Pub Date : 2023-04-18DOI: 10.1016/j.meddro.2023.04.001
Clotilde Bricot (Doctorante contractuelle)
The DNA is now seen as irrefutable proof, both by actors on the ground and by civil society in general, especially in criminal matters. Nevertheless, although it's valuable in some cases, the DNA evidence cannot be described as infallible. It has many limitations, in particular as regards fundamental freedoms.
{"title":"Les empreintes génétiques et les limites de l’expertise","authors":"Clotilde Bricot (Doctorante contractuelle)","doi":"10.1016/j.meddro.2023.04.001","DOIUrl":"10.1016/j.meddro.2023.04.001","url":null,"abstract":"<div><p>The DNA is now seen as irrefutable proof, both by actors on the ground and by civil society in general, especially in criminal matters. Nevertheless, although it's valuable in some cases, the DNA evidence cannot be described as infallible. It has many limitations, in particular as regards fundamental freedoms.</p></div>","PeriodicalId":41275,"journal":{"name":"Medecine & Droit","volume":"2023 183","pages":"Pages 101-107"},"PeriodicalIF":0.2,"publicationDate":"2023-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126453634","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-04-01DOI: 10.1016/j.meddro.2022.11.004
Clotilde Rougé-Maillart (Professeur de médecine légale et droit de la santé)
Until very recently, the decision to donate a body to science was governed solely by the funeral policy. There was no legal framework setting out how such bodies were to be used. The Descartes mass grave scandal set in motion a process of reflection that led to the introduction of several provisions in the French Public Health Code. Reception facilities must now be licensed and have governance in place. Use may only be made of bodies once plans have been reviewed by scientific and educational ethics committees, and donors must be better informed as to how their bodies will be used. Families are given wider scope for inclusion, meaning that they can be notified of the wishes of the deceased, and of the possibility of having the body returned to them for burial. These long-awaited legal provisions are a real step forward. However, it is unfortunate that this work did not provide an opportunity for wider reflection on the use of bodies, particularly for research purposes. In fact, the provisions and supervisory bodies change according to whether the ultimate goal is research on bodies arising from a donation, research on samples, or research on brain-dead persons. It would have been worthwhile to standardize procedures and control bodies, and perhaps to include research on antique corpses in this reflection.
{"title":"Le don du corps à la science enfin encadré juridiquement","authors":"Clotilde Rougé-Maillart (Professeur de médecine légale et droit de la santé)","doi":"10.1016/j.meddro.2022.11.004","DOIUrl":"https://doi.org/10.1016/j.meddro.2022.11.004","url":null,"abstract":"<div><p>Until very recently, the decision to donate a body to science was governed solely by the funeral policy. There was no legal framework setting out how such bodies were to be used. The Descartes mass grave scandal set in motion a process of reflection that led to the introduction of several provisions in the French Public Health Code. Reception facilities must now be licensed and have governance in place. Use may only be made of bodies once plans have been reviewed by scientific and educational ethics committees, and donors must be better informed as to how their bodies will be used. Families are given wider scope for inclusion, meaning that they can be notified of the wishes of the deceased, and of the possibility of having the body returned to them for burial. These long-awaited legal provisions are a real step forward. However, it is unfortunate that this work did not provide an opportunity for wider reflection on the use of bodies, particularly for research purposes. In fact, the provisions and supervisory bodies change according to whether the ultimate goal is research on bodies arising from a donation, research on samples, or research on brain-dead persons. It would have been worthwhile to standardize procedures and control bodies, and perhaps to include research on antique corpses in this reflection.</p></div>","PeriodicalId":41275,"journal":{"name":"Medecine & Droit","volume":"2023 179","pages":"Pages 27-32"},"PeriodicalIF":0.2,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49816297","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-04-01DOI: 10.1016/j.meddro.2022.12.002
Philippe Cournarie
The following reflections have to do with the "end of life" and are presented here as a lecture addressed to high school and preparatory school student attending a Parisian institute. They were developed with the aim of finding where a current citizens' debate called for by the executive branch and timeless, age-old questions might overlap. When we begin to ponder ultimates such as birth or death, we owe it to ourselves to take into consideration all the nuances involved; this is the only way to process the complexity of these topics. The goals of this course are, first of all, to situate the current debate within the ethical and juridical history of France, and then proceed towards making necessary conceptual distinctions. Finally, we will consider, as much as possible, what is at stake with the options at hand.
