strapped 
down, given an anesthetic, and you know that they're going to 
kill you to take your organs, I don't know if there's a greater 
horror. I mean, all torture is horror, but this is a 
particularly cruel manifestation of torture. And it's going on 
right now.
    And as you know, Mr. Gutmann, they're talking about 
expanding, for the Uyghurs, the number of facilities available 
for this by 2030. They're not going in the direction of, Hey, 
we need to stop this. They're expanding it. I think this bill 
has to pass. The State Department, I love them, but they're not 
doing due diligence on this the way they could. This will 
empower State, HHS, the Justice Department, give them brand new 
tools to go after this horrific supply chain. And again, 
Americans go there. They get their, whatever it is, heart, 
liver, whatever it might be, facilitated by brokers. Let's put 
them behind bars as well. I just brought up the college 
because, again, Elise has done yeoman's work on how our higher 
ed has just been shameless when it comes to human rights with 
regard to Jews, the antisemitism that is rife there in many of 
those places. So if anybody would like to comment on that, I 
would appreciate it.
    Mr. Gutmann. I would like to mention one thing. I've made 
this point before, so I apologize, but I still think it's 
valid. You know, when we discovered in the 1960's that the 
Soviet Union was torturing dissidents by putting them into 
mental hospitals, the world psychiatric association responded 
by banning any contact with the Soviet psychiatrists, or any of 
their institutions. And that meant everything. It was a 
complete ban. There was no work on psychoactive drugs together 
or anything like that. Now we're looking at a very different 
situation. I mean, someone like Pfizer goes into China and 
tests Chinese citizens who've had transplants, and they're 
probably carrying around a Falun Gong or a Uyghur organ, or 
possibly even a house Christian church organ. This absolutely 
should not be defended in any way.
    And of course, from the academic perspective, they've 
absolutely not responded at all to this. This should be a 
blanket ban. That's what we had in the 1960's. I'm not saying 
it worked perfectly. I don't think it really changed Soviet 
behavior on how many dissidents got thrown into mental 
hospitals, but at the end of the day, we made a point. The 
world made a point, and today we're just looking at a kind of 
chaotic situation, I think, on contact with China.
    Mr. Jekielek. Co-chair Smith, we've gotten into this 
habit--I 
remember I interviewed you some years ago. We talked about how 
this linkage of human rights and trade was broken during the 
Clinton administration. And basically ever since then human 
rights have been off the table. They've been in these off-the-
books or quiet dialogues, which basically both sides, from what 
we learned on reporting subsequently, viewed cynically. They 
were purely performative, basically. It makes no sense, because 
if you're--as a regime, you're treating your people in a 
particular way, in this particular egregious way, the Chinese 
Communist Party has treated hundreds of thousands of its 
people, how do they view Americans?
    This is somehow lost on people. We've gotten into this 
habit of saying, Okay, the human rights, just keep that off the 
table, got to keep it quiet, got to keep it--of course, I 
understand that the U.S. Government is raising these things in 
the appropriate venue and so forth, but--as Ambassador 
Brownback has talked about as well--it's their huge Achilles 
heel. They're doing terrible things to their own people, and we 
should make our own population here in America as aware as 
possible of that, and not play to the platitudes, or their 
propaganda--that this is all kind of false and just attacks on 
China and so forth. So I think human rights is the key.
    Ambassador Brownback. I was just going to say, Mr. 
Chairman, I thought you said something earlier that I want to 
double back to. For years China has been given a bye on this, 
and they really have, for decades. Really until President 
Trump. He's the first President since Kennedy to actually take 
them on. Now, you know, today saying all these things about Xi 
Jinping that I'm kind of questioning about, but maybe that's 
part of the negotiating tactic. I hope it is. It seems to me 
like that bye is starting to be pulled off. And they're not 
getting a bye as much anymore. And we need to get to the point 
where they don't get a bye at all. I think a key piece of this 
is just really following the money.
    As Governor I saw that our universities in our state, the 
university heads, their primary concern every morning they got 
up, was money. Money coming into the place, make sure the doors 
were operating, and I don't begrudge them that. They've got big 
institutions to run. They've got to make sure we've got plenty 
of money coming in here to run this place. That's what they're 
thinking about. And so China comes along and says, Here, we've 
got resources that you can use. That's why you've got to break 
these two economies apart. That's why the key piece of this 
actually--I think two key pieces. One, breaking the economies 
apart. And second, us standing up for human rights, 
particularly religious freedom because it's such a weakness on 
their part.
    This is one of those things, it's kryptonite to them, and 
they do everything they can to suffocate it and hold it out of 
the room. When they bring up Taiwan, we should bring up 
religious freedom. When they bring up any of these issues, we 
should bring these, because this is just something they cannot 
tolerate. It's just such an effective tool. Finally, I think we 
ought to also double back and really press about opening up the 
great internet firewall that China has. The second-largest 
economy in the world and you've got an internet firewall around 
your people? Come on. That's not leadership. That's 
suffocation. And we really should embarrass them about it.
    Co-chair Smith. You know, very interesting point about the 
internet. On one of my trips when I still could get a visa--I 
went to an internet cafe, I typed in ``torture,'' and I got 
everything about what Imperial Japan did vis-a-vis torture, and 
George Bush at Gitmo, which was false, in my opinion, but it 
was still there. Then I put in ``Manfred Nowak.'' He was 
mentioned earlier, because he did a tremendous job at exposing, 
on behalf of the United Nations, the torture there. And 
nothing. Nothing. I put in ``Tiananmen Square.'' I got nothing 
but pretty pictures of people smiling in Tiananmen Square. No 
tanks, no Tank Man, no anything. It was really amazing. And so 
we really have to find our voice more than ever right now.
    I remember meeting Wei Jingsheng after he was allowed out 
in 1994. The Chinese Communist Party thought they would get 
Olympics 2000 by doing that. They didn't get it. They 
rearrested him. But while he was out I was in Beijing. We had 
dinner together. And he says, please, will you Americans 
understand this? When you kowtow and you weakly approach the 
Chinese Communist Party, they beat us more in prison. And he's 
the father of the Democracy Wall Movement. He suffered almost 
death at the hands of his torturers. And it's like, we've got 
to find our voice and stop saying, Oh, by the way, human 
rights. It doesn't work that way. We have to be so upfront.
    And this issue of killing people--you know, I read a book 
before I came to Congress about Unit 731, where Imperial Japan 
did horrific torture against people, mostly servicemembers 
during World War II, in China. And I look at that, then I look 
at what they're doing now, and say, you know, You hated what 
happened to you. And I do too. But why are you replicating it 
in very large numbers beyond that?
    But I would like to ask, Mr. Gutmann, if you don't mind, 
walk us through, if you could, or any of you, what a victim 
goes through. They've already been typed--you know, for their 
blood type and all the other things, so that a match can 
immediately be made. You have said before that there's pretty 
much an equal male to female--number of women that are being--
average age 28 to 29--being slaughtered, murdered for their 
organs, as well as men, young men. And if you could just--what 
is this like?
    Mr. Gutmann. I would--this is perhaps not the answer people 
want to hear, in a way, but it's actually less painful than it 
used to be. Partly because of Dr. Ko Wen-je, who pioneered this 
technique of using ECMO. That meant--originally what you would 
have to do is do very light anesthesia, because you don't want 
to put a sluggish organ into another human being. So the 
anesthesia had to be very light. And it was actually a very 
painful procedure, according to Nijat, who was a Uyghur who 
worked with the PSB. Now when he put in this new technique it 
basically meant you could put the person under full--pretty 
much full anesthesia, and you'd have the oxygenated organ. It 
would be kind of running through, so you had constant, kind of 
in a loop. You go into slow motion, but not that bad. And 
basically that meant that you could take out the organs in a 
much more rational way, and you could take them out slower, and 
one after the other, and finally the heart's the last to go.
    I don't think the person is actually feeling that much. I 
think we're--you know, if you want, we've made improvements in 
this area. Now, the problem with that is that it also means 
that the person who was worth--you could only get an organ or 
two out of them and plausibly get it to the destination--this 
is something Didi Kirsten Tatlow from the New York Times 
worried about a lot--that person is now worth a lot more money 
because you can take out maybe up to five organs successfully, 
or four organs. Before it was only one or two. Now we're in a 
very different situation, because you've got, like, 16 hours, 
24 hours to work with, with this perfusion method.
    I'm not saying it's ECMO right now. By the way, I went to 
Taiwan for six months to try to figure this out and I don't 
know which perfusion method they are using. I know it started 
with ECMO. And ECMO--this is an off-label use. For any doctors 
out there listening, I am not criticizing ECMO. It's a 
lifesaving device. It's fantastic. But this is the way it's 
been used. And we're looking at a very kind of ``Brave New 
World'' situation. I was saying that they don't take organs 
around the world. That's now possible. I'm not saying they're 
doing it, because I see no actual evidence of that, but it 
could happen.
    Co-chair Smith. But people go there to get the organs.
