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German MPs voice concern about prenatal genetic tests

More than 100 German lawmakers voiced concern on Friday about prenatal tests for genetic disorders such as Down Syndrome that they say lead to more abortions.

German MPs voice concern about prenatal genetic tests
Photo: Depositphotos/ArturVerkhovetskiy

They urged an ethics debate in parliament as it considers making such tests more widespread by obliging all health insurance companies to cover them.

The cross-party group of MPs, including some ministers and party leaders, called for a wider discussion as medical science is on the cusp of testing for a far wider range of genetic conditions.

“The advances in genetic diagnostics are forcing society to confront the question of how we want to deal with the findings it produces,” said Rudolf Henke of the Christian Democrats (CDU).

The initiative in the more than 700-seat Bundestag was joined by about 100 lawmakers from parties including the CDU, Social Democrats (SPD), pro-business FDP, far-left Die Linke and Greens.

Prenatal tests for Down Syndrome, or trisomy 21, have been available since 2012 in Germany, but most parents-to-be currently pay for them out of their own pockets.

The chairman of the German Ethics Council, Peter Dabrock, argued that parents-to-be have the right to information about the state of health of their unborn child.

The group of lawmakers, however, argued that such tests lead to more abortions of embryos considered to have defects and stigmatise people with Down Syndrome and their parents.

“People with Down Syndrome are neither more nor less happy than other people,” said the SPD's Dagmar Schmidt, arguing that they suffer not from the condition but from social exclusion.

“Parents of children with trisomy 21 should never run the risk of having to justify their baby's birth,” she said.

The initiative comes as a wider abortion debate flares again, with Pope Francis this week comparing the termination of pregnancies to hiring a “contract killer”

Ban upheld

Meanwhile, German court on Friday upheld a March ruling confirming a ban for medical practitioners to advertise that they carry out abortions.

Gynaecologist Kristina Hänel had appealed against the controversial law after being fined for spelling out on her practice's website that she performs abortions.

SEE ALSO: Abortion in Germany – 'where providing information is a crime'

The procedure is permitted in Germany but only under strictly regulated circumstances, and is usually not covered by insurance companies.

The court in its ruling suggested that lawmakers, not the judiciary, deal with the issue and told Hänel that she should consider the verdict “a special honour in the struggle for a better law”.

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HEALTH

What you need to know about Spain’s plan to change its abortion laws

In Spain women can get an abortion for free in all public hospitals up until 14 weeks, no questions asked. But the reality is that many doctors refuse to perform them. The Spanish government is revising its laws to make sure it is enforced across the country.

What you need to know about Spain’s plan to change its abortion laws
Anti-abortion supporters take part in a march in Madrid in 2014. In Spain women have the right to abortions up to the 14th week of their pregnancy, but many doctors across the country refuse to perform the procedure. Photo by DANI POZO / AFP

Under the current legislation introduced by the previous Socialist government in 2010, women in Spain have the right to abortions up to the 14th week of their pregnancy, which is standard in much of Europe.

They also have the legal right to abort up to the 22nd week of pregnancy in cases where the mother’s health is at risk or the foetus has serious deformities.

‘Conscientious objectors’

However, in practice this law translates into a very different reality.  

Many doctors across Spain refuse to practice abortions, calling themselves “conscientious objectors”.

So many doctors deny the procedure across the country, that in five out of the 17 autonomous regions in Spain, no public hospitals offer abortions, according to data from the Health Ministry

This causes stark regional inequalities, forcing thousands of women to either travel to another part of the country, or pay for one in a private clinic, despite the 2010 law stating that “all women should benefit from equal access to abortion regardless of where they reside”.

According to the data, the provinces of Teruel, Ávila, Palencia, Segovia, Zamora, Cuenca, Toledo and Cáceres have not performed a single abortion in the past 30 years.

And, another even more revealing statistic: in 2019, 85 per cent of abortions took place in private clinics.

The map below shows the provinces that never perform abortions in red, the ones where it has varied over the years in orange, and the ones where they have always been available in green.

READ ALSO: Why does Spain top Europe’s Covid vaccination league table?

Law reform

The minister of equality, Irene Montero, has proposed a reform of the current law that would limit doctors being able to refuse the procedure.

“Conscientious objection cannot be an obstacle for women to exercise their right to terminate a pregnancy,” Montero said in a tweet. “We must reform the law to regulate it and make sure abortion is guaranteed in the public health system.”

Montero said the draft law would be ready in December after a consultation process.

However, others have said doctors should not be forced to perform abortions.

The president of Madrid’s regional government, Isabel Díaz Ayuso, said she would not force “any doctor in Madrid’s public health system to practice an abortion against their will” because doctors study medicine “to save lives and not to do the opposite”.

Conservatism

The situation shows abortion remains a dividing issue in Spain, where a large part of the conservative population is still opposed to a law that was introduced over a decade ago.

The former conservative Prime Minister Mariano Rajoy had promised to tighten Spain’s abortion law before he came into power in 2011.

However he was forced to drop the plans in 2014 due to disagreement within his Popular Party (PP). This angered many Catholic and other pro-life groups.

The reform would have ended women’s rights to freely terminate their pregnancies up until the 14th weeks. 

In 2015 Rajoy’s government passed another reform requiring girls aged 16 and 17 to get their parents’ consent if they wished to terminate a pregnancy. But the measure failed to pacify pro-life campaigners.

Montero also announced plans to repeal the 2015 reform as part of the draft law.

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