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Entscheidungslösung

English translation: opt-in system

GLOSSARY ENTRY (DERIVED FROM QUESTION BELOW)
German term or phrase:Entscheidungslösung
English translation:opt-in system
Entered by: Daniel Gray

12:05 Apr 14, 2013
German to English translations [PRO]
Law/Patents - Government / Politics
German term or phrase: Entscheidungslösung
It's about German citizens indicating whether they agree to have their organs donated or not. I can't find a suitable term in English and don't want to resort to a lengthy paraphrase.

I've found 'decisional solution', but that doesn't really hit the nail on the head for me.

Context:

"Nach zähen Debatten hatte der Bundestag parteiübergreifend für ***die Entscheidungslösung*** gestimmt – in der Erwartung, den Spenderzahlen einen kräftigen Schub zu geben."

Source: http://www.zeit.de/2012/45/Organspende-Transplantationsgeset...

My quick attempt:

"After heated debates, the Bundestag voted on a cross-party basis for a system where Germans will be regularly asked whether they are willing to donate their organs..."
Daniel Gray
Germany
Local time: 12:26
opt-in system
Explanation:
It sounds like they have reaffirmed the 'opt-in system' over the 'presumed consent' (opt-out)

See: http://www.organdonation.nhs.uk/newsroom/statements_and_stan...
The current "opt-in" system of organ donation – where individuals are asked to register their willingness to be a donor after their death – has been the subject of debate for many years.
Due to the serious shortage of organ donors and consequent waiting lists for transplant operations in the UK, it is often suggested that the altruistic approach to organ donation is in need of review.
The British Medical Association (BMA), many transplant surgeons, and some patients' groups and politicians are keen to see Britain adopt a system of "presumed consent", where it is assumed that an individual wishes to be a donor unless he or she has "opted out" by registering their objection to donation after their death...
Selected response from:

Lancashireman
United Kingdom
Local time: 11:26
Grading comment
Thanks, this works well. Now that I know what I'm looking for, I've dound this term used a lot. I also like the use of 'model'.
4 KudoZ points were awarded for this answer



Summary of answers provided
3 +3informed-decision option (solution)
Steffen Walter
4 +1opt-in system
Lancashireman
3self-declaration option (solution)
Michael Martin, MA


Discussion entries: 3





  

Answers


1 hr   confidence: Answerer confidence 3/5Answerer confidence 3/5 peer agreement (net): +3
informed-decision option (solution)


Explanation:
... also springs to mind when reading the explanation at http://bundesgesundheitsministerium.de/ministerium/presse/pr...

The opposite would be the "Widerspruchslösung", i.e. individuals have to explicitly object to having their organs donated. If they don't, they are routinely considered potential organ donors.

Steffen Walter
Germany
Local time: 12:26
Works in field
Native speaker of: Native in GermanGerman
PRO pts in category: 149
Notes to answerer
Asker: Thanks, Steffen. That is also a good solution.


Peer comments on this answer (and responses from the answerer)
agree  Ramey Rieger (X): fills the bill nicely
17 mins
agree  writeaway: http://www.wellcomecollection.org/whats-on/events/in-or-out/...
3 hrs
agree  Lancashireman: with 'informed consent' (as in writeaway's link)
4 hrs
  -> Yes, that'd be better than "informed decision".
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3 hrs   confidence: Answerer confidence 4/5Answerer confidence 4/5 peer agreement (net): +1
opt-in system


Explanation:
It sounds like they have reaffirmed the 'opt-in system' over the 'presumed consent' (opt-out)

See: http://www.organdonation.nhs.uk/newsroom/statements_and_stan...
The current "opt-in" system of organ donation – where individuals are asked to register their willingness to be a donor after their death – has been the subject of debate for many years.
Due to the serious shortage of organ donors and consequent waiting lists for transplant operations in the UK, it is often suggested that the altruistic approach to organ donation is in need of review.
The British Medical Association (BMA), many transplant surgeons, and some patients' groups and politicians are keen to see Britain adopt a system of "presumed consent", where it is assumed that an individual wishes to be a donor unless he or she has "opted out" by registering their objection to donation after their death...


Lancashireman
United Kingdom
Local time: 11:26
Specializes in field
Native speaker of: Native in EnglishEnglish
PRO pts in category: 208
Grading comment
Thanks, this works well. Now that I know what I'm looking for, I've dound this term used a lot. I also like the use of 'model'.

Peer comments on this answer (and responses from the answerer)
agree  Steffen Walter: A good solution, too (if not better than mine): "opt-in system" or "opt-in model".
1 hr
  -> Thanks, Steffen. I like the idea of 'model' as a translation of 'Lösung'.
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32 mins   confidence: Answerer confidence 3/5Answerer confidence 3/5
self-declaration option (solution)


Explanation:
Reminds me of the system used in the US whereby applicants for a drivers license in most states are asked to indicate whether they want to be organ donors or not.

For more on the topic, see below:


--------------------------------------------------
Note added at 18 hrs (2013-04-15 06:30:29 GMT)
--------------------------------------------------

I thought the whole point of the 2012 amendment was for the German government to utilize a mechanism that would prompt its citizens to declare their donor status at more predictable rate rather than having to wait around for them to make up their minds in their own time. I would argue, therefore, that Entscheidungslösung puts decision-making front and center. In other words, lawmakers selected a solution which, while stopping short of making it a requirement, nudged people toward making choices. It was hoped that this would bring Germany in line with practices in other countries and increase numbers of organ donors. Therefore, I am not sure that Entscheidungslösung says anything about “options”, “information” or “consent”. I would probably get rid of “option” and use the term “self-declaration (solution)” instead. As for “informed consent”, that sounds like a vague reference to what has been a requirement for organ donation all along (before and after the amendment) irrespective of whether people requested to be listed as donors or whether the government (Krankenkassen) asked them to declare their status.

“Was ist anders an der „Entscheidungslösung“ im Vergleich zur bisherigen Regelung? - Neu ist, dass die Krankenversicherungen ihre Versicherten, die das 16. Lebensjahr vollendet haben, in regelmäßigen Abständen auffordern, eine Entscheidung zur Organ- und Gewebespende zu treffen.“
http://www.dso.de/dso-pressemitteilungen/einzelansicht/artic...



    Reference: http://www.dw.de/germany-lags-behind-in-organ-donations/a-16...
Michael Martin, MA
United States
Local time: 06:26
Specializes in field
Native speaker of: Native in GermanGerman, Native in EnglishEnglish
PRO pts in category: 76
Notes to answerer
Asker: Thanks for the information, Michael.

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