    Mr. Gutmann. Well, right now people go to China. But 
increasingly these techniques have led to a different world, 
where it is possible for them to fly organs out, say, to Saudi 
or somewhere like that, or Russia, or Berlin. You know, this is 
what we're kind of looking at. And it also means new 
populations are potentially at risk. I don't want to--we don't 
see the evidence for this now. As far as I'm concerned, the 
Chinese are a lot like the old Soviet Union. They like to keep 
their rocket ships landing right in the country, not in 
international waters.
    Co-chair Smith. And the average cost? How much do they 
make, like, for a liver or some other organ?
    Mr. Gutmann. Well, it depends on who's buying it. 
Obviously, if it's a foreigner it's going to be about, you 
know, $100,000 for a liver these days, or something like that. 
And more like $200,000 for a heart or lungs. Or you sometimes 
get a package deal. Now if you're Japanese and don't want to 
negotiate, you might end up paying a million. So there's a huge 
difference between, say, Koreans, Japanese, Germans, Americans, 
and so forth. But we are still talking about huge profit 
potential on every individual who's healthy and is done 
correctly. Thanks.
    Mr. Jekielek. Co-chair Smith, I just wanted to comment on 
these--the new populations. One of the things I noticed, kind 
of anecdotally, I'm very sensitive to this dehumanizing 
rhetoric that's used to target the population first, to get the 
rest of the population to kind of accept horrible things being 
done. It looked to me, anecdotally, that there's this uptick of 
that against Christians in China. And I actually talked with 
Bob Fu over here on ``American Thought Leaders,'' on my show, 
about this. And this sort of thing isn't studied empirically, 
but it really does look like, as there's this increased 
incarceration of Christians with the Zion Church, these 
restrictions on Catholic clergy and so forth, that there's this 
increase in dehumanizing rhetoric as well. I would love it if 
someone would study that empirically. But that's a big concern, 
because it's always this dehumanization that is a prequel to 
inclusion as a group for forced organ harvesting.
    Co-chair Smith. Thank you.
    Mr. Walkinshaw.
    Mr. Walkinshaw. Thank you, Co-chair Smith. First, I just 
want to thank you for your many years of principled commitment 
to human rights issues and to this Commission. I'm new here but 
look forward to working with you. And thank you all for being 
here. As we sit here today, the PRC human rights atrocities 
such as forced organ harvesting--the President is participating 
in the U.S.-China summit. I think it's unfortunate that human 
rights issues don't seem to be high on the list of agenda 
topics in that summit, because for years folks here before us, 
researchers, ethics experts, survivors, and human rights 
advocates have raised alarming evidence--presented, I should 
say--alarming evidence that the PRC has systematically targeted 
Uyghurs, Falun Gong practitioners, and other religious and 
ethnic minorities for forced organ harvesting.
    As we've heard today, detainees have been subject to 
unexplained blood testing and medical screening while in 
detention camps and prisons, and many later disappeared. 
Researchers estimate that tens of thousands of individuals, 
perhaps more, have been killed to supply China's transplant 
industry. This is a profound moral crisis. And I thank all of 
our witnesses for your commitment to addressing it. This 
Commission, thanks to Co-chair Smith's leadership, has 
documented evidence showing that Uyghurs and other Turkic 
minorities detained may now be a primary source of organs 
within China's transplant system. The targeting of Falun Gong 
practitioners and Uyghurs reflects, as we've heard today, a 
broader campaign of religious persecution that includes 
Christians in China, ethnic repression, and dehumanization 
carried out by the PRC. And this Commission has to continue 
examining these allegations and working to ensure that the 
abuses are documented, and pushing for them to come to an end.
    Ms. Sidik--she can hear? Okay. Ms. Sidik, here in America 
folks might hear terms like ``detention camp'' or ``forced 
labor,'' but they might not understand what daily life is like 
in those camps and under this system. Can you just describe for 
us the atmosphere--the atmosphere of fear inside and outside 
the camps that we've heard about today?
    Ms. Sidik [through translator]. When I was sent to the 
men's camp for six months, I saw horrific atrocities in those 
camps. One example is just in a little cell, 30 to 40 men are 
locked up. They sleep on very thin blankets. The detainees had 
to crawl in and crawl out. And the interrogation room is right 
next to the classroom. So usually they take detainees out for 
half an hour, an hour-ish. We hear these extreme screams from 
these detainees. And these detainees are all chained and 
shackled. They are given little, tiny chairs to sit down. You 
could see from their faces how scared, desperate they are. And 
that they are also--you could see crying, tears streaming from 
their eyes, but there is nothing I can do. I have to be very 
careful, because it's all cameras. And so I have to watch every 
word and my action in the class.
    And in the women's prison, you can see all these women are 
like robots. You know, no hope, no life in their faces. The 
toilet is just a bucket in the cell. You know, they only dumped 
it once every 24 hours--their life is really, really horrible--
the cell and the corridors stink because of that. All these 
women's hair is shaved. And they all have vests with numbers, 
so they are called not by name but by the vest number. And I 
could see when I was teaching them--they were sitting down--
getting up is extremely difficult. You could see clear torture 
marks. And at times, you know, I hear they were abused and 
raped. And every Monday those women were given unidentified 
medications, so mothers who are nursing, their milk stops, and 
women's menstruation stops.
    At one class I taught about the motherland, meaning China. 
Then one lady stood up and thanked the Chinese Communist Party 
and the government for giving her the opportunity to study the 
Chinese language there in the camp. And at the same time, she 
talked about that she just had a baby and in the camp her milk 
stopped. Another young woman also said, you know, I was 
supposed to get married a week later before I was taken, all 
the wedding invitations were sent out. But I'm grateful for the 
Chinese Communist Party for bringing me here for education, 
even though I don't know where my fiance is. And some others, 
who came straight from studying overseas, despite their parents 
telling them not to come back, they returned out of love for 
their parents, their homeland. But they were taken from the 
airport, sent straight to the camps. And there they also had no 
choice but to thank the Chinese Communist Party for their 
treatment.
    Representative Walkinshaw. Thank you, Ms. Sidik, for 
sharing, and for your courage in speaking out. That's all I 
have, Mr. Co-chair. Thank you.
    Co-chair Smith. Thank you, my good friend and colleague.
    I'll just conclude--and anything you would like to add, 
please do--but first I want to thank Scott Flipse for his 
incredible leadership on this Commission, on human rights in 
general. Scott and I, and Frank Wolf, back in 1986 went to Perm 
Camp 35 in the Ural Mountains, where Sharansky--and pushed for 
the release of prisoners there. Took us two years to get into 
it. We lobbied like crazy when Gorbachev was saying, you know, 
glasnost and perestroika, all these buzzwords, that they were 
opening. And what seemed absolutely impossible, we went to the 
Ural Mountains, to this horrible place where all these 
prisoners were. Scott was indispensable to that effort, as he 
has been in Romania when we fought against Nicolae Ceausescu, 
and we had many trips there as well.
    Even the Hong Kong Human Rights and Democracy Act, which I 
introduced and got passed in the House and passed in the Senate 
under Marco Rubio. It is the law. It was his idea. He never 
wants to take any credit. But I just want to say how grateful I 
am for all these years of not only never-ending pushing--you 
know, Sam, how important it is to have a staffer like Scott--
but also to be so creative. The Uyghur Forced Labor Prevention 
Act--a bill that is law right now and that has made a 
difference. This is the guy that did it. So I just want to 
thank him. [Applause.] He'll get mad at me later and say I 
shouldn't have done that, but I am so grateful for his 
leadership. And on this issue, it's just been incredible as 
well. So Scott, thank you for all your work on helping to put 
this very important hearing together.
    I just want to say, when our bill passed on March 27th, 
2023--the Stop Forced Organ Harvesting Act--it went nowhere in 
the Senate, and then passed a year ago, May 7th of 2025, when 
it passed, the Chinese embassy went into overdrive to say what 
a liar I was, that I'm making it all up--overdrive. And then 
almost at the same time, their foreign ministry said, anybody 
who wants to go to Xinjiang, nothing to hide, come on. So we 
did a letter that night when they said that and I said: I want 
to lead a congressional delegation there. I want to go to the 
camps. I want to--you know, we've done it, and we've done it 
many times. I even met with Xanana Gusmao when he was in an 
Indonesian jail, you know, way back. You can do it. And I re-
offer that hope again, that the Chinese will let Members of 
Congress travel to China to go to places.
    You know, if you go over there and talk trade and say, 
Let's make a deal, you know, the doors are wide open. But when 
you go over there and say, Human rights matter--religious 
freedom, as Sam Brownback says, is at the very top of our 
concerns, the door is slammed shut. So I reiterate that request 
to the Chinese embassy, to allow me and others to travel to 
Xinjiang and to China. But also, we need to pass this bill. We 
need to pass it yesterday, for all those victims. And this 
atrocity must end. If anyone would like to add anything before 
we close? Again, your testimony really shows us the way. I 
thank you for that.
    All members have five legislative days to revise and extend 
and to add extraneous matter if they would like. If there are 
any additional questions from the commissioners, we will give 
them to you. And please get back to us as quickly as you can. 
The hearing is adjourned.
    [Whereupon, at 11:48 a.m., the hearing ended.]




