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German Cabinet Backs Overhaul to Expand Living Kidney Donation

Parliament now considers the draft to expand matches for incompatible donor–recipient pairs.

Overview

  • The cabinet approved Health Minister Nina Warken’s proposal to permit cross‑pair living kidney exchanges without requiring a personal tie between the pairs.
  • The draft would allow non‑directed anonymous kidney donations so donors could give to recipients they do not know.
  • The plan includes creating a national program for cross‑pair living kidney donation, with transplant centers handling organization and matching.
  • The reform aims to boost transplants and strengthen protections for living donors, while current law largely limits donations to close relatives, spouses, registered partners, or those with an evident close personal bond.
  • Roughly 6,400 people were waiting for a kidney at the end of 2024 versus about 2,000 transplants that year, and an earlier 2024 attempt at similar legislation stalled after the coalition collapsed.