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German Court Reviews Controversial Pandemic Triage Rules

The ban on ex-post triage is under scrutiny. Doctors argue it forces impossible ethical choices, while the court aims to prevent age or frailty-based discrimination.

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German Constitutional Court Rules on Triage Regulation - German Court Reviews Controversial Pandemic Triage Rules

The German Constitutional Court is currently reviewing controversial triage regulations implemented during the pandemic. The ban on ex-post triage, which prevents doctors from discontinuing a patient's treatment even if a new patient with a better prognosis arrives, has sparked criticism from medical professionals.

Fourteen emergency and intensive care physicians have challenged the regulations, arguing they are inconsistent and force doctors into impossible ethical choices. The regulations specify which doctors make decisions and how these must be documented, but critics contend this rigid structure hinders effective crisis management.

The Federal Constitutional Court imposed the ban on ex-post triage during the pandemic to prevent discrimination based on factors such as age or frailty. Decisions were to be based solely on the current and short-term survival probability. However, the Marburger Bund, a medical association, argues that this approach conflicts with medical ethics. They believe it prevents doctors from maximizing the number of lives saved in critical situations. Alternative suggestions involving more flexible decision-making have been proposed, but no official alternative measures have been legally established yet.

The German Constitutional Court's ruling on triage regulations during the pandemic is eagerly awaited. The outcome will significantly impact how doctors manage resources and make life-and-death decisions in future crisis situations.

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