; demand is high, and buyers can pay up to over $200,000 to secure a kidney outside the legitimate market according to Global Financial Integrity. By some estimates, organ trafficking raises between $840 million and $1.7 billion. This can bankroll terrorist and transnational crime activity. (3) It has been reported that the Islamic State has used stolen organs to finance its war activities and to treat injured fighters, sanctioning the removal of organs from living captives. (4) A severe shortage of transplanted organs helps fuel organ trafficking. As of 2014, according to the Global Observatory on Donation and Transplantation, the 120,000 transplants conducted globally only accounted for 10 percent of the patients waiting for an organ transplant. (5) According to a 2013 United Nations report from the Special Rapporteur on trafficking in persons, especially women and children, the economic and social divisions within and among countries is notably reflected in the illicit organ trafficking market, in which the victims are commonly poor, unemployed, and more susceptible to deceit and extortion. 3. Sense of Congress It is the sense of Congress that establishing efficient voluntary organ donation systems with strong enforcement mechanisms is an effective way to combat trafficking in persons for purposes of the removal of organs. 4. Imposition of visa sanctions (a) In general (1) Determination An alien who the Secretary of State or the Secretary of Homeland Security (or a designee of one of such Secretaries) knows, or has reason to believe, has committed or facilitated the trafficking in persons for purposes of the removal of organs may be determined to be— (A) removable from the United States; (B) inadmissible to the United States; (C) ineligible to receive a visa or other documentation to enter the United States