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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

Danish parties agree to raise abortion term limit to 18 weeks

Denmark's government has struck a deal with four other parties to raise the maximum gestation period at which a foetus can be aborted from 12 weeks to 18 weeks, in the first big change to Danish abortion law in 50 years.

Danish parties agree to raise abortion term limit to 18 weeks

The government struck the deal with the Socialist Left Party, the Red Green Alliance, the Social Liberal Party and the Alternative party. 

“In terms of health, there is no evidence for the current week limit, nor is there anything to suggest that there will be significantly more or later abortions by moving the week limit,” Sophie Løhde, Denmark’s Minister of the Interior and Health, said in a press release announcing the deal.

The move follows the recommendations of Denmark’s Ethics Council, which in September 2023 proposed raising the term limit, pointing out that Denmark has one of the most restrictive abortion laws in Western Europe. 

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Under the deal, the seven parties, together with the Liberal Alliance and the Conservatives, have also entered into an agreement to replace the five regional abortion bodies with a new national abortion board.

From July 1st, 2025, this new board will be able to grant permission for abortions after the 18th week of pregnancy if there are special considerations to take into account. 

The parties have also agreed to grant 15-17-year-olds the right to have an abortion without parental consent or permission from the abortion board.

Marie Bjerre, Denmark’s minister for Digitalization and Equality, said in the press release that as the age of sexual consent is 15 years old, this made sense. 

“Choosing whether to have an abortion is a difficult situation, and I hope that the young women can find support from their parents. But if there is disagreement, it must ultimately be the young woman’s own decision whether she wants to be a mother,” she sid. 

A bill will be table in parliament over the coming year with the changes to come into force on June 1st, 2025.

The right to free abortion was introduced in Denmark in 1973. 

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