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Building a Progressive Reproductive Law in South Africa. 在南非建立进步的生殖法。
IF 3.7 3区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2023-12-01
Donrich Thaldar

This article delves into the expansion of procreative freedom in relation to assisted reproductive technologies (ARTs) in South African law, with reference to three seminal cases. In the case of AB v. Minister of Social Development, the minority of the South African Constitutional Court held that the constitutional right to procreative freedom is applicable to ARTs. Importantly, both the minority and the majority agreed on the principle of procreative non-maleficence-the principle that harm to the prospective child constitutes a legitimate reason to limit the procreative freedom of the prospective parents. Following this, Ex Parte KF2 clarified the concept of the "prospective child" as relating to an idea, rather than an embryo. Finally, in Surrogacy Advisory Group v. Minister of Health, the controversial issue of preimplantation sex selection for non-medical reasons was examined. The court confirmed that the use of ARTs falls within the ambit of procreative freedom. While holding that preimplantation sex selection for non-medical reasons is inherently sexist, the court found that a woman's right to procreative freedom-including the sex identification of an in vitro embryo-outweighs other considerations. These landmark cases establish a robust groundwork for a progressive reproductive law in South Africa.

本文将参考三个重要案例,深入探讨南非法律中与辅助生殖技术(ARTs)相关的生育自由的扩展问题。在 AB 诉社会发展部长案中,南非宪法法院的少数派认为,宪法规定的生育自由权适用于辅助生殖技术。重要的是,少数派和多数派都同意 "生育非恶意 "原则--即对未来子女的伤害构成限制未来父母生育自由的合法理由。此后,在 Ex Parte KF2 案中,"准子女 "的概念被澄清为与观念而非胚胎有关。最后,在 "代孕咨询小组诉卫生部长 "一案中,法院审查了出于非医学原因进行胚胎植入前性别选择这一有争议的问题。法院确认,抗逆转录病毒疗法的使用属于生育自由的范畴。虽然法院认为非医学原因的胚胎植入前性别选择本质上具有性别歧视,但法院认为妇女的生育自由权(包括体外胚胎的性别鉴定)高于其他考虑因素。这些具有里程碑意义的案例为南非制定进步的生殖法奠定了坚实的基础。
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引用次数: 0
Justice in Transitioning Health Systems. 转型期卫生系统中的正义。
IF 3.7 3区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2023-12-01
Lucas Miotto, Himani Bhakuni
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引用次数: 0
Assessing the Human Rights Framework on Private Health Care Actors and Economic Inequality. 评估关于私营医疗机构和经济不平等的人权框架。
IF 3.7 3区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2023-12-01
Rossella De Falco, Timothy Fish Hodgson, Matt Mcconnell, A Kayum Ahmed

Private actors' involvement in health care financing, provision, and governance contributes to economic inequality. This paper provides an overview of emerging normative trends regarding private actors' involvement in health care by reviewing and critically analyzing international and regional human rights standards on the right to the highest attainable standard of physical and mental health. Specifically, we survey statements from United Nations human rights treaty bodies and recent jurisprudence of the African Commission on Human and Peoples' Rights that discuss private actors' involvement in health care. We then identify strengths and weaknesses of the current international human rights law framework to address the human rights and inequality impacts of private health care actors, before concluding with a series of recommendations to further develop existing standards.

私人行为者参与医疗保健的融资、提供和管理会加剧经济不平等。本文通过回顾和批判性分析有关享有能达到的最高标准身心健康权利的国际和地区人权标准,概述了有关私人行为者参与医疗保健的新兴规范趋势。具体而言,我们调查了联合国人权条约机构的声明和非洲人权和人民权利委员会最近的判例,这些声明和判例讨论了私人行为者参与医疗保健的问题。然后,我们指出了当前国际人权法框架在解决私营医疗机构对人权和不平等的影响方面的优势和不足,最后提出了一系列进一步发展现有标准的建议。
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引用次数: 0
Climate Change as a Risk Factor for Food Insecurity in Spain. 气候变化是西班牙粮食不安全的风险因素。
IF 3.7 3区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2023-12-01
Juliette Duffy
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引用次数: 0
The COVID-19 Pandemic as a Tipping Point: