COVID: Germany must protect disabled people in triage cases, court rules | Science | In-depth reporting on science and technology | DW | 28.12.2021

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COVID: Germany must protect disabled people in triage cases, court rules

Germany's highest court has said officials must draw up rules to protect disabled people during pandemic triage situations. It's an urgent issue, with Germany facing a huge new COVID wave fueled by the omicron variant.

Doctor standing at the bed of a patient in intensive care

Intensive care units across Germany are coming under increased pressure amid the omicron surge

Germany's Constitutional Court ruled on Tuesday that lawmakers must set out legally binding criteria to protect people with disabilities and preexisting conditions in pandemic-related triage situations.

Triage is the process of prioritizing patients for treatment according to either the seriousness of their illness or injury, or their chances of survival.

The court said legislators had violated the constitution by not previously setting out such rules. Germany's constitution, or Basic Law, states that "No person shall be disfavored because of disability."

The court has been deliberating on the issue since mid-2020. It has become an urgent issue once again as Germany faces a massive fourth wave of COVID infections driven by the highly infectious omicron variant.

Watch video 12:06

Germany's health sector struggles

Why was the ruling made?

The ruling came in response to a complaint by nine people with disabilities and previous illnesses who feared that, under present guidelines, doctors could give up on them if they became ill with COVID-19. They called for the state to lay down what selection criteria will be used to determine which patients continue to receive possibly lifesaving treatments if a choice has to be made when intensive care units are overwhelmed.

Previous "clinical and ethical recommendations" for triage were issued by the German intensive care association DIVI along with other medical associations. The complainants felt that these recommendations could see them disadvantaged, as the general state of health and existing illnesses of patients were included as selection criteria.

Watch video 11:59

Ethics of treating the sick

What do patient advocates say?

The DIVI responded to the complaint by saying that no one would be refused treatment on the basis of their age, previous illnesses or disability and that the criteria would only come into play when such factors lowered the likelihood of surviving COVID-19. But it also called for the state to make a ruling to give medical personnel legal security.

Advocates for the rights of patients have also voiced support for triage guidelines imposed by the state.

"Federal parliamentarians are the only ones who are democratically authorized to take such a decision," said Eugen Brysch, the chair of the German Foundation for Patient Rights.

He told the dpa news agency that the issue centered largely on who would be taken off ventilators.

"And that is something that the Bundestag should decide rather than economists," he said, adding that rules should be the same in all hospitals.

tj/rt (dpa, AFP)

While you're here: Every Tuesday, DW editors round up what is happening in German politics and society. You can sign up here for the weekly email newsletter Berlin Briefing, to stay on top of developments as Germany enters the post-Merkel era.