By that time, we had already become aware that interests in organ commerce were constantly intensifying, and that those in need of organs or money were increasingly likely to turn to the black market or seek a legal loophole that would allow them to conceal the commercial transaction behind some legitimate gesture. Until recently, we have not done much about the black market (the 2008 Declaration of Istanbul marks the beginning of a determined struggle against this market), but we banned altruistic directed donations by living non-relatives out of fear that they would become that legal loophole.
其实，我们已经意识到器官买卖涉及的利益越来越可观，而需要钱或需要器官的人转向黑市、或者寻找法律漏洞、以合法姿态来掩盖背后商业交易的可能性越来越大。直到不久前，我们都还没有采取措施来取缔黑市（2008年的《伊斯坦布尔宣言》是针对黑市斗争开始的标志），但我们取缔了非亲属活体出于利他动机的定向捐赠，害怕它们会成为被人利用的法律漏洞。