{"title":"Réflexions sur la fin de vie","authors":"Philippe Cournarie","doi":"10.1016/j.meddro.2022.12.002","DOIUrl":"https://doi.org/10.1016/j.meddro.2022.12.002","url":null,"abstract":"<div><p>The following reflections have to do with the \"end of life\" and are presented here as a lecture addressed to high school and preparatory school student attending a Parisian institute. They were developed with the aim of finding where a current citizens' debate called for by the executive branch and timeless, age-old questions might overlap. When we begin to ponder ultimates such as birth or death, we owe it to ourselves to take into consideration all the nuances involved; this is the only way to process the complexity of these topics. The goals of this course are, first of all, to situate the current debate within the ethical and juridical history of France, and then proceed towards making necessary conceptual distinctions. Finally, we will consider, as much as possible, what is at stake with the options at hand.</p></div>","PeriodicalId":41275,"journal":{"name":"Medecine & Droit","volume":"2023 179","pages":"Pages 33-40"},"PeriodicalIF":0.2,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49816299","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-04-01DOI: 10.1016/j.meddro.2022.11.002
Frédérique Lesaulnier (Docteure en droit, déléguée à la protection des données de l’Institut du cerveau)
Medical research collects a huge number of medical data sheltered in Data Centers. An European regulation rule (GDRP) or General Data Protection Regulation aims to give an ethic frame to protect personal data and delegate responsability to citizens.
{"title":"Valorisation de la recherche en santé humaine et protection des données à l’ère du numérique","authors":"Frédérique Lesaulnier (Docteure en droit, déléguée à la protection des données de l’Institut du cerveau)","doi":"10.1016/j.meddro.2022.11.002","DOIUrl":"https://doi.org/10.1016/j.meddro.2022.11.002","url":null,"abstract":"<div><p>Medical research collects a huge number of medical data sheltered in Data Centers. An European regulation rule (GDRP) or General Data Protection Regulation aims to give an ethic frame to protect personal data and delegate responsability to citizens.</p></div>","PeriodicalId":41275,"journal":{"name":"Medecine & Droit","volume":"2023 179","pages":"Pages 21-26"},"PeriodicalIF":0.2,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49769701","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-02-01DOI: 10.1016/j.meddro.2022.11.003
Arnaud Léger , Cécile Manaouil (Membre de la commission de conciliation et d’indemnisation de Picardie et de la commission nationale des accidents médicaux) , Dominique Montpellier (Membre de la commission de conciliation et d’indemnisation de Picardie) , Marie-Laure Moquet-Anger (Professeur agrégé de droit public) , Philippe Pierre (Directeur de l’Axe Responsabilité/Sécurité de l’IODE (UMR CNRS 6262))
Despite the appearance from the Mesopotamian era of medical responsibility, an apparent impunity of the doctor will be in place until the 19th century. In France, it will be necessary to wait for the Napoleonic codes of 1804 and 1810 in order to clearly dissociate the civil and criminal responsibilities of the doctor. If liability for fault remains the rule in medical matters today, the concept of liability without fault introduced by the industrial revolution and the legislation on industrial accidents was taken up by the Kouchner law of 2002. It definitively opens the way to a statutory and legal compensation for non-faulty medical accidents under national solidarity via the National Office for Compensation for Medical Accidents (ONIAM) and the Conciliation and Compensation Commissions (CCI). Expertise in medical liability is now the backbone of the victim compensation process. It guides the magistrate in the recognition of faulty or non-faulty medical liability and helps him to set the amount of compensation allocated with regard to bodily injury.