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                            A P P E N D I X

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                          Prepared Statements

                                ------                                


                  Prepared Statement of Ethan Gutmann

    In the Chinese transplant industry humans are the only element that 
can't be fully controlled. That's why I swear by field research. Over 
time, I have learned that all testimony--even that which doesn't 
support my ongoing thesis--is valuable.
    Yet I've also been observing the often-skeptical Western world. 
Camp refugees who observed the organ harvesting selection process, or 
were nearly harvested themselves, matter. But the testimony of a 
medical practitioner who was directly involved in the transplant 
process clearly matters more. I'll briefly focus on these super 
witnesses, recap current harvesting rates, touch on Uyghur deportation 
from Central Asia, and close with a few personal thoughts on policy.
    From ``The Slaughter'':
    Fifteen years ago, in a Westminster hearing, Enver Tohti, a former 
Urumqi hospital surgeon, confessed that he used his ``own hands,'' to 
extract the kidneys and liver of a wounded, but salvageable, human 
being on a Xinjiang execution ground.
    In 2013, Dr. Ko Wen-je of National Taiwan University Hospital 
agreed that I could publish the story of his quest for organs on behalf 
of his Taiwanese patients in a mainland hospital (probably Wuxi 
People's Hospital). When Ko expressed doubts about the quality of 
executed prisoner organs, his Mainland counterparts assured him that 
``all the organs will come from Falun Gong.''
    ``The Xinjiang Procedure'' adds to this collection.
    In 2007, an accidental witness: ``Cat,'' (Mr. Sugawara), was 
assisting his Yakuza chieftain prepare for a liver transplant in a 
Beijing Police hospital. Wandering into the wrong room, Cat found a 
bound, sedated young man--wrist and ankle tendons severed. A Chinese 
surgeon soothingly explained the young ``liver donor'' was Falun Gong.
    In 2017, Sayragul Sauytbay, a teacher in a Kazakh and Uyghur camp, 
gained exclusive access to organize the camp's medical files. A red 
checkmark next to blood results signaled the individual had been pre-
selected for harvesting. Several camp refugees recalled guards imposing 
color-coding--from pink vests to wristbands, a few nights before the 
actual disappearances.
    In 2018, ``Samal,'' an ethnic Kazakh woman, was recruited by a 
Uyghur veterinarian to extract human intestines in preparation for the 
systematic extraction of organs. Why intestines? Because their 
workspace was in a secret medical compound, four floors under a Uyghur 
and Kazakh concentration camp with sub-standard ventilation.
    And an update: While Dr. Ko knew that Falun Gong were being 
harvested, according to his Chinese colleagues, Ko became the ``teacher 
of ECMO to Mainland China''--directly instructing Chinese surgeons to 
exploit an off-label procedure for live organ harvesting. As mayor of 
Taipei and a Presidential candidate for the Taiwan presidency, Ko could 
have been the ultimate super witness. Instead, Ko was recently 
sentenced to 17 years in Taiwanese prison on corruption charges.
    Along with a hunger for medical witnesses, there is a hunger for 
scale. The full publication of witness evidence in Chapter 5 concludes:

          2.5 to 5 percent forced disappearance rate in the 
        camps. (Average age 28-29. Specifications: taken at night, 
        final blood/DNA test to establish health and identity).

          Assuming one million in the Xinjiang camps, forced 
        labor factories, and other carceral environments, that's 25,000 
        to 50,000 Uyghurs, Kazakhs and other Turkic groups harvested 
        per year.

          Two to three organs extracted per individual to reach 
        the minimum requirement for China's transplant industry volume: 
        60,000 successful transplants per year.

          Minimum cumulative death total in Xinjiang: over 
        200,000 minimum and counting.

    Some analysts recently speculated that camps are closing (it may be 
inside baseball, but I would welcome a question on this). Either way, 
forced labor organs are the same as concentration camp organs, and the 
per capita medical attention that Xinjiang receives is extraordinary. 
Beijing recently pledged ``six more human organ transplantation medical 
institutions in the region by 2030.''
    The round-up of Uyghurs from China's neighbors is also 
extraordinary. My interviews establish that 88 percent of Tajikistan's 
Uyghurs and 87 percent of Kyrgyzstan's Uyghurs have been deported back 
to Xinjiang. I also documented a new Chinese military base, just north 
of Tajikistan's Qolma Pass--about 30 miles from a Tajik mine speculated 
to contain 50 percent of the world's uranium.
    The energy and mineral reserves of the Pamir and the Kyrgyz 
mountain ranges are the ``South China Sea'' of China's western 
frontier. With Russia at war, without a U.S. presence, a new nine-dash 
line is theoretically possible.
    Regarding policy: I like all the bills. But I support passing the 
Stop Forced Organ Harvesting Act first because it follows the surgical 
lead; the International Society for Heart and Lung Transplantation put 
the Chinese transplant industry (and implicitly, The Transplantation 
Society) on notice with an academic boycott of China in 2022. 
Withdrawal of legitimacy should now be immediate and comprehensive.
    Nothing changes without embarrassment and trauma; 1 day after my 
press conference on Ko, Taiwanese medical authorities withdrew 
immunosuppressive drug coverage for Taiwanese patients who receive 
Chinese organs. We could do that here. And instead of attempting to 
police the entire import/export medical industry, we could immediately 
investigate Thermo Fisher for providing the DNA tests used on an 
estimated 10 million Uyghurs and Kazakhs.
    A word on limitations. The Party responds to embarrassment by 
hiding, adapting, altering the production process, and adding new 
layers of complexity. Beijing loves games. So we might need to consider 
changing the stakes of the game.
    I don't have a 20-point plan, just a parting thought. Falun Gong is 
a majority Han Chinese spiritual movement. They have no choice; their 
sacred mission is to change China. And they deserve our support.
    Yet small nations rise--often it's a delayed response--when mass 
murder and wanton neglect have placed their future survival as a people 
in question. Ireland, the potato famine. Ukraine, Stalin's mass 
starvation. Israel, the gas chambers. East Turkestan, organ harvesting.
    Re-entering history is a bloody affair, yet these nations came back 
from the dead. Even if it begins as a cynical negotiation tactic, a 
tacit threat, a Uyghur state, even a democratic Uyghur state, is 
possible. The liberation of Central Asia is possible. For the Party, 
that's the nightmare scenario.
    And the most improbable scenario of all is the systematic reform of 
the Chinese transplant system. But if our first objective is to stanch 
the bleeding, apply immediate and consistent pressure. Pass this bill.
                                 ______
                                 

               Prepared Statement of Ambassador Brownback

    We are in a clash of civilizations between the democratic West and 
its allies versus the Chinese Communist Party with its evil alliance of 
communist, authoritarian, and totalitarian regimes. The winner will 
establish how societies are conducted now and in the future.
    Western civilization is built on the Judeo-Christian ethic that 
every person has an eternal soul with immeasurable worth and dignity. 
It believes that all are endowed with inalienable natural rights that 
come from God, not government.
    Communism, on the other hand, boils man down to an economic being 
and denies the existence of these divine rights. In the Communist 
framework, all power is derived from and controlled by the government. 
It cannot and will not tolerate a power above itself.
    In pursuit of this absolute power, the Chinese Communist Party 
(CCP) today is ruthlessly crushing every religion. Their methods are 
unfathomable to most in the West, including the mass deployment of 
crimes such as forced organ harvesting.
    Disfavored religious communities are particularly targeted by the 
perpetrators of the forced organ harvesting scheme, with Falun Gong 
practitioners systematically catalogued based on biometric markers and 
then murdered for their organs. The organs of Uyghur Muslims are 
marketed to wealthy Middle Easterners as ``halal,'' in an unimaginably 
cynical perversion of their Muslim faith.
    Decades of careful research has shown that this issue is not merely 
contained within China--it's a moral blight that involves ``medical 
tourists'' from dozens of countries around the world, including the 
U.S. and its allies in Europe, the Middle East, and Asia. Chinese 
transplant institutions openly market organs to customers around the 
world in a global scheme that relies on the financial infrastructure 
operated by the West.
    The CCP is conducting three religious genocides as we speak--
against Tibetan Buddhists, Uyghur Muslims, and Falun Gong 
practitioners.
    In addition, the CCP is training and resourcing other authoritarian 
regimes around the world with the latest in surveillance technology, 
enabling them to be better dictators by crushing non-compliant people 
of faith in their countries.
    As the leading Western civilization nation in the world, on our 
250th anniversary and founded on the principle of religious freedom for 
all, the United States must courageously stand in opposition to this 
fundamental assault on liberty. This is why I wrote the book, ``China's 
War on Faith.''
    The U.S. must embrace a policy stance that reflects the importance 
of religious freedom and China's hostility toward it:

     1.  We must act on the reality that the CCP is at war with us.

     2.  We should stand on our core principles, including defending 
religious freedom for everyone.

     3.  Religious freedom should be viewed as not only a human right, 
but as a strategic weapon we use in our theater engagement strategy 
with the CCP, just as President Reagan did with the USSR.

