The coronavirus pandemic has brought back the question in Western countries of the solidity of their health systems. This article discusses Friedman's 1962 piece of work, “Capitalism and Freedom”, and more specifically his presentation based on American occupational licensure. This research insists beyond the complexity of “de-licensing laws” passed for some U.S. health care facilities, on the consequences of a parasitic competition on health care ethics.
{"title":"Les grands magasins de la médecine de Milton Friedman","authors":"Mathieu Ginier-Gillet (Omnipraticien, Chercheur indépendant)","doi":"10.1016/j.meddro.2020.07.002","DOIUrl":"10.1016/j.meddro.2020.07.002","url":null,"abstract":"<div><p>The coronavirus pandemic has brought back the question in Western countries of the solidity of their health systems. This article discusses Friedman's 1962 piece of work, “Capitalism and Freedom”, and more specifically his presentation based on American occupational licensure. This research insists beyond the complexity of “de-licensing laws” passed for some U.S. health care facilities, on the consequences of a parasitic competition on health care ethics.</p></div>","PeriodicalId":41275,"journal":{"name":"Medecine & Droit","volume":"2020 165","pages":"Pages 150-152"},"PeriodicalIF":0.2,"publicationDate":"2020-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.meddro.2020.07.002","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44984007","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-12-01DOI: 10.1016/j.meddro.2020.07.003
Alice Milon (médecin légiste) , Renaud Bouvet (médecin légiste, docteur en droit)
If the criminal liability remains personal, recent case law has tended to broaden the hypotheses for the doctor's criminal liability in the case of unintentional offenses. The question particularly concerns the psychiatrist, because of acts committed by his patient, on the basis of articles 221-6 or 222-19 of the French penal code. However, judicial assessment of the fault and its causal link with the damage does not impose on the psychiatrist an obligation of result, insofar as only serious professional misconduct, manifestly not in accordance with the rules of medical art, are sanctioned.
{"title":"La responsabilité pénale du psychiatre du fait de son patient","authors":"Alice Milon (médecin légiste) , Renaud Bouvet (médecin légiste, docteur en droit)","doi":"10.1016/j.meddro.2020.07.003","DOIUrl":"10.1016/j.meddro.2020.07.003","url":null,"abstract":"<div><p>If the criminal liability remains personal, recent case law has tended to broaden the hypotheses for the doctor's criminal liability in the case of unintentional offenses. The question particularly concerns the psychiatrist, because of acts committed by his patient, on the basis of articles 221-6 or 222-19 of the French penal code. However, judicial assessment of the fault and its causal link with the damage does not impose on the psychiatrist an obligation of result, insofar as only serious professional misconduct, manifestly not in accordance with the rules of medical art, are sanctioned.</p></div>","PeriodicalId":41275,"journal":{"name":"Medecine & Droit","volume":"2020 165","pages":"Pages 135-140"},"PeriodicalIF":0.2,"publicationDate":"2020-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.meddro.2020.07.003","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45001209","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 : 2020-12-01DOI: 10.1016/j.meddro.2020.05.004
Khaled Annabi (Médecin résident en médecine légale) , Elyes Turki (Médecin assistant en médecine légale) , Amal Ben Daly (Médecin résidente en médecine légale) , Mohamed Ben Dhiab (Professeur en Médecine Légale)
Circumcision is the most frequently performed surgical procedure worldwide, mainly as part of religious rituals. It may lead to serious complications. Although there is no specific law relative to circumcision accidents in Tunisia, the occurrence of complications of this act is likely to engage the penal, civil and disciplinary liability of the doctor. Prevention involves respecting the principles of the Medical Deontology Code, raising awareness about the need to practice circumcision in a medical environment and the promulgation of specific legislation regulating this act. The new Tunisian law on medical liability seems to offer a solution to solve the legal complaints concerning circumcision accidents by providing more opportunities for amicable settlement and at the same time guaranteeing adequate and rapid compensation of the prejudice. In this article, we discuss the medical liability of circumcision accidents through three medicolegal cases carried out at the Department of Legal Medicine of Ibn El Jazzar University Hospital, Kairouan, Tunisia.
