DThe members of the Bundestag are currently arguing about a fundamental reform of organ donation in Germany so that more seriously ill patients can receive an organ on the waiting list in the future. In a debate in which the usual group discipline has been abolished, two bills are up for vote on Thursday afternoon. The model of the contradiction solution, supported among others by Federal Minister of Health Jens Spahn (CDU), has the aim of automatically declaring everyone to be an organ donor, provided they have not actively objected to this during their lifetime. In contrast, Annalena Baerbock, the federal chair of the Greens, is committed to further developing the current model of the approval solution. This requires the donor's express consent if organs are to be removed, but the draft law stipulates that general practitioners should address their patients regularly to the subject. In addition, as with the solution to the objection, there should be a nationwide register in which the citizens can make a binding deposit of their will.
The SPD health politician Karl Lauterbach argued for the contradiction solution. “Every year more than 1,000 people on the waiting list die in Germany, which is very high numbers. We are at the bottom in Europe and we are very willing to donate, ”said Lauterbach. Many Germans were positive about organ donation, but did not have an organ donation card that stipulates their will. This is the real problem that the contradiction solution should solve. In other countries in Europe, which had already introduced the solution to the objection, the number of donations then increased. "There is no unbureaucratic regulation of how to become a donor," said Lauterbach. The solution to the objection was "not an obligation to donate".
CDU politician Claudia Schmidtke, who is also the federal government's patient representative, confirmed this argument. The question had to be asked whether one could "withdraw further into the crowds when it came to the question of low donation figures", said Schmidtke. With minimal changes, you can have no effect. When it comes to resolving the contradiction, life to be saved has “the value that is good for our society”.
Baerbock, the party leader of the Greens, opposed this. "We are here today to save lives," she said, referring to the common goal of both bills. She held out to the proponents of the contradiction solution to argue improperly when referring to the numbers in other countries. "The contradiction fails to recognize that you cannot simply copy regulations to Germany; it misunderstands the reality with us, ”said Baerbock. In Spain – the country in which the solution to the objection applies and which is considered a model for many due to the high number of donations – organs could be removed even after the donor had died of cardiac death, in Germany only after a much less frequent brain death. "Nobody in this high house wants to change anything," said Baerbock. "Our constitution rightly writes us from our history a special responsibility in our constitution. The individual's right to self-determination must be observed. ”At the same time, the representatives of the consent solution did not defend the status quo. "We don't want more brochures, we want an online register in which everyone can store their will."
The social democrat Hilde Mattheis said similarly. “There is no connection between the contradiction solution and the number of donations. To suggest that is a fatally wrong approach, ”she said. In their view, there are also serious ethical concerns about the contradiction solution. “A donation must remain a donation. The basis of solidarity is to give something voluntarily, ”she said. With the contradiction solution, people would be “degraded and their dignity would be violated, we have to say no”. Mattheis also referred to a law passed in April last year that strengthened hospital structures for organ donation; Among other things, large clinics have to exempt more doctors and they get more money so that organ removal is no longer a loss for the hospital. Mattheis said that the structural reform would be effective. Many opponents of the contradiction solution argue that the problem with the low number of donations does not lie in the unwillingness of the people, but in the ability of the hospitals to recognize suitable donors in the intensive care units as such.
The majority in the Bundestag are difficult to assess. In an initial open debate, broad reservations about a contradiction solution became clear. Before the Bundestag vote, a majority of the citizens voted in a poll that in future everyone will automatically become an organ donor in the future, unless he objects. According to the ZDF Politbarometer published on Thursday, 61 percent of the respondents are in favor of the contradiction solution, about 36 percent rejected it.
. (tagsToTranslate) Annalena Baerbock (t) Karl Lauterbach (t) Claudia Schmidtke (t) Jens Spahn (t) Hilde Mattheis (t) Bundestag (t) CDU