     4.  The President, Vice President, and Secretary of State should 
host public meetings with Chinese exiles of all religions who have been 
persecuted for their faith.

     5.  The White House or Congress should host a global summit of 
religious, democratic, and political leaders calling for religious 
freedom for everyone, everywhere, all the time--including in China.

     6.  The United States should lead a global coalition of 
governments, academics, and medical and financial institutions to 
openly condemn forced organ harvesting and take concrete steps to end 
international complicity in the practice.

     7.  We ask the President to seek from Xi Jinping the release of 
Pastor Ezra Jin, Jimmy Lai, and the nine Catholic bishops currently 
detained in China.

     8.  We ask Pope Leo to criticize China for its three ongoing 
genocides and to publicly seek the release of the nine detained 
Catholic bishops, Pastor Ezra Jin, and Jimmy Lai.

     9.  We should send the Vice President or Secretary of State to 
Dharamshala, India to meet with the Dalai Lama to discuss the future of 
Tibet and Tibetan Buddhism.

    10.  We should make religious freedom a major policy focus at the 
G20 Summit we host this year.

    11.  The President should include, in his speeches commemorating 
the 250th anniversary of our Nation's founding, the central role 
religious freedom played in it and call for religious freedom around 
the world.

    12.  Our media, Hollywood, academia, and big business must start 
shining a light on these horrific practices being conducted by the 
Chinese government and no longer look the other way.

    President Trump can be the first president since President Kennedy 
to effectively confront the Chinese government. This must be a 
sustained U.S. policy, similar to our long-term policy of confronting 
the USSR, conducted by both political parties over four decades.
    We must tell the world how ruthless and barbaric the CCP is and how 
far they are willing to go to control their own people. Our most 
effective weapon to confront totalitarians is a free religious people. 
It is a weapon that the CCP fears more than our aircraft carriers or 
even our nuclear weapons.
                                 ______
                                 

                   Prepared Statement of Jan Jekielek

    Chairman, Co-Chairman, and distinguished members of the Commission, 
thank you for the opportunity to testify today.
    If there's one thing we can all agree on in America, it is this: 
the United States should not fund, enable, or participate in any system 
that rips organs from unwilling donors and treats human lives as 
disposable commodities.
    What I am about to describe is not the black-market organ trade run 
by cartels we most typically hear about. This is something far more 
systematic, and far more industrialized. It is state-sponsored killing 
of innocents, on demand, to supply a multi-billion-dollar transplant 
industry. I'll start with a telling example detailed in my book, Killed 
to Order: China's Organ Harvesting Industry & the True Nature of 
America's Biggest Adversary:

        ``An affluent German woman from Monchengladbach, with the rare 
        AB blood type, struggled with alcoholism for years, and faced 
        liver failure. In systems like Germany's, finding a match might 
        take years, or not happen at all. Yet she obtained three livers 
        in China around 2015-2019, each in just months, for 
        approximately $400,000, involving a visit to China for each 
        procedure. Her continued drinking, combined with anti-rejection 
        medications, led to quick rejections of each liver--one about 
        every 2 years.''

