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Lawmakers Pursue Opt-Out System for Organ Donation as Alternative Approach

Politicians from various parties in the German Bundestag are reviving an effort to establish an opt-out system for organ donation. To combat the persistent shortage of donor organs, this proposal suggests that each individual could potentially be considered for organ donation postmortem, unless...

Organ transplantation in France
Organ transplantation in France

Lawmakers Pursue Opt-Out System for Organ Donation as Alternative Approach

Medical official Sabine Dittmar highlighted the troubling fact that over 8,000 individuals are on the organ donor waitlist, with many awaiting transplants for years, sometimes in vain. Sadly, three people pass away daily on this list. The number of transplants has been stuck at a low rate for years. A legal challenge process could boost the number of donor organs, potentially saving numerous lives.

As per the existing laws, only a living individual who has given written consent can be an organ donor. The controversial opt-out method, supported by the Bundestag in 2020, didn't receive a majority vote for a more comprehensive challenge system. The passed law aimed to motivate more voluntary donors through simplified organ donor registry access and citizen information during registration office visits.

Unfortunately, these measures haven't produced the desired results, stated CDU parliamentarian Gitta Connemann during the model's unveiling: "We've observed that these measures have failed." Hence, it's essential to mandate a "active declaration of objection" from those unwilling to donate organs. "This is a decision an adult, capable person should be expected to make."

Connemann emphasized the significant disparity between the nation's general willingness for organ donation and the actual number of donations: "It's disheartening because we know from surveys that 84 percent of people in this country support organ donation, but only about 40 percent make this decision official."

The individuals behind the proposal plan to initiate a legislative process in the Bundestag, aiming for a legislative decision in the spring of 2025. In the initial stage, all adults aged 18 and over would receive written notice from the Federal Health Education Centre about the new regulation. The shift from opt-out to opt-in method is expected to occur between 2027 and 2028.

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  1. The FDP, a Member of Parliament, has expressed support for the opt-out system for organ donation, joining forces with the SPD in opposition to the current CDU stance.
  2. Gitta Connemann, a Member of Parliament from the CDU, criticized the failure of the current opt-out system and advocated for an "active declaration of objection" from individuals unwilling to donate organs.
  3. The proposed legislation for the opt-in organ donation system will be presented by the FDP and SPD Members of Parliament in the CSU-led Bundestag during the spring of 2025.
  4. Sabine Dittmar, a Member of Parliament and medical official, renewed calls for an effective solution to the organ donation crisis, expressing her disappointment over the lack of progress under the current opt-out system.
  5. In a bid to boost organ donation rates, the Bundestag passed a law in 2020 promoting a more streamlined organ donor registry and increased citizen information, but the results have been underwhelming, according to CSU parliamentarian Gitta Connemann.
  6. The shifted focus to an opt-in system for organ donation is expected to impact start-ups and businesses in the medical field, as they adapt to the new regulatory environment in Berlin and other parts of Germany.
  7. As the legislation advances, opposition parties and individual Members of Parliament, such as Gitta Connemann and Sabine Dittmar, remain vocal advocates for addressing the organ donation crisis, hoping to ultimately save lives by encouraging more responsible organ donation decisions.

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