{"title":"Responsabilité médicale et expertise : de la loi du Talion à la loi Kouchner","authors":"Arnaud Léger , Cécile Manaouil (Membre de la commission de conciliation et d’indemnisation de Picardie et de la commission nationale des accidents médicaux) , Dominique Montpellier (Membre de la commission de conciliation et d’indemnisation de Picardie) , Marie-Laure Moquet-Anger (Professeur agrégé de droit public) , Philippe Pierre (Directeur de l’Axe Responsabilité/Sécurité de l’IODE (UMR CNRS 6262))","doi":"10.1016/j.meddro.2022.11.003","DOIUrl":"https://doi.org/10.1016/j.meddro.2022.11.003","url":null,"abstract":"<div><p>Despite the appearance from the Mesopotamian era of medical responsibility, an apparent impunity of the doctor will be in place until the 19th century. In France, it will be necessary to wait for the Napoleonic codes of 1804 and 1810 in order to clearly dissociate the civil and criminal responsibilities of the doctor. If liability for fault remains the rule in medical matters today, the concept of liability without fault introduced by the industrial revolution and the legislation on industrial accidents was taken up by the Kouchner law of 2002. It definitively opens the way to a statutory and legal compensation for non-faulty medical accidents under national solidarity via the National Office for Compensation for Medical Accidents (ONIAM) and the Conciliation and Compensation Commissions (CCI). Expertise in medical liability is now the backbone of the victim compensation process. It guides the magistrate in the recognition of faulty or non-faulty medical liability and helps him to set the amount of compensation allocated with regard to bodily injury.</p></div>","PeriodicalId":41275,"journal":{"name":"Medecine & Droit","volume":"2023 178","pages":"Pages 7-12"},"PeriodicalIF":0.2,"publicationDate":"2023-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49795674","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-02-01DOI: 10.1016/j.meddro.2022.10.003
Rodolfo Gutiérrez Silva
Background
The Covid-19 pandemic has brought new challenges to the health systems of Latin America. However, the institutions and mechanisms created by the Social State of Law were unable to confront these new risks. As a result of that, populist governments have used this crisis as an opportunity to deepen the high levels of inequalities through the appropriation of power, wealth and social welfare. Courts have also reacted in order to guarantee the right to health; however, many challenges remain.
Objective
To examine the challenges and opportunities of the judicial protection of the right to health in the context of Covid-19 and Populism in Brazil.
Methodology
Qualitative, descriptive and exploratory. Documentary research was carried out by reviewing databases such as Scholar, PubMed, and Scopus. Indexed articles, jurisprudence, legislation, and literature were also reviewed. Additional publications were also identified through other sources.
Results
There is an inversely proportional relationship between the intensity of the crisis and the level of judicial activism on the part of the Courts. Therefore, the more the scale and intensity of the crisis generated by populist governments in the context of pandemics, uncertainty, and inequality the more reflexive, and strategic courts should be and the more protection, defense and monitoring should be promoted in order to ensure the fulfilment of the right to the highest attainable level of health especially of the most vulnerable. On the other hand, the more compliance through the availability of health goods and services, and the more availability of health workers with better salaries, social security and working conditions the more resilient the State will be to face emergencies, which at the same time will promote fewer restrictions on fundamental rights.
Conclusions
Courts play a special role in protecting the right to health, especially in the context of emergencies and crises. States must adopt measures by using the maximum available resources in order to protect the right to the highest attainable standard of health.