    How did this happen? It appears to have been indirectly facilitated 
by a major transplant center in the Eurotransplant zone which had 
listed partnerships with China on liver donor research and anti-
rejection work as recently as 2025.
    This demand extends to Americans as well. In one well-documented 
case, a man traveled to China for a kidney transplant. He received a 
perfectly matched organ in 2 weeks, then he returned home. He was aware 
someone was killed for this
purpose. We know this because his cousin documented the trip in the 
2009 book
Larry's Kidney.
    Now compare that to the United States, where the average wait time 
for a new kidney is three to five years.
    To understand how this is possible, we must begin with two 
essential tools the Chinese Communist Party has perfected over decades.
    First, the creation of what the regime itself calls a ``black 
class,'' a designated enemy group that the rest of the population is 
taught to hate, fear, and see as subhuman through relentless, state-
controlled propaganda. In the early years after 1949, the landowners 
became one of the first black classes. They were portrayed as parasites 
who had stolen from the people. The regime flooded the country with 
this message until ordinary citizens accepted, and in many cases 
participated in, the confiscation of their property and often their 
lives. During the Cultural Revolution, the educated and keepers of 
traditional culture were targeted for vilification. This is the 
pattern: designate a group as subhuman, flood the information space 
with propaganda, and the population becomes psychologically prepared 
for atrocities against the target group. The persecution of each black 
class also serves as a stark reminder to the entire population of the 
raw power of the Communist state, and what can happen to anyone who 
dares to challenge it.
    The second key tool is the infrastructure to incarcerate massive 
numbers of people at will.
    Prisons, black jails, re-education camps, and forced labor camps 
are just part of an incarceration system with capacity for millions.
    It was the Chinese communist regime's designation of Falun Gong 
practitioners as a black class in 1999, and a directive to 
``eradicate'' them, that set the stage for ``killed to order'' forced 
organ harvesting. Falun Gong, also known as Falun Dafa, is an ancient 
qigong, or slow motion exercise practice that resembles Tai Chi, rooted 
in the principles of Truthfulness, Compassion, and Forbearance. 
(Another way to translate this is being True, Good and Enduring). Falun 
Gong features extensive teachings written by its founder, Master Li 
Hongzhi. It's also characterized by an unusual lack of organizational 
structure: no collection of funds, no roster (you don't ``join'' 
anything, you're a practitioner if you decide to live by its 
principles), no hierarchy, and no worship of a deity. It spread by word 
of mouth in the 1990's in China, growing, by government estimate, to an 
estimated 70 million-100 million people practicing. This included 
people of all walks of life, from high-level CCP officials to migrant 
field workers, and everyone in between.
    There are different theories about why the Chinese paramount leader 
at the time, Jiang Zemin, ordered the persecution of Falun Gong 
practitioners. Perhaps it was because the number of practitioners had 
grown greater than communist party members; perhaps it was because they 
were from a broad cross section of society; perhaps because he was 
jealous of Li Hongzhi, which ample evidence shows he was. Or perhaps it 
was because the Chinese Communist Party, with its decades of 
totalitarian rule, simply couldn't abide how much individual agency 
practicing Falun Gong fostered in people. If one were to design a 
system that could withstand totalitarian control and overreach, it 
might look something like Falun Gong.
    Unlike previous black classes, large numbers of Falun Gong 
practitioners refused to be re-educated. They resisted at a scale the 
regime had never before encountered. As a result, the CCP incarcerated 
a massive number of them, and enacted an unwritten rule: all Falun Gong 
deaths in China's massive incarceration system would be considered 
suicides. In 2005, the U.S. State Department estimated that roughly 
half of all people in China's Reeducation Through Labor (RTL) system 
were Falun Gong practitioners. In 2006, the United Nations Special 
Rapporteur on Torture, Manfred Nowak, reported that Falun Gong 
practitioners accounted for 66 percent of the torture cases he 
documented during his visit to China.
    This created the perfect supply for an organ industry that was 
ready to grow but needed a reliable, on-demand source.
    In any ethical transplant system such as that of the United States, 
vital organs typically come from catastrophic accidents. To reduce the 
chance of rejection, blood type and histology are also matched. Thus 
the supply of organs is always much less than the demand. Patients must 
wait months or years. The system is conditioned on tragedy. This 
creates a pool of people willing to go to great lengths for a second 
chance at life.
    The Chinese Communist Party saw this as an opportunity. As I 
recount in Chapter 5 of Killed to Order, bringing together the evidence 
gathered by different researchers and groups over the last 20 years, 
the regime took the massive population of healthy, dehumanized and 
incarcerated Falun Gong practitioners, and started blood-typing, 
tissue-typing, and organ-scanning them, and creating a data base. So 
when a patient, whether Chinese super-elite or foreign transplant 
tourist, needs a heart, liver, or kidney, a match could be quickly 
found and the prisoner killed to order. One of the earliest 
whistleblowers exposing this was a transplant surgeon, Dr. Jacob Lavee, 
whose patient in 2005 had a heart transplant scheduled and then enacted 
within 2 weeks' time.
    The years 2000-2005 saw a massive surge in growth of transplant 
hospitals in China. Ethan Gutmann, who is also testifying today, 
estimated in congressional testimony in 2016 that there were 60 
thousand to 100 thousand transplants being done in China annually.
    Tragically, after years of little to no meaningful international 
action on forced organ harvesting of Falun Gong, it was around this 
time that the Chinese Communist Party also expanded this atrocity to 
another group. They dehumanized the Uyghur Muslim population in the 
Xinjiang Uyghur Autonomous Region, incarcerated a massive number of 
them, and proceeded to use them in ``killed to order'' fashion. In 
Xinjiang, which now operates as a high-tech police state, authorities 
have gone door-to-door collecting blood and tissue samples from 
ordinary citizens in their own homes, expanding the pool of potential 
organ donors. As noted in a 2022 European Parliament resolution, a 
Beijing hospital actually advertised `` `halal organs' from Uyghurs and 
Muslim minorities.''
    The overall number of transplant hospitals has only grown, 
substantially, since then.
    It is important to note that China did not even have a nationwide 
public donor registry until 2014 and even today, it only claims about 7 
million registered donors--less than 5 percent of the United States' 
more than 170 million.
    This is why I titled my book Killed to Order. Because that is 
exactly what it is: organs delivered on a schedule, matched in advance, 
extracted from living human beings who are then discarded. It is 
industrialized forced organ harvesting made possible by the CCP's 
unique combination of totalitarian control, mass dehumanization, and 
the willingness to turn human beings into spare parts for profit, power 
and elite longevity.
    Unfortunately, the United States is not innocent in this atrocity. 
American universities and hospitals have partnered with Chinese 
transplant centers, trained hundreds of Chinese transplant surgeons, 
and conducted joint research. The NIH has funded projects involving 
Chinese transplant institutions. American companies supply critical 
immunosuppressive drugs and medical technologies used in these 
procedures. American patients have traveled to China for transplants. 
Just last year, the House Select Committee on the Strategic Competition 
Between the United States and the Chinese Communist Party sent a letter 
to Harvard University raising serious concerns about its collaboration 
with Chinese entities implicated in forced organ harvesting.
    It is critical to understand that the systematic forced organ 
harvesting of Falun Gong practitioners, and members of other persecuted 
groups such as the Uyghurs, is not an isolated crime, but part of a far 
more comprehensive pattern of abuses that are inflicted on believers as 
the final stage of a violent suppression campaign.
    The official position of the U.S. Government is that the Chinese 
Communist Party is enacting a genocide against its Uyghur Muslim 
population. A number of international legal experts, including Caylan 
Ford, have concluded that these atrocities against Falun Gong also 
demonstrate genocidal intent. Communist Party documents explicitly call 
for the ``complete eradication'' of Falun Gong. The Party's 610 Office 
has directed a nationwide apparatus of persecution involving mass 
imprisonment without due process, forced ideological conversion, 
dehumanization through state media, social and economic isolation, 
torture, and extrajudicial killing.
    These actions precisely fulfill the legal definition of genocide 
under the Genocide Convention: the deliberate infliction of serious 
bodily and mental harm, conditions calculated to bring about physical 
destruction, and the targeted killing of members of the group. The 
systematic harvesting of organs from living prisoners represents one of 
the clearest manifestations of this intent to destroy Falun Gong in a 
biological and physical sense.
    As Ms. Ford so aptly concludes, China's persecutory campaign that 
includes, indeed features, forced organ harvesting, constitutes 
genocide.
    So what can be done?
    First, end all American participation in and cooperation with 
China's organ transplant system. Congress should direct the Department 
of Health and Human Services (HHS), in coordination with the State 
Department and NIH, to conduct a full audit of any U.S. ties, including 
funding, research collaborations, physician training programs, data 
sharing, or procurement partnerships, with China's organ transplant 
system. Further, HHS should immediately cease issuing or recognizing 
Federalwide Assurances (FWAs) for any Chinese institutions connected to 
organ transplantation. The FWA is the formal process by which HHS 
certifies that a foreign institution meets U.S. ethical standards for 
human subjects research. Once granted, this certification allows the 
institution to receive Federal funding and collaborate with American 
universities, hospitals, and researchers. Revoking FWAs for transplant-
related Chinese entities would be a direct and effective way to cut off 
U.S. support.
    The International Society for Heart and Lung Transplantation has 
formally declared that they will not accept submissions related to 
organ or tissue transplantation from human donors in China.
    Second, sanction those involved. There are two bipartisan pieces of 
legislation that address this specifically--S. 4009 (Falun Gong and 
Victims of Forced Organ Harvesting Protection Act, a Senate-modified 
version of H.R. 1540) and H.R. 1503 (Stop Forced Organ Harvesting Act). 
Both have passed the U.S. House near-unanimously and now await Senate 
confirmation.
    Third, expand state laws banning insurance reimbursements or public 
funding for organ transplants linked to forced harvesting in China. Six 
states have already done so--Texas, Arizona, Idaho, Tennessee, Utah, 
and Arkansas--which leaves forty-four left to go.
    Federally, the Block Organ Transplant Purchases from China Act of 
2025 (H.R. 2114, ``BLOCK Act''), still in committee, would bar Federal 
funds (Medicare, Medicaid) from covering transplants sourced in China, 
shutting down any American complicity through transplant tourism.
    Eight countries have enacted binding national laws addressing 
China-related organ trafficking and transplant tourism.
    Fourth, at the grassroots level, I hope Americans can spread the 
word, like through the End Forced Organ Harvesting satellite Rotary 
Club, so their fellow Americans and beyond know not to go to China for 
any more organ transplants.
    On the eve of the 250th anniversary of America's founding, it's 
appropriate to remember that this country was built on a foundational 
belief in the God-given rights of every individual and the inherent 
dignity of every human being. That forged
the ethical principles that still define America: the sacred right to 
bodily autonomy,
and the moral imperative to oppose any regime that treats people as 
harvestable resources.
    It is why America has already taken concrete steps to investigate 
at least two transplant systems that have allegedly repeatedly violated 
the dead donor rule. Yet we still cooperate with one on the other side 
of the globe that commits atrocities on an industrial scale. Let's take 
immediate action to stop that.
    Thank you. I look forward to your questions.
                                 ______
                                 

