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HEALTH

Germany debates changing to ‘opt-out’ organ donation system

Germany's Health Minister Monday pushed an initiative to boost the availability of transplant organs by making everyone a potential donor after death unless they have expressly opted out.

Germany debates changing to 'opt-out' organ donation system
German Health Minister Jens Spahn at a press conference Monday to discuss new rules for organ doners. Photo: DPA

The aim of the presumed-consent rule is to reduce Germany's current backlog of about 10,000 patients awaiting transplant organs — and the about 2,000 deaths a year of those who wait in vain.

SEE ALSO: Organ donor numbers in Germany fall to lowest level in 20 years

Under the new proposal, citizens would be asked to state whether they object to having their organs or tissue harvested after they are pronounced brain dead.

Those who say “no” would be listed in a national registry run by the health ministry, while all others would be considered potential donors — a principle in place across most of the European Union.

This would spell a reversal of Germany's current rules, which ask people to state their consent, meaning they have to opt-in to become organ donors.

Close relatives would still be able to block the taking of organs if they convincingly argue that the deceased would have objected.

Health Minister Jens Spahn of the centre-right CDU said there are about 10,000 patients waiting for transplant organs and that 2017 had seen a record-low of fewer than 800 donations.

“Anyone of us could be in need of an organ tomorrow,” Spahn said at a Berlin press conference, presenting the plan with lawmakers from the conservative CSU, the centre-left Social Democrats (SPD) and the far-left Die Linke party.

Ethics debate

Spahn said Germany's potential number of organ donors is far higher as surveys had shown that over 80 percent of respondents supported the idea in theory.

Under current rules, people can sign an organ donor card and carry it in their wallets so that if they die, hospitals know they are allowed to harvest their organs. Only about 30 percent of Germans carry such a donor card.

“We have about 10 times more people on the waiting list for an organ than the number of organs that are transplanted per year,” said the SPD's Karl Lauterbach.

“Every year about 2,000 people on the waiting list die.”

Some lawmakers have objected to the initiative. The CSU's Stephan Pilsinger labelled Spahn's plan “ethically questionable” and said it amounted to turning patients into “spare parts warehouses”.

SEE ALSO: Germany still has too few organ donors after scandal

Under the plan, presented jointly with Green party co-leader Annalena Baerbock, citizens would be regularly questioned whether they want to be donors.

This could be done when they extend their identity papers or during routine medical visits.

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HEALTH

Lengthy waiting times at Danish hospitals not going away yet: minister

Danish Minister for the Interior and Health Sophie Løhde has warned that, despite increasing activity at hospitals, it will be some time before current waiting lists are reduced.

Lengthy waiting times at Danish hospitals not going away yet: minister

The message comes as Løhde was set to meet with officials from regional health authorities on Wednesday to discuss the progress of an acute plan for the Danish health system, launched at the end of last year in an effort to reduce a backlog of waiting times which built up during the coronavirus crisis.

An agreement with regional health authorities on an “acute” spending plan to address the most serious challenges faced by the health services agreed in February, providing 2 billion kroner by the end of 2024.

READ ALSO: What exactly is wrong with the Danish health system?

The national organisation for the health authorities, Danske Regioner, said to newspaper Jyllands-Posten earlier this week that progress on clearing the waiting lists was ahead of schedule.

Some 245,300 operations were completed in the first quarter of this year, 10 percent more than in the same period in 2022 and over the agreed number.

Løhde said that the figures show measures from the acute plan are “beginning to work”.

“It’s positive but even though it suggests that the trend is going the right way, we’re far from our goal and it’s important to keep it up so that we get there,” she said.

“I certainly won’t be satisfied until waiting times are brought down,” she said.

“As long as we are in the process of doing postponed operations, we will unfortunately continue to see a further increase [in waiting times],” Løhde said.

“That’s why it’s crucial that we retain a high activity this year and in 2024,” she added.

Although the government set aside 2 billion kroner in total for the plan, the regional authorities expect the portion of that to be spent in 2023 to run out by the end of the summer. They have therefore asked for some of the 2024 spending to be brought forward.

Løhde is so far reluctant to meet that request according to Jyllands-Posten.

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