包皮环切术是世界上最常见的外科手术,主要作为宗教仪式的一部分。它可能会导致严重的并发症。虽然突尼斯没有关于包皮环切事故的具体法律,但这种行为的并发症的发生很可能使医生承担刑事、民事和纪律责任。预防包括尊重《医疗义务法典》的原则,提高人们对在医疗环境中实施包皮环切术必要性的认识,以及颁布规范这一行为的具体立法。突尼斯关于医疗责任的新法律似乎提供了一种解决包皮环切事故的法律申诉的办法,为友好解决提供了更多的机会,同时保证对偏见给予充分和迅速的赔偿。在本文中,我们通过在突尼斯凯鲁万Ibn El Jazzar大学医院法医学部门进行的三个医学法律案例来讨论包皮环切事故的医疗责任。
{"title":"La responsabilité médicale des accidents de la circoncision en Tunisie : à propos de trois affaires judiciaires","authors":"Khaled Annabi (Médecin résident en médecine légale) , Elyes Turki (Médecin assistant en médecine légale) , Amal Ben Daly (Médecin résidente en médecine légale) , Mohamed Ben Dhiab (Professeur en Médecine Légale)","doi":"10.1016/j.meddro.2020.05.004","DOIUrl":"10.1016/j.meddro.2020.05.004","url":null,"abstract":"<div><p>Circumcision is the most frequently performed surgical procedure worldwide, mainly as part of religious rituals. It may lead to serious complications. Although there is no specific law relative to circumcision accidents in Tunisia, the occurrence of complications of this act is likely to engage the penal, civil and disciplinary liability of the doctor. Prevention involves respecting the principles of the Medical Deontology Code, raising awareness about the need to practice circumcision in a medical environment and the promulgation of specific legislation regulating this act. The new Tunisian law on medical liability seems to offer a solution to solve the legal complaints concerning circumcision accidents by providing more opportunities for amicable settlement and at the same time guaranteeing adequate and rapid compensation of the prejudice. In this article, we discuss the medical liability of circumcision accidents through three medicolegal cases carried out at the Department of Legal Medicine of Ibn El Jazzar University Hospital, Kairouan, Tunisia.</p></div>","PeriodicalId":41275,"journal":{"name":"Medecine & Droit","volume":"2020 165","pages":"Pages 145-149"},"PeriodicalIF":0.2,"publicationDate":"2020-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.meddro.2020.05.004","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48238068","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 : 2020-12-01DOI: 10.1016/j.meddro.2020.09.001
Dr Rémy J. Salmon (Membre honoraire de l’Académie de Chirurgie, Ancien chef du département de Chirurgie de l’Institut Curie, Expert près des CCI et Tribunal Administratif de Paris) , Pr Catherine Buffet (Membre de l’Académie Nationale de Médecine, Ancienne Cheffe du service des maladies du foie et de l’appareil digestif de Bicêtre, Expert près des CCI et de l’ONIAM) , Dr Christine Estève (Docteur en droit, Expert agréé par la cour de cassation)
{"title":"Erratum à « L’expertise médicale au temps des pandémies : l’exemple des cancers » [Med. Droit 2020 (2020) 92–95]","authors":"Dr Rémy J. Salmon (Membre honoraire de l’Académie de Chirurgie, Ancien chef du département de Chirurgie de l’Institut Curie, Expert près des CCI et Tribunal Administratif de Paris) , Pr Catherine Buffet (Membre de l’Académie Nationale de Médecine, Ancienne Cheffe du service des maladies du foie et de l’appareil digestif de Bicêtre, Expert près des CCI et de l’ONIAM) , Dr Christine Estève (Docteur en droit, Expert agréé par la cour de cassation)","doi":"10.1016/j.meddro.2020.09.001","DOIUrl":"10.1016/j.meddro.2020.09.001","url":null,"abstract":"","PeriodicalId":41275,"journal":{"name":"Medecine & Droit","volume":"2020 165","pages":"Page 153"},"PeriodicalIF":0.2,"publicationDate":"2020-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.meddro.2020.09.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42358901","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Corrigendum à « Les grands magasins de la médecine de Milton Friedman » [Med. Droit (Paris). (2020)]. doi:10.1016/j.meddro.2020.07.002","authors":"Mathieu Ginier-Gillet (Omnipraticien, Chercheur indépendant)","doi":"10.1016/j.meddro.2020.10.001","DOIUrl":"10.1016/j.meddro.2020.10.001","url":null,"abstract":"","PeriodicalId":41275,"journal":{"name":"Medecine & Droit","volume":"2020 165","pages":"Page 154"},"PeriodicalIF":0.2,"publicationDate":"2020-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.meddro.2020.10.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45057985","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-12-01DOI: 10.1016/j.meddro.2020.07.001
Laurence Coiffard, Céline Couteau
Soap is a cosmetic product in common use during this pandemic period. It enables barrier gestures to be carried out. Capable of preventing pathology (COVID-19), it should, therefore, be marketed under a drug status. If we consider the history of soap, we realize the complexity of its status. Depending on the period, it has been considered as a hygiene product and/or as an excipient or an active ingredient allowing the production of a drug or cosmetic making it possible to treat both scabies and burns, to carry out purges or to put at the point of preparations to soften or whiten hands or to lengthen eyelashes. The use of the term “soap”, being extremely overused, the establishment of regulations to clarify this situation is essential.
