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Germany Moves to Legalize Kidney Swap and Altruistic Donations as Bundestag Opens Debate

The plan targets a chronic kidney shortage by opening new living-donation pathways.

Overview

  • The government's revision of the Transplantation Act received its first reading on 30 January, proposing legal cross‑pair and chain kidney donations as well as anonymous altruistic donors.
  • A central registry and formal matching mechanism would link incompatible donor–recipient pairs and replace the current patchwork operating in a legal gray zone.
  • Current law largely restricts living donations to closely connected people, forcing swap pairs to demonstrate personal relationships to satisfy ethics committees.
  • Experts welcome a likely increase in transplants but call for independent counselling, stronger safeguards, and explicit logistics for failures or withdrawals in donation chains.
  • The shortage remains severe, with 253 people reported to have died in 2024 while awaiting a kidney; Die Zeit reports approval in subsequent readings is considered very likely.