{"title":"Judicial protection of the right to health in the context of Covid-19 and populism in Brazil","authors":"Rodolfo Gutiérrez Silva","doi":"10.1016/j.meddro.2022.10.003","DOIUrl":"10.1016/j.meddro.2022.10.003","url":null,"abstract":"<div><h3>Background</h3><p>The Covid-19 pandemic has brought new challenges to the health systems of Latin America. However, the institutions and mechanisms created by the Social State of Law were unable to confront these new risks. As a result of that, populist governments have used this crisis as an opportunity to deepen the high levels of inequalities through the appropriation of power, wealth and social welfare. Courts have also reacted in order to guarantee the right to health; however, many challenges remain.</p></div><div><h3>Objective</h3><p>To examine the challenges and opportunities of the judicial protection of the right to health in the context of Covid-19 and Populism in Brazil.</p></div><div><h3>Methodology</h3><p>Qualitative, descriptive and exploratory. Documentary research was carried out by reviewing databases such as Scholar, PubMed, and Scopus. Indexed articles, jurisprudence, legislation, and literature were also reviewed. Additional publications were also identified through other sources.</p></div><div><h3>Results</h3><p>There is an inversely proportional relationship between the intensity of the crisis and the level of judicial activism on the part of the Courts. Therefore, the more the scale and intensity of the crisis generated by populist governments in the context of pandemics, uncertainty, and inequality the more reflexive, and strategic courts should be and the more protection, defense and monitoring should be promoted in order to ensure the fulfilment of the right to the highest attainable level of health especially of the most vulnerable. On the other hand, the more compliance through the availability of health goods and services, and the more availability of health workers with better salaries, social security and working conditions the more resilient the State will be to face emergencies, which at the same time will promote fewer restrictions on fundamental rights.</p></div><div><h3>Conclusions</h3><p>Courts play a special role in protecting the right to health, especially in the context of emergencies and crises. States must adopt measures by using the maximum available resources in order to protect the right to the highest attainable standard of health.</p></div>","PeriodicalId":41275,"journal":{"name":"Medecine & Droit","volume":"2023 178","pages":"Pages 13-19"},"PeriodicalIF":0.2,"publicationDate":"2023-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42041154","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-02-01DOI: 10.1016/j.meddro.2022.10.001
Andreas-Nikolaos Koukoulis (Maître de conférences adjoint à la Faculté de droit de l’Université de Thrace/Chercheur postdoctoral à la Faculté de droit de l’Université d’Athènes)
Medically assisted reproduction offers a technique that allows to have children of a recently deceased person. This is provided for in the Hellenic Civil Code. This article analyzes and criticizes the conditions of post-mortem assisted reproduction according to the Hellenic Civil Code.
{"title":"La fécondation artificielle post-mortem dans le Code civil Hellénique","authors":"Andreas-Nikolaos Koukoulis (Maître de conférences adjoint à la Faculté de droit de l’Université de Thrace/Chercheur postdoctoral à la Faculté de droit de l’Université d’Athènes)","doi":"10.1016/j.meddro.2022.10.001","DOIUrl":"https://doi.org/10.1016/j.meddro.2022.10.001","url":null,"abstract":"<div><p>Medically assisted reproduction offers a technique that allows to have children of a recently deceased person. This is provided for in the Hellenic Civil Code. This article analyzes and criticizes the conditions of post-mortem assisted reproduction according to the Hellenic Civil Code.</p></div>","PeriodicalId":41275,"journal":{"name":"Medecine & Droit","volume":"2023 178","pages":"Pages 3-6"},"PeriodicalIF":0.2,"publicationDate":"2023-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49795731","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-12-01DOI: 10.1016/j.meddro.2022.09.002
François Vialla (Professeur de Droit privé et sciences criminelles, Directeur du Centre Européen d’Études et de Recherche Droit&Santé, Professeur des universités, Directeur de l’École de Droit de la Santé)
After a twenty-year hiatus, the issue of transfusion refusal issued by Jehovah's Witnesses comes up in legal news with the decision of May 20, 2022 rendered by the Council of State. During these 20 years the rights of patients and the autonomy of the person have been considerably strengthened. Although the refusal of treatment is clearly stated in the law, the High Administrative Court nevertheless maintains its position.