{"title":"Un produit de santé peut-il changer de statut au gré des circonstances ? Éléments de réflexion avec l’exemple précis du savon","authors":"Laurence Coiffard, Céline Couteau","doi":"10.1016/j.meddro.2020.07.001","DOIUrl":"10.1016/j.meddro.2020.07.001","url":null,"abstract":"<div><p>Soap is a cosmetic product in common use during this pandemic period. It enables barrier gestures to be carried out. Capable of preventing pathology (COVID-19), it should, therefore, be marketed under a drug status. If we consider the history of soap, we realize the complexity of its status. Depending on the period, it has been considered as a hygiene product and/or as an excipient or an active ingredient allowing the production of a drug or cosmetic making it possible to treat both scabies and burns, to carry out purges or to put at the point of preparations to soften or whiten hands or to lengthen eyelashes. The use of the term “soap”, being extremely overused, the establishment of regulations to clarify this situation is essential.</p></div>","PeriodicalId":41275,"journal":{"name":"Medecine & Droit","volume":"2020 165","pages":"Pages 141-144"},"PeriodicalIF":0.2,"publicationDate":"2020-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.meddro.2020.07.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44920360","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-10-01DOI: 10.1016/j.meddro.2020.05.002
Catherine Ménabé (Maître de conférences HDR, Directrice du DU de Criminologie)
Due to the progress of science and the stakes of inquiry and sentence, the DNA analysis is subject of a substantial development within the area of criminal procedure. However, the DNA is by no means a perfect evidence and it faces scientific, ethic and legal limits which result in reconsidering the balance between the stakes of punishment and the protection of Fundamental Freedoms.
{"title":"L’ADN, la reine des preuves imparfaites","authors":"Catherine Ménabé (Maître de conférences HDR, Directrice du DU de Criminologie)","doi":"10.1016/j.meddro.2020.05.002","DOIUrl":"10.1016/j.meddro.2020.05.002","url":null,"abstract":"<div><p>Due to the progress of science and the stakes of inquiry and sentence, the DNA analysis is subject of a substantial development within the area of criminal procedure. However, the DNA is by no means a perfect evidence and it faces scientific, ethic and legal limits which result in reconsidering the balance between the stakes of punishment and the protection of Fundamental Freedoms.</p></div>","PeriodicalId":41275,"journal":{"name":"Medecine & Droit","volume":"2020 164","pages":"Pages 129-133"},"PeriodicalIF":0.2,"publicationDate":"2020-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.meddro.2020.05.002","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42099238","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 : 2020-10-01DOI: 10.1016/j.meddro.2020.04.004
François Van Maris (interne en médecine légale), Gaëtan Prissette (psychiatre et légiste), Pr Cécile Manaouil (légiste et docteur en droit)
Medical doctors are often asked by patients victim of harassment, or even by the authorities, to establish medical certificate. Harassment is a complex phenomenon, covering a wide range of behaviours occurring in multiple situations. The writing of such a certificate can prove to be difficult, can be a cause of legal proceedings for clinicians, especially at a disciplinary level. Moreover, the evaluation is all the more complex since the qualification of harassment by the judge sometimes requires an evaluation of the impact on the victims under the form of a Total Work Incapacity (TWI) duration, but not under all the circumstances existing in French law. In this article, we first propose to address general consideration towards the writing of the certificate, before doing a systematic review of the successive evolutions of French penal and labour law regarding harassment in its most frequent forms. Finally, we propose to address the matter of victims evaluation, especially towards TWI duration evaluation, which does not seem to us an adapted tool regarding the fact that harassment is usually a chronical and durable phenomenon.
