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Mutual Deference Between Hospitals and Courts 医院和法院之间的相互尊重
Pub Date : 2021-07-01 DOI: 10.52214/cjrl.v11i3.8750
Clara Presler
This Article explores the phenomenon of “mutual deference” between the medical and legal systems to show that placing mandated reporting responsibilities on clinicians results in lasting harm for families. On the medical side, clinicians are obligated to defer any “reasonable suspicion” that a child may be at risk to the legal system; their concern may be mild or severe, medical or nonmedical in nature. But the legal system, comprised of lay-people in the field of medicine, is illequipped to evaluate a medical concern, and so defers back to the clinician’s report when making critical decisions around family integrity. Thisdeference often functions to elevate a clinician’s “reasonable suspicion” to a finding of “imminent risk,” justifying needless and prolonged separation of families. More systemically, mutual deference creates and reinforces medical and legal associations between low-income communities of color and notions of child maltreatment. Mutual deference insulates the medical reporter and the legal system from liability while imposing tremendous harm on the families caught in the middle. That mandated reporting laws discourage clinicians from considering this harm when deciding whether to report a family reflects the extent to which the family regulation system has prioritized prosecution over supporting families. Efforts to re-envision how society’s support for and protection of families can move away from state-sanctioned violence and towards strengthening families within their communities must begin with removing mandated reporter responsibilities from medical providers.
本文探讨了医疗和法律系统之间的“相互尊重”现象,以表明将强制性报告责任置于临床医生身上会对家庭造成持久伤害。在医疗方面,临床医生有义务将任何关于儿童可能面临风险的“合理怀疑”推迟到法律体系;他们的担忧可能是轻微的或严重的,医疗或非医疗性质的。但是,由医学领域的外行组成的法律体系没有能力对医疗问题进行评估,因此,在做出有关家庭完整性的关键决定时,还是要听从临床医生的报告。这种尊重通常会将临床医生的“合理怀疑”提升为“迫在眉睫的风险”,为不必要的和长期的家庭分离辩护。更系统的是,相互尊重创造并加强了低收入有色人种社区和虐待儿童观念之间的医学和法律联系。相互尊重使医疗记者和法律系统免于承担责任,却给夹在中间的家庭造成了巨大的伤害。强制性报告法律阻止临床医生在决定是否报告家庭时考虑这种伤害,这反映了家庭监管系统在多大程度上优先考虑起诉而不是支持家庭。重新设想社会对家庭的支持和保护如何从国家批准的暴力转向加强社区内的家庭,必须从取消医疗提供者的强制性报告责任开始。
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引用次数: 2
Closing Remarks 闭幕词
Pub Date : 2021-06-01 DOI: 10.52214/cjrl.v11i2.8739
Alexis Hoag
On November 20–21, 2020, the Columbia Journal of Race and Law hosted a virtual two-day symposium entitled How the Law Underdeveloped Racial Minorities in the United States. Broadly, the theory of underdevelopment looks at the standard of life in a nation as a measure of that country’s economic conditions. The application of this theory in the context of the law and as a measure of the quality of life of racial minorities stems from Professor Manning Marable’s work on capitalism and the economic and social conditions of Black Americans. In her Closing Remarks, Professor Alexis Hoag provided context for the contemporary application of Professor Marable’s theory in light of current events, exploring the Coronavirus pandemic, the Black Lives Matter Movement, and the 2020 Presidential Election. She then introduced carceral abolition as a theoretical and practical framework to understand the law’s underdevelopment of Black people and to help address the criminal legal system’s disparate impact on racial minorities.
2020年11月20日至21日,《哥伦比亚大学种族与法律杂志》举办了一场为期两天的虚拟研讨会,题为“法律如何发展美国的少数民族”。广义地说,欠发达理论把一个国家的生活水平作为衡量这个国家经济状况的标准。这一理论在法律背景下的应用,以及作为衡量少数种族生活质量的标准,源于曼宁·马拉布尔教授关于资本主义和美国黑人经济和社会状况的研究。在她的闭幕词中,亚历克西斯·霍格教授根据当前事件为马拉博教授的理论的当代应用提供了背景,探讨了冠状病毒大流行、黑人生命也重要运动和2020年总统大选。然后,她将废除监禁作为一个理论和实践框架,以了解法律对黑人的不发达,并帮助解决刑事法律体系对少数种族的不同影响。
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引用次数: 0
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Columbia Journal of Race and Law
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