A hard-hitting conversation with Jan Jekielek on evidence of state-run organ harvesting in China, its ties to elite longevity programs, and the broader strategy of coercion and control. The discussion connects dehumanization, incarceration, and a database-driven “kill-to-order” system targeting prisoners of conscience, including Falun Gong and Uyghurs. We examine how Western complicity, bioethics drift, and medical partnerships enable this atrocity. Action steps include U.S. legislation, state-level insurance blocks, and grassroots efforts to confront this crime against humanity.