Special Leave for Living Organ and Bone Marrow Donors Available in Three Months
It will cover 100% of the donor's work absences, from the first report to recovery after extraction, and will safeguard their employment.
Alfonso Torices
Madrid
Thursday, 12 December 2024, 13:25
Living organ donors will be entitled to request special leave and permission within three months, before the end of March, ensuring they do not suffer any loss of salary or income, nor any disruption in their job due to their generosity. This is the time frame lawmakers deem necessary for Social Security and ministries to prepare for its implementation following its imminent publication in the BOE.
The Congress of Deputies, without the votes of PP or Vox, today definitively approved the law creating these specific and paid work licenses to protect those who donate organs in life to enable a kidney or liver transplant, and those who provide stem cells for bone marrow transplants, as well as citizens who donate tissues, such as skin or bone, for grafts.
The Congress plenary session today approved this law, without the votes of PP and Vox, promoted by the socialist group and demanded by patients and ONT.
The approved regulation arises from a PSOE bill aimed at ensuring that this act of absolute altruism, which often saves the life of a relative or close one, does not entail any labor or economic cost for the donor, a situation not guaranteed by current legislation. It is a reform demanded for years by patient associations and the National Transplant Organization (ONT), understanding that many of these citizens suffer inconveniences and headaches at work and in life due to their generosity.
The legal reform guarantees that any person will receive 100% of their salary for all the days they need to be absent from work to make the donation (from the first management to the last day of recovery) and that none of these absences can cause them any labor disadvantage, much less dismissal. The new benefits not only aim to prevent harm and provide security to the living donor but also aspire to encourage this type of organ, stem cell, and tissue donations, which in Spain enable nearly 1,000 transplants and grafts each year.
Two mechanisms
The regulation foresees two reforms. The first provides legal and economic coverage for all necessary work absences to carry out the initial phase of donation, the preparations. The Workers' Statute and the Public Employee Statute will include a paid and mandatory leave covering all necessary absences (hours or days) to receive information about the donation and its consequences, conduct reports and medical examinations to determine suitability and compatibility as a donor, and to materialize "express, free, and conscious" consent before the judge.
The second reform will amend the laws regulating the different Social Security regimes to create a new special situation of temporary incapacity for the living donor to cover the entire convalescence, from medical preparation for tissue, marrow, or organ extraction (or fragment, in the case of the liver) until recovery from surgery or the necessary clinical procedure and discharge. This medical leave, it specifies, will not require any minimum contribution period to apply, will cover 100% of the salary from the first to the last day, and will pay for both uninterrupted and discontinuous incapacity days.
The reform is necessary because the current legislation guarantees Spaniards who make such donations only ordinary medical leave from admission for surgery or extraction until discharge, with the possible loss of the first days of salary and without legal or economic coverage or protection against dismissals due to the many work absences required by these medical, legal, and administrative preliminaries.
They make possible more than 800 transplants each year
Living donation is a modest part of the activity of Spanish transplant teams - whose main source is authorizations for extraction from relatives of deceased individuals - but it is becoming increasingly significant. Spain has been the world leader in organ donations for over thirty years and performed nearly 6,000 transplants in 2023, making it the second country with the highest activity in this type of surgery, only behind the United States.
It was living organ donors who enabled 433 of the 3,688 kidney transplants performed last year, 12% of the total. And something even more important. Kidney donations in life increased by 24% in just twelve months. Contributions of liver fragments (with greater risk and consequences for the donor) are still anecdotal. In 2023, they enabled two transplants, 0.15% of the 1,262 liver transplants. Living organ donors have made nearly 6,500 transplants possible in Spain over the past 35 years.
Bone marrow donation for transplantation to a third party helps combat serious ailments such as leukemia, lymphoma, aplasia, or immunodeficiencies. Spain is the sixth European country with the most registered donors, and last year Spaniards made 396 effective stem cell donations for transplantation in our country or anywhere else in the world where needed. Not counting the grafts enabled by third-party contributions of skin and bone, Spanish living organ and marrow donors made more than 800 transplants possible last year.