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Germany's Constitutional Court Voids Federal Triage Rules Over Lack of Authority

The successful challenge came from intensive- and emergency-care physicians who opposed the pandemic-era framework intended to prevent discrimination against disabled and elderly patients.

Overview

  • The Federal Constitutional Court in Karlsruhe declared the Infection Protection Act's triage provisions invalid on November 4.
  • Judges found the federal legislature lacked competence to enact the specific triage standards contained in the law.
  • The annulled 2022 rules required decisions to be based solely on current, short-term survival probability and barred use of life expectancy or frailty.
  • Fourteen intensive- and emergency-care physicians filed the complaints in late 2023 with support from the Marburger Bund, and they prevailed.
  • The challenge targeted the law's ban on ex post triage, which doctors argued conflicted with their professional duty to save the greatest number of patients.