European Union Rights and Values in Human Health

A. D. Ruijter
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Abstract

This book looks at the impact of the expanding power of the EU in terms of fundamental rights and values. The current chapter lays down the framework for this analysis. Law did not always have a central role to play in the context of medicine and health. The role of law grew after the Second Word War and the Nuremberg Doctors Trials (1947), in which preventing the repetition of atrocities that were committed in the name of medicine became a guidepost for future law regarding patients’ rights and bioethics. In the period after the War, across the EU Member States, health law developed as a legal discipline in which a balance was struck in medicine and public health between law, bioethics, and fundamental rights. The role of EU fundamental rights protections in the context of public health and health care developed in relation with the growth of multilevel governance and litigation (national, international, Council of Europe, and European Union). For the analysis here, this chapter develops an EU rights and values framework that goes beyond the strictly legal and allows for a ‘normative language’ that takes into consideration fundamental rights as an expression of important shared values in the context of the European Union. The perspective of EU fundamental rights and values can demonstrate possible tensions caused by EU health policy: implications in terms of fundamental rights can show how highly sensitive national policy issues may be affected by the Member States’ participation in EU policymaking activities.
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欧洲联盟人类健康的权利和价值
这本书着眼于欧盟在基本权利和价值观方面不断扩大的权力所带来的影响。本章为这一分析奠定了框架。法律并不总是在医学和卫生方面发挥核心作用。在第二次世界大战和纽伦堡医生审判(1947年)之后,法律的作用得到了加强,在这场审判中,防止以医学名义犯下的暴行的重演成为未来有关患者权利和生物伦理的法律的路标。在战后时期,在整个欧盟成员国,卫生法发展成为一门法律学科,在医学和公共卫生方面在法律、生物伦理和基本权利之间取得了平衡。随着多层次治理和诉讼(国家、国际、欧洲委员会和欧洲联盟)的增长,欧盟在公共卫生和保健方面保护基本权利的作用得到了发展。对于这里的分析,本章发展了一个超越严格法律的欧盟权利和价值观框架,并允许一种“规范性语言”,将基本权利考虑为欧盟背景下重要的共同价值观的表达。欧盟基本权利和价值观的观点可以表明欧盟卫生政策可能造成的紧张局势:基本权利方面的影响可以表明,成员国参与欧盟决策活动可能对高度敏感的国家政策问题产生怎样的影响。
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