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HEALTH

Germany debates legalizing egg donations and surrogacy

A German politician is pushing to legalize human egg donation and surrogate motherhood in Germany - both of which are forbidden by a 30-year-old law.

Germany debates legalizing egg donations and surrogacy
Archive picture shows two German children who were born abroad to a surrogate mother as German law forbids surrogacy. Photo: DPA

In addition, up to four people should be be allowed to take responsibility for one child, wrote Katrin Helling Plahr, of the Free Democrats (FDP), in a seven-page position paper on liberalizing fertility treatments in Germany.

In Germany it is prohibited by law to have a child delivered by a surrogate mother. According to Section 1 of the Embryo Protection Act, up to three years imprisonment or a fine is imposed on “anyone who undertakes to perform artificial insemination or transfer a human embryo to a woman who is willing to leave her child permanently to a third party after birth”. 

In such cases, it is the physician, not the donor or the receiving woman, who is punished.

“The Embryo Protection Law is a thing of the past and must be reformed,” the parliamentary member told German newspaper Tagesspiegel on Monday. 

German policy is much too “hesitant” compared to other countries, added Helling Plahr. In Europe, Switzerland, the Netherlands and Luxembourg are the only other countries which forbid surrogate motherhood.

In June, a group of German doctors and medical experts also called for new reproductive health law, calling the current one “outdated”.

The current ban was put in place partially out of worries for a woman's health during a hormonal procedure.

Accepting all family structures

Helling Plahr's initiative also seeks full support for – and acceptance of – all family models.

Currently, state health insurance will only cover half of the costs of fertility treatments if the women wishing to undergo it holds a marriage certificate. 

Yet the politician wants to see non-traditional family structures into account, accepting up to four people as the legal parents of one child.

“Everyone who wants to take responsibility for a child deserves the support of his or her desire to have children regardless of whether he or she lives a classic family or not,” wrote Helling-Plahr.

A full 25 percent of childless women and men between the ages of 20 and 50 in Germany are not so by choice, emphasized the FDP politician, who worked as a medical law lawyer before moving into the Bundestag (parliament) in 2017. 

The costs of fertility treatments often run in the low five-digit range, says Helling-Plahr. Yet these treatments, however, are “linked to restrictive conditions,” she said, and treatment abroad is not covered at all.

Being able to realize the wish to have a child doesn’t only depend on having financial resources, said Plahr, but also on “outdated and incomprehensible norms.”

Creating new rules?

The current Embryo Protection Act dates back to 1990. It was partially put in place to protect the health of woman, who would have to undergo a long hormonal treatment.

Yet in the past 30 years, social values have changed just as much as medical possibilities – and massively, argues Helling Plahr.

For surrogacy, “women in distress” shouldn’t have to go abroad, where “surrogacy is exploited,” said Helling-Plahr. 

She said, however, that commercial surrogacy should not be allowed, but rather only that for “altruistic purposes” – for example, if a sister or friend decide to carry a child on the behalf of a woman who cannot have a child on her own.

She also called for new rules for egg donation to be based on those which already exist for sperm donors – or creating a central registry in which children later have the option to find out who their biological parents are.

'No legal right'

Despite the FDP initiative carrying some restrictions, the association “Spenderkinder” (donor children) has harshly criticized it and especially the demand for the legalization of surrogacy.

 “There is no legal right to a child or a right to become a parent,” spokeswoman Anne Meier-Credner told the news agency KNA.

There is a consensus among psychologists that “an arbitrary separation of an infant from its closest confidant, whom it can distinguish from others by smell and voice, is extremely stressful,” she added.

The question therefore arises as to whether it is justifiable “to expose an infant specifically to these stresses so that adults can fulfil a wish.”

The legal expert of the Green parliamentary group, Katja Keul, told the Tagesspiegel that the regulations for fertility treatment and reproductive medicine are in need of reform.

“But even non-commercial surrogacy carries the risk of abuse and can be detrimental to the well-being of mother and child,” she added.

Vocabulary

Surrogacy – (die) Leihmutterschaft

Embryo Protection Law – (das) Embryonenschutzgesetz

Hesitant – Zögerlich

Incomprehensible – nicht nachvollziehbar

Statutory health insurance – (die) gesetzliche Krankenversicherung

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HEALTH

Danish parties agree to raise abortion limit to 18 weeks

Denmark's government has struck a deal with four other parties to raise the point in a pregnancy from 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 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, last week with the formal announcement made on Monday  

“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 had 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, which will be based in Aarhus. 

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 this followed logically from the age of sexual consent, which is 15 years old in Denmark. 

“Choosing whether to have an abortion is a difficult situation, and I hope that young women would get the support of 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 said. 

The bill will be tabled in parliament over the coming year with the changes then coming into force on June 1st, 2025.

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

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