                  Prepared Statement of Kalbinur Sidik

    Honorable Chair, distinguished members, and respected committee 
members:
    Thank you for giving me the opportunity to testify. My name is 
Kalbinur Sidik. I am from our homeland, Uyghuristan (East Turkestan), 
from the city of Urumqi. I am a witness to the detention camps, and I 
am ethnically Uzbek.
    For 28 years, I worked as a Chinese language teacher and held 
important administrative positions at Urumqi City No. 24 Elementary 
School. Never did I imagine that one day I would be forced to teach 
inside a detention camp, or that I would become a witness to the crimes 
committed by the Chinese Communist Party against Uyghurs and other 
minority peoples.
    Today, I stand before you to speak about atrocities, including the 
possibility of forced organ harvesting. I will tell you only the 
truth--only what I personally witnessed and experienced.
    In March 2017, I was sent under a 6-month contract to teach in a 
men's camp located on a mountain in Sangfanggou Village No. 5, Urumqi 
City. The authorities told us we would be teaching ``students'' in a 
literacy training course. But they were not students. They were 
prisoners.
    They were fathers, young men, businessmen, religious figures, 
intellectuals, people from all walks of life, and ordinary citizens. 
There were also elderly men among them. They had been taken from their 
homes and imprisoned behind barbed wire, triple iron gates, 
surveillance cameras, armed guards, and locked cells.
    Every Monday, no classes were held for the detainees. Instead, 
blood was drawn from them. They were given unidentified injections. 
Afterwards, they were given small white pills. Chinese nurses told me, 
``These are vitamins or calcium supplements. Since the detainees never 
see sunlight, the government ordered us to take care of them this 
way.''
    But I did not believe them.
    How could a government that imprisoned, starved, tortured, and 
humiliated these people suddenly care about their vitamins? No, that 
was impossible. At that time, and even now, I believe there was another 
purpose behind it.
    I also witnessed healthy men disappearing. I clearly remember one 
man named Osman. He was active in class and eager to learn. He was a 
wealthy businessman and appeared very strong and healthy at first. 
Among hundreds of people, I could easily recognize his face. Then one 
day, he disappeared. When I asked what had happened to him, I was told 
he suffered from high blood pressure and diabetes and had died on the 
way to the hospital.
    There was another man who sat at the far end of the first row in 
the classroom. He too was hardworking, and I still remember his face 
vividly. Later, he also disappeared. I was told he died from ``kidney 
poisoning.''
    I did not believe these explanations.
    Every day in the classroom, detainees were constantly replaced. 
Older and stronger prisoners were taken away, while new ones arrived. 
Familiar faces disappeared, and we were expected to accept whatever 
explanation the guards gave us.
    Later, when I testified before parliaments in various countries, I 
was asked about the disappearance of detainees and organ harvesting. I 
told them what I had heard while working in the camps.
    The special police driver who transported me, and the police 
officer assigned to accompany me, often talked among themselves. They 
said: ``Right now in our country, the `halal organ trade' is booming. 
The detoxification center in Michuan, Urumqi, has now become an organ 
transplant center.''
    I did not witness the surgeries. I did not personally see organs 
being removed. But I heard these conversations.
    Later, after hearing my testimony, a close relative and friend of 
mine living in Europe--married to a foreigner--spoke to me on the 
condition of anonymity. She personally told me that the Michuan 
``detoxification center'' had indeed been transformed into an organ 
extraction hospital.
    In 2018, she and her foreign husband were sent there for medical 
examinations before leaving for Europe. During that process, she saw 
many young detainees wearing prison uniforms lined up under heavy 
Chinese police supervision, entering designated rooms. She also 
observed that the number of doctors had increased greatly and that 
doctors were carrying unusual containers in their hands as they exited 
the rooms. She told me this with her own mouth and begged me to speak 
about it in my testimony.
    So for the second time, I heard directly from someone I personally 
knew--someone who claimed to have seen with her own eyes that this 
place had become an organ harvesting hospital.
    In the camps, I witnessed blood collection from detainees, 
injections, forced medication, disappearances, and the secrecy 
surrounding everything.
    Therefore, if you ask me today whether I believe the Chinese 
Communist Party turned Uyghurs in the camps into a source of profit 
through a so-called ``halal organ trade,'' my answer is: ``Yes. Yes. A 
hundred times yes.''
    While I was in these camps, I witnessed horrors beyond words. 
Chinese police humiliated detainees to a level no human being should 
endure. They stripped them of their humanity. They did not call them by 
their names, but by numbers. They tried to break their minds, destroy 
their faith, and erase their dignity.
    Let me tell you more about what I witnessed, so that the world will 
never forget the genocide taking place in East Turkestan.
    When I first entered the men's camp, I walked into a building 
surrounded by barbed wire, electric doors, armed police, soldiers, and 
locked gates. The detainees were brought out from their cells. Chains 
and shackles were on their hands and feet. Many still had unshaven 
beards because they had only recently arrived. Their eyes looked at me 
with desperation--as if I had come to save them.
    But I could not save them. I could not even help them. Guards 
surrounded me everywhere. The cells were dark. The windows were sealed 
shut. The detainees slept on bare concrete floors with only a thin 
blanket. For all three meals, they received only a small Chinese bun 
and watery rice soup. They were allowed to use the toilet only for very 
short periods of time. During the entire 6 months I was there, they 
were never once allowed to bathe.
    Their bodies weakened. Their faces changed. Healthy people became 
thin, pale, and exhausted.
    I taught 4 hours in the morning and 2 hours in the afternoon--
sometimes even 4 additional hours during inspection periods. But 
gradually I realized the purpose there was not education. The purpose 
was control.
    Later, detainees were forced to memorize ``red songs,'' patriotic 
songs praising the Chinese Communist Party and Xi Jinping, and 
political slogans. The detainees were forced to praise the same 
Communist Party that had imprisoned them. They were forced to express 
gratitude toward the very system destroying them.
    During lessons, police would call detainees out not by name, but by 
number, and take them for interrogation. The interrogation room was 
next to the classroom. Shortly after they were taken away, 
heartbreaking screams could be heard. They were tortured with devices 
such as electric batons, electric ``tiger chairs,'' electric gloves, 
and electric helmets.
    After my 6-month assignment in the men's camp ended, I was sent to 
a women's camp located in Tugong, Saybagh District, Urumqi. There I saw 
many women and girls. Most were highly educated. Their hair had been 
cut short. They wore gray prison uniforms with blue numbered vests over 
them. Their faces were pale and lifeless.
    About 90 percent of these detainees were between 18 and 40 years 
old. The remaining 10 percent were older women, some even in their 
seventies and eighties. These women and girls were also given 
medication and unidentified injections. As a result, many of them 
completely stopped menstruating.
    Some had studied abroad. During lessons, they were forced first to 
thank the Chinese Communist Party and government before telling their 
stories.
    One woman said she had recently given birth and still had a nursing 
baby, but her breast milk had stopped.
    Another young woman said she had been preparing for marriage when 
she was suddenly taken to the camp, and that she no longer even knew 
where her fiance was. Yet she was forced to thank the government for 
providing such a ``good opportunity'' to learn the ``national 
language.'' Others said they had been taken directly to the camp 
immediately after returning from studies abroad.
    From the way these women painfully sat and stood, I could sense the 
severe abuse they had suffered. Tears constantly streamed from their 
eyes.
    In this camp, I heard about rape and sexual violence committed by 
Chinese police. I heard that guards used electric batons and other 
weapons to abuse detainees. I personally witnessed the body of a young 
girl, around 18 to 20 years old, being carried away before my eyes. I 
later heard that she had bled to death.
    Outside the camps, the control continued. The Chinese government 
placed so-called ``Chinese paired relatives''--Han Chinese men--inside 
the homes of Uyghur women, especially in homes where husbands had been 
taken to camps. Even in their own homes, these women faced various 
forms of abuse and humiliation. People were afraid to speak. Phones 
were monitored. Relatives abroad became a source of danger.
    My daughter was in the Netherlands, and we lived constantly in fear 
and anxiety. Under pressure from neighborhood committees and assigned 
police officers, we were also forced to undergo sterilization 
procedures at Changleyuan Hospital in Tianshan District. Even though I 
did not want this, I had no choice. My safety and the safety of my 
family depended on obeying government demands. That is why I say: we no 
longer had ownership over our own bodies.
    Because of time limitations, I will end my testimony here.
    I am one of the fortunate few who managed to escape after enduring 
tremendous suffering. The people inside the camps cannot speak to you. 
They have no way to make their voices heard. I am standing here today, 
at enormous personal cost, to tell you this truth--because the men who 
disappeared, the women who were abused, the mothers separated from 
their babies, and the families destroyed by this genocide need 
witnesses.
    Honorable Chair, distinguished leaders, and committee members: I 
ask you not to turn your eyes away from this tragedy.
    The horrific violence taking place in East Turkestan is not merely 
a crime. It is part of a system that sees Uyghurs--the original 
inhabitants of that land--as less than human. This is genocide. The 
world once said, ``Never again.'' Yet in East Turkestan, it is 
happening again. I ask the U.S. Congress never to forget the Uyghur 
genocide. I urge you to continue investigations and hold the Chinese 
Communist Party accountable.
    Thank you.
                                 ______
                                 