{"title":"Refus transfusionnel","authors":"François Vialla (Professeur de Droit privé et sciences criminelles, Directeur du Centre Européen d’Études et de Recherche Droit&Santé, Professeur des universités, Directeur de l’École de Droit de la Santé)","doi":"10.1016/j.meddro.2022.09.002","DOIUrl":"10.1016/j.meddro.2022.09.002","url":null,"abstract":"<div><p>After a twenty-year hiatus, the issue of transfusion refusal issued by Jehovah's Witnesses comes up in legal news with the decision of May 20, 2022 rendered by the Council of State. During these 20 years the rights of patients and the autonomy of the person have been considerably strengthened. Although the refusal of treatment is clearly stated in the law, the High Administrative Court nevertheless maintains its position.</p></div>","PeriodicalId":41275,"journal":{"name":"Medecine & Droit","volume":"2022 177","pages":"Pages 95-107"},"PeriodicalIF":0.2,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130878364","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-12-01DOI: 10.1016/j.meddro.2022.09.001
Olivia Sarton (Juriste, Directrice scientifique de Juristes pour l’enfance)
As hundreds of so-called transgender children and teenagers enter “medical transition” processes with serious consequences, the relevance of the application of the rules of the Public Health Code relating to patient information and consent must be questioned : to what extent are these young minors capable of understanding the information provided and giving free and informed consent to these programmes?
The medical controversies that have arisen concerning the consequences of the medical transition processes, the experimental nature of which has been pointed out, raise serious doubts about the quality, reliability and fairness of the information given. Furthermore, is the complexity of the information communicated to minors who have no life experience, the eagerness of young patients, the influence of social networks, and the censure attached to possible therapeutic alternatives compatible with the capacity to give free and informed consent?
Finally, if it is not a question of treating a pathology but of “concretising the right to self-determination”, can we still claim the application of rules specific to the medical field? If there is no medical necessity or very serious medical reason, is it legitimate to accede to a minor's request to irreversibly damage his or her body?
In the UK, a thousand families are reportedly preparing to take legal action for medical negligence, alleging that their vulnerable children have been misdiagnosed and placed on a damaging medical transition course. Yet these minors had been found to be ‘consenting’.
It is time to weigh up the relevance of the sacredness of the minor's consent.
{"title":"Un mineur peut-il consentir à un parcours de transition médicale?","authors":"Olivia Sarton (Juriste, Directrice scientifique de Juristes pour l’enfance)","doi":"10.1016/j.meddro.2022.09.001","DOIUrl":"10.1016/j.meddro.2022.09.001","url":null,"abstract":"<div><p>As hundreds of so-called transgender children and teenagers enter “medical transition” processes with serious consequences, the relevance of the application of the rules of the Public Health Code relating to patient information and consent must be questioned : to what extent are these young minors capable of understanding the information provided and giving free and informed consent to these programmes?</p><p>The medical controversies that have arisen concerning the consequences of the medical transition processes, the experimental nature of which has been pointed out, raise serious doubts about the quality, reliability and fairness of the information given. Furthermore, is the complexity of the information communicated to minors who have no life experience, the eagerness of young patients, the influence of social networks, and the censure attached to possible therapeutic alternatives compatible with the capacity to give free and informed consent?</p><p>Finally, if it is not a question of treating a pathology but of “concretising the right to self-determination”, can we still claim the application of rules specific to the medical field? If there is no medical necessity or very serious medical reason, is it legitimate to accede to a minor's request to irreversibly damage his or her body?</p><p>In the UK, a thousand families are reportedly preparing to take legal action for medical negligence, alleging that their vulnerable children have been misdiagnosed and placed on a damaging medical transition course. Yet these minors had been found to be ‘consenting’.</p><p>It is time to weigh up the relevance of the sacredness of the minor's consent.</p></div>","PeriodicalId":41275,"journal":{"name":"Medecine & Droit","volume":"2022 177","pages":"Pages 89-94"},"PeriodicalIF":0.2,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130094472","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}