{"title":"Le harcèlement : évolution du droit français et problématiques de l’évaluation des victimes","authors":"François Van Maris (interne en médecine légale), Gaëtan Prissette (psychiatre et légiste), Pr Cécile Manaouil (légiste et docteur en droit)","doi":"10.1016/j.meddro.2020.04.004","DOIUrl":"10.1016/j.meddro.2020.04.004","url":null,"abstract":"<div><p>Medical doctors are often asked by patients victim of harassment, or even by the authorities, to establish medical certificate. Harassment is a complex phenomenon, covering a wide range of behaviours occurring in multiple situations. The writing of such a certificate can prove to be difficult, can be a cause of legal proceedings for clinicians, especially at a disciplinary level. Moreover, the evaluation is all the more complex since the qualification of harassment by the judge sometimes requires an evaluation of the impact on the victims under the form of a Total Work Incapacity (TWI) duration, but not under all the circumstances existing in French law. In this article, we first propose to address general consideration towards the writing of the certificate, before doing a systematic review of the successive evolutions of French penal and labour law regarding harassment in its most frequent forms. Finally, we propose to address the matter of victims evaluation, especially towards TWI duration evaluation, which does not seem to us an adapted tool regarding the fact that harassment is usually a chronical and durable phenomenon.</p></div>","PeriodicalId":41275,"journal":{"name":"Medecine & Droit","volume":"2020 164","pages":"Pages 111-128"},"PeriodicalIF":0.2,"publicationDate":"2020-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.meddro.2020.04.004","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49165697","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 : 2020-08-01DOI: 10.1016/j.meddro.2020.06.003
Anne-Marie Duguet (Maitre de conférences Émerite)
{"title":"La déontologie médicale à l’épreuve de l’épidémie de Covid 19 : à propos de l’Hydroxychloroquine","authors":"Anne-Marie Duguet (Maitre de conférences Émerite)","doi":"10.1016/j.meddro.2020.06.003","DOIUrl":"10.1016/j.meddro.2020.06.003","url":null,"abstract":"","PeriodicalId":41275,"journal":{"name":"Medecine & Droit","volume":"2020 163","pages":"Pages 71-73"},"PeriodicalIF":0.2,"publicationDate":"2020-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.meddro.2020.06.003","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127620852","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-08-01DOI: 10.1016/j.meddro.2020.04.003
Romain Métayer (Docteur en pharmacie, doctorant en droit)
The coronavirus pandemic is an unprecedented health crisis (in the XXIth Century). France has declared a “state of health emergency”. In order to tackle the spread of the virus and to prevent the risk of overwhelming the health care system, the French government has implemented extraordinary measures all over the country. In accordance with the public health code, the Minister of Health has implemented the provisions that are deemed necessary to avoid jeopardizing the therapeutic follow-up of patients. The mandatory medical prescriptions dispensing system is being transformed for a limited period. Therefore, the pharmacist's liability is disrupted.
{"title":"Dispositif d’urgence en situation de crise sanitaire : application d’un régime dérogatoire au pharmacien d’officine","authors":"Romain Métayer (Docteur en pharmacie, doctorant en droit)","doi":"10.1016/j.meddro.2020.04.003","DOIUrl":"10.1016/j.meddro.2020.04.003","url":null,"abstract":"<div><p>The coronavirus pandemic is an unprecedented health crisis (in the XXIth Century). France has declared a “state of health emergency”. In order to tackle the spread of the virus and to prevent the risk of overwhelming the health care system, the French government has implemented extraordinary measures all over the country. In accordance with the public health code, the Minister of Health has implemented the provisions that are deemed necessary to avoid jeopardizing the therapeutic follow-up of patients. The mandatory medical prescriptions dispensing system is being transformed for a limited period. Therefore, the pharmacist's liability is disrupted.</p></div>","PeriodicalId":41275,"journal":{"name":"Medecine & Droit","volume":"2020 163","pages":"Pages 102-104"},"PeriodicalIF":0.2,"publicationDate":"2020-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.meddro.2020.04.003","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"54864215","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}