                 Prepared Statement of Hon. Chris Smith

    Last September, the world heard something chilling.
    As Xi Jinping, Vladimir Putin, and Kim Jong Un walked together in 
Beijing, a hot mic picked up an unguarded conversation about organ 
transplants and the possibility of living to 150 years old.
    That was not macabre small talk among aging dictators. It was a 
glimpse behind the curtain--a glimpse into a world where human beings 
can be treated as interchangeable parts to prolong the lives of 
autocrats. But forced organ harvesting is not healing. It is murder 
masquerading as medicine.
    Today, this Commission examines one of the most barbaric human 
rights atrocities of our time: the forced harvesting of organs from 
prisoners of conscience, death row inmates, and other vulnerable 
people--especially in Communist China.
    Let me be clear: ethical organ transplantation is noble and 
lifesaving. But what we are examining today is the opposite. It is the 
conversion of the imprisoned and persecuted into inventory. Hearts. 
Livers. Kidneys. Lungs. Corneas. Taken from the living. Sold to the 
desperate. Hidden behind hospital walls. Protected by secrecy, 
corruption, fear, and state power.
    I chaired my first hearing on forced organ harvesting thirty years 
ago, on June 18, 1996. Since then, the evidence has become more 
disturbing, more detailed, and more compelling.
    The most persistent allegations in China centered first on Falun 
Gong practitioners--peaceful men and women targeted by the Chinese 
Communist Party for eradication. Later came mounting evidence 
concerning Uyghurs, already victims of genocide in the Uyghur region; 
Tibetans; Christians; death row inmates; and others treated as property 
of the state.
    Experts, like Ethan Gutmann, have documented how this atrocity 
expanded from death row prisoners to prisoners of conscience and 
religious detainees. The China Tribunal concluded that forced organ 
harvesting has been committed in China for years, on a significant 
scale. Witnesses at previous hearings have warned us about military 
hospitals, impossibly short wait times, organs available on demand, and 
a transplant system that cannot withstand scrutiny.
    And yet Beijing now asks the world to believe the problem has been 
solved. It says its transplant system now meets international 
standards. And once again, the disappointing and corrupt WHO takes 
Beijing's claims at face value--just as it did in the early days of 
COVID.
    But today, this Commission has received rare and extraordinary 
eyewitness accounts from inside the Chinese gulag itself: Ali 
Motevalian's written submission details his incarceration in a PLA-
linked prison hospital near Shanghai, and Kalbinur Sidik's testimony 
from the detention camps of the Uyghur region. Together, their accounts 
shatter Beijing's fiction that its transplant system is voluntary, 
transparent, and compliant with international standards.
    Ali Motevalian spent years inside China's prison system. His 
submission describes coerced thumbprints on so-called consent forms, 
bondage, tranquilizers, ``last rooms of terminal patients,'' prisoners 
taken to surgery and not returned, mobile freezer carts, and bodies 
moved toward incineration. His account strikes at the heart of 
Beijing's favorite defense. The Chinese Communist Party told the world 
it had ended the use of executed prisoners' organs. Ali says otherwise.
    Inside the prison hospital system, in 2020 and 2021--years after 
Beijing told the world it had stopped taking organs from prisoners--Ali 
says he saw unconscious, shackled men, known as ``sleepers,'' brought 
by armed personnel directly into surgery rooms. They never returned. 
That is not voluntary donation. That is execution by organ extraction.
    Kalbinur Sidik brings us inside another part of the Chinese gulag: 
the camps of the Uyghur region. I will not summarize her testimony in 
detail, because in just a few minutes she will speak for herself. But 
her account shows a system where human beings are reduced to numbers, 
where the state controls the body as well as the mind, and where 
coercion and fear are used to destroy dignity.
    The prison hospitals and gulag described in these testimonies are 
not places of care, rehabilitation, or education. They are crime 
scenes--part of a system of coercion, medical abuse, and genocide in 
China.
    Organ crimes are not just a China problem. It is a global one that 
flourishes wherever coercion, poverty, corruption, secrecy, and demand 
intersect.
    That is why Congress must act.
    The House has twice passed my legislation with overwhelming 
bipartisan support. H.R. 1503, the Stop Forced Organ Harvesting Act of 
2025, passed the House 406 to 1.
    It would criminalize forced organ trafficking, impose serious 
sanctions, require reporting, deny visas, and create penalties of up to 
20 years in prison and up to a $1 million fine for knowing complicity.
    This bill is not a press release. It is enforceable policy. It says 
to brokers, traffickers, corrupt officials, complicit doctors, 
hospitals, researchers, insurers, and middlemen: if you profit from 
coerced transplants, directly or indirectly, you should risk your 
money, your visa, your access to the United States, and your freedom.
    The Senate has not acted on the bill, but they must. Delay is 
denial.
    Every day without consequences is another day perpetrators operate 
in the shadows, witnesses are intimidated, evidence disappears, and 
families never learn what happened to their loved ones.
    Forced organ harvesting is barbaric. It is systematic. It is state-
enabled. And it is big business.
    And, speaking frankly, no one wants Xi Jinping or Vladimir Putin to 
live forever. I suspect on this point there would be broad bipartisan 
agreement. But behind that dark irony is a deadly serious point: no 
dictator, no party boss, no wealthy patient, and no broker should be 
able to purchase longevity with the organs of the poor and persecuted.
    That is all the more reason to pass the Stop Forced Organ 
Harvesting Act and make unmistakably clear that the United States will 
not stand by in the face of such cruelty. Not with our expertise. Not 
with our money. Not with a dollar of American complicity.
    Thank you.
                       Submissions for the Record

                                ------                                


                 Statement of Seyed Alireza Motevalian

Chinese Prisons and Organ Harvesting

    My name is Seyed Alireza Motevalian, commonly known as Ali. I am an 
Iranian-born refugee and a victim of wrongful imprisonment in the 
People's Republic of China. I lived in China as a businessman from 2009 
until 2023. I was arrested in Shanghai with my Chinese wife, Jessica 
Liu Zhiyu, on May 2, 2013. We were formally arrested on June 8, 2013, 
tried in 2014, and convicted under Article 225 of the Chinese Criminal 
Code for alleged illegal business operations outside the scope of our 
business license.
    My sentence was 10 years. My wife was sentenced to 8 years. Several 
of our staff received shorter sentences. I maintained my innocence 
throughout my imprisonment and served my full sentence. My wife was 
released earlier but was not allowed to leave China after her release.
    I am submitting this statement because during my incarceration I 
spent extended periods inside Shanghai Prison's General Hospital, 
located within the Nanhui Prison campus in Shanghai's Pudong District. 
There, I observed a repeated institutional pattern that I understood to 
be non-consensual organ procurement from prisoners. My observations 
were not based on one incident. They came from repeated hospital stays, 
repeated transfers through the building, views from hospital-room 
windows, encounters in corridors and controlled areas, and 
conversations with convict orderlies, doctors, and other prisoners.

My imprisonment and transfer to the prison hospital

    After our conviction and the rejection of our appeal in 2015, I was 
transferred to Shanghai's Qingpu Prison in 2016. My wife was 
transferred to Shanghai Women's Prison.
    After exhausting legal remedies, I began a hunger strike in Qingpu 
Prison in March 2018. By May 2018, my health had deteriorated badly, 
and I was sent to Shanghai Prison's General Hospital at Nanhui Prison. 
From 2018 to 2021, because of my hunger strikes and related medical 
problems, I was moved repeatedly between Qingpu Prison and Nanhui. I 
describe this as 13 round trips, or 26 transfer legs. I spent much of 
that period inside the prison hospital and became familiar with its 
layout, personnel, routines, and movement patterns.
    During this period, I suffered kidney failure and immune-system 
failure. I required dialysis, IV fluids, antibiotics, tube feeding, and 
other treatment. I believe the prison authorities kept me alive in part 
because consular officials visited me. Chinese prisoners did not have 
that protection.

Coerced consent and restraints

    As soon as a prisoner was admitted into the hospital, he was 
required to thumbprint a consent form. When I refused, I was placed in 
bondage, injected with a tranquilizer, and my thumbprint was taken 
while I was immobilized.
    This was not an isolated method used only against me. In the 
hospital, prisoners who did not respond to commands could be put in 
bondage. This included the deaf, the mentally ill, prisoners who had 
lost cognitive function, prisoners who refused food, Uyghur prisoners, 
and prisoners facing death sentences.
    Bondage meant being strapped by all four limbs to a bed, with 
another strap across the chest. Prisoners were tube-fed, attached to IV 
lines, placed in diapers, and sometimes catheterized so that they could 
remain strapped down for long periods. After extended bondage, the body 
became stiff and wasted. When my straps were opened to send me back to 
Qingpu, I could not move and had to be taken by wheelchair.
    I saw many immobilized prisoners. In the second room next to what 
prisoners called the ``last room,'' all nine patients were strapped 
down. In the last room itself, at any given time, I usually saw at 
least two or three of the nine patients strapped down. Bondage was a 
regular part of the hospital's control system.
    The daily care and control of these prisoners was carried out 
largely by convict laborers, known as laodong. They were selected from 
younger, stronger prisoners and worked as orderlies. They wore white 
overalls, carried notepads, had watches, moved around the building, and 
were trained by nurses. They also enforced discipline. They had 
privileges ordinary prisoners did not have, including better food, more 
movement, and contact with doctors and nurses. Patients, by contrast, 
often could not move, speak, write, read, or contact the outside world.

The hospital did not function like a normal hospital

    The facility did not operate like an ordinary hospital with 
meaningful specialist care. Dr. Liu, who was head of the doctors, told 
me there were no specialists when I asked to see one. I saw no 
specialist wards such as cancer, cardiovascular, kidney, ophthalmology, 
or other ordinary treatment departments.
    The building had approximately five patient wings, each with around 
100 beds, or roughly 500 beds total. Yet I understood there were only 
about eight doctors, and from 6 p.m. to 6 a.m. only one doctor was on 
duty for the whole facility. There was no proper ventilation and no 
shower. There was a dentist, but the only dental procedure available 
was extraction. There was no eye doctor. No new spectacles entered the 
prison or hospital for years; even a foreign consulate might have to 
press for a year to obtain new glasses for a prisoner.
    Several doctors, including Dr. Liu and others, told me they were 
military-trained or assigned through the military or prison medical 
system. I observed medical personnel wearing white coats over uniforms.
    What made the hospital especially strange was the contrast between 
the lack of normal specialist care and the size and activity of the 
surgery area. The facility did not function like a hospital designed to 
cure prisoners. It functioned like a prison holding-and-surgery 
facility.

The fourth-floor surgery area

    I have drawn a sketch of the fourth-floor layout from memory. The 
fourth-floor surgery area occupied a large, controlled section of the 
building near the elevator and away from ordinary visitor access. 
Visitors were generally kept on the first floor and did not go 
upstairs.
    Based on the symmetry of the east and west wings, and my experience 
moving through both wings on the third floor, I estimated that the 
surgery area could contain at least seven rooms. The exact number is 
less important than the fact that the surgery area was large, active, 
controlled, and hidden from ordinary visitors.

The ``last room''

    As my condition deteriorated, I was moved to what prisoners called 
the ``last room.'' This room was for prisoners who could no longer be 
cured enough to return to manual labor. Many were elderly, terminally 
ill, or severely disabled. Others were younger prisoners whose 
illnesses had been left untreated until they could no longer work.
    The turnover in the last room was constant. Patients were taken out 
and replaced by others. Every morning, I could hear which bed numbers 
were scheduled for surgery. At first, I thought the surgery was a final 
attempt to save their lives. When I asked whether the surgery had 
succeeded, I was told yes. When I asked why the patient did not return 
to the room, I was told the patient was ``back there,'' with staff or 
laodong pointing to the rear of the building.
    Laodong orderlies identified the rear area as an incineration or 
cremation area. I saw smoke coming from the chimney in the area they 
identified.

The surgery pattern and freezer cart

    The pattern I observed was repeated. A prisoner would be selected 
for surgery. Doctors would meet about the subject patient. In the early 
morning, the prisoner would receive a tranquilizing injection. Laodong 
orderlies would press the prisoner's thumb onto a red ink pad and 
thumbprint a consent form. The prisoner would then be rushed to the 
surgery area.
    By around noon, a mobile freezer cart would emerge from the surgery 
area and be transferred by elevator to a van waiting in the yard. The 
cart was moved quickly and under guard. The body or coffin was handled 
separately and later moved toward the rear incineration area by laodong 
workers.
    This separation was important. The freezer cart was not treated 
like an ordinary body. It was rushed, guarded, and moved to a waiting 
vehicle. The body or coffin followed a different route and was handled 
with far less urgency. From the repeated sequence--surgery, non-return 
of the patient, guarded freezer-cart transfer, and separate body 
disposal--I understood the freezer cart to be carrying organs or other 
valuable biological material.
    This same process applied to female prisoners as well. I saw women 
taken from the fifth floor to the surgery area, and they did not 
return. There were four ``last rooms'' that I knew of: two on the third 
floor, one on the fourth floor closest to the surgery area, and one for 
female prisoners on the fifth floor.

The ``sleepers'' brought from outside

    In addition to the moribund prisoners already inside the hospital, 
I saw unconscious or deeply sedated prisoners brought from outside on 
rolling stretchers. Their limbs were restrained to the stretcher rails. 
They were accompanied by armed People's Armed Police personnel. The 
prisoners were taken quickly through the elevator and toward the 
surgery area.
    I witnessed this in several ways. I was repeatedly transferred 
through the hospital and more than once crossed paths with these 
unconscious, restrained prisoners. My room also had windows on both 
sides. From one side, there was a view toward the gate; from the other, 
I could glimpse internal traffic toward the surgery area.
    I recognized the role of the People's Armed Police because I had 
previously worked in Qingpu Prison's death-row cell block, Block Number 
Nine. In Qingpu, I had seen PAP personnel come to take death-row 
prisoners away in vehicles. I later saw similar PAP personnel in the 
prison hospital bringing unconscious, restrained prisoners toward 
surgery. Their uniforms, weapons, behavior, and the reaction of other 
prisoners and staff made clear that these were not ordinary hospital 
patients.
    Based on what I saw in Qingpu's death-row block and later inside 
Nanhui, I understood these ``sleepers'' to be death-row or execution-
related prisoners being brought into the surgery process.

Known deaths of prisoners

    I also personally knew foreign prisoners who died in custody. Two 
of my former Qingpu cellmates, Steven Lien from Canada and Francisco 
Rondon from Colombia, died after becoming seriously ill. I had shared a 
prison room with them and was present when they died.
    Their deaths shaped my understanding that seriously ill foreign 
prisoners were not meaningfully protected by medical parole or by the 
fact that foreign consulates knew about their cases. I believed medical 
parole should have been available to such prisoners. In practice, I did 
not see it operate meaningfully for foreign prisoners.

Broader prison conditions

    In Qingpu Prison, I saw many elderly, disabled, and seriously ill 
prisoners. All prisoners were required to work if they were physically 
able, and even severely weakened prisoners were expected to report to 
the labor area rather than remain in bed during work hours. At various 
times, I remember making greeting cards for the UK store Tesco and 
packaging for Quaker Oats. Some prisoners had to push other prisoners 
in wheelchairs to the labor area because prisoners were generally not 
allowed simply to remain in bed during work hours. A prisoner had to be 
almost unable to work before being sent to Nanhui.
    I also saw prisoners at Nanhui who appeared to have been brought 
from outside Shanghai, including from Fujian Province. From this, I 
believed Nanhui served more than one prison or locality. I cannot say 
how many provinces used it, but it appeared to function as a central 
prison hospital facility for seriously ill or selected prisoners.

My release and continuing hardship

    After I was released and deported at the end of my sentence, I had 
nowhere to go. I served my sentence in full because I never accepted 
the verdict and insisted on my innocence.
    Although my wife had already been released from prison, she was not 
allowed to leave China and was not allowed to have a passport. This was 
like continued punishment after serving the sentence. I went first to 
Sri Lanka and then to Vietnam to wait for her to somehow flee China. I 
was robbed several times by people in Vietnam and Cambodia who claimed 
they could help bring my wife out but failed to do so.

Conclusion

    I understand that what I describe is grave. I am giving this 
statement because I lived inside this system and saw its routines over 
time.
    The organ-harvesting pattern I observed was repeated and 
institutional. Prisoners were restrained or incapacitated, 
thumbprinted, taken to surgery, and did not return. A freezer cart then 
moved quickly from the surgery area to a waiting van, while the body or 
coffin was handled separately toward the rear incineration area. 
Unconscious restrained prisoners were also brought from outside under 
armed PAP escort and taken directly toward surgery.
    Based on the repetition, the layout, the behavior of guards and 
laodong workers, the separate handling of the freezer cart and body, 
the lack of ordinary specialist medical care, and the large, controlled 
surgery area, I understood this as non-
consensual organ procurement inside the prison hospital.
    I hope my statement helps the Congressional-Executive Commission on 
China understand what occurs inside Chinese prison hospitals and why 
these facilities require urgent investigation.

[GRAPHIC(S) NOT AVAILABLE IN TIFF FORMAT]

                          Witness Biographies


    Ethan Gutmann, senior research fellow in China Studies at the 
Victims of Communism Memorial Fountation

    Ethan Gutmann is a senior research fellow in China Studies at the 
Victims of Communism Memorial Foundation and co-founder of the 
International Coalition to End Transplant Abuse in China. He is the 
author of ``The Slaughter,'' co-author
of the influential 2016 investigative report ``Bloody Harvest/The 
Slaughter: An
Update,'' and author of the newly published ``The Xinjiang Procedure,'' 
based on interviews with Uyghur and Kazakh refugees throughout Central 
Asia.

    Ambassador Sam Brownback, U.S. Ambassador at Large for 
International Religious Freedom, 2018-2021

    Ambassador Sam Brownback is a former United States Ambassador-at-
Large for International Religious Freedom, a former United States 
Senator, and the 46th Governor of Kansas. He has spent decades 
advancing human dignity and religious freedom around the world. He 
currently serves as co-chair of the International Religious Freedom 
Summit and chairman of the National Committee for Religious Freedom. He 
is also the author of ``China's War on Faith,'' which examines the 
Chinese Communist Party's campaign against people of faith.

    Jan Jekielek, senior editor, The Epoch Times and host, ``American 
Thought Leaders''

    Jan Jekielek is senior editor at The Epoch Times and host of 
``American Thought Leaders.'' He is a journalist, documentary 
filmmaker, and author of ``Killed to Order: China's Organ Harvesting 
Industry & the True Nature of America's Biggest Adversary.''

    Kalbinur Sidik, eyewitness to the forced labor and internment camp
system in the Uyghur region, and author of the forthcoming book ``Heart 
Full of Light: Love, Loss, and Survival Inside China's Gulags''

    Kalbinur Sidik is a survivor of China's genocide and an eyewitness 
to the forced labor and internment camp system in the Uyghur region. Of 
Uzbek ethnicity, she served for many years as an elementary school 
teacher before being forced to work as a Chinese-language instructor in 
internment camps. She has testified before Western parliaments and the 
Uyghur Tribunal in London and is the author of the forthcoming book 
``Heart Full of Light: Love, Loss, and Survival Inside China's 
Gulags.''
        
        
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