Frage für das Forum: Should Residents in Germany automatically become Donors after Death?

Photo taken by Piotr Bodzek, MD [CC BY-SA 3.0 (http://creativecommons.org/licenses/by-sa/3.0/)%5D
frage für das forum

There is an old saying to start off the forum: If you are born to an American parent, you automtically become an American.  How about when you pass on: Should you automatically become an organ donor?

This is the question that is floating around aggressively in Berlin and is being talked about in hospitals and medical centers in Germany, thanks to German Health Minister Jens Spahn and his most recent proposal.

According to the proposal:

  • The “dual opt-out” donation system would automatically make everyone in Germany a registered organ donor.
  • People could still opt out at any time by putting themselves on a register that says they object to being a donor.
  • Family members could also revoke consent after a person dies.
  • Doctors would be required to consult with the family before removing any organs in the event a person is declared brain-dead.
  • People will be informed multiple times about the new system and the options to opt out.

The proposal comes in response to the sharp decrease in the number of organ donors between 2012 and 2017, combined with the increase in the number of patients who are on the waiting list for an organ donor.  According to a recent study, the number of organ donations carried out in Germany decreased from 1097 in 2012 to only 797 in 2017. Last year alone, some 9,400 people were on the organ transplant waiting list.  Less than 1,000 organ transplantations were carried out, while 2,000 on the waiting list died.

The current system allows for opting in to donations, where people who volunteer receive a donor card and their names are in the data bank. Critics feel that the opt-out clause is the same as forcing people to donate their organs when they die, even though they don’t want to.  Already an alternative proposal is in the works which would require repetitive questioning about donating organs when at the doctor or renewing their personal ID. The belief is that organ donations should be a conscious option that remains voluntary and not obligatory by the state.

While the debate goes to the Bundestag, the German upper parliament, which will be debated and voted upon soon, the question is whether being an automatic donor after death with the clausal to opt-out would make the best sense in the interest of the German population. Or if it makes sense to leave it the option to donate to the person him/herself. Henceforth, a poll has been created for you to vote upon. Feel free to do so and if you want, comment on this issue.

While the author does see many advantages of being an organ donor (he is one himself, plus there’s a success story on that which you can click here to read.), there are some who don’t want to based on past experiences or even religious beliefs. There are two sides to the story on this topic, just as much as two sides to the story on becoming Americans automatically when a child born to American parents is born abroad. It’s a question of listing the facts on both sides of the aisle and deciding based personal feelings towards this subject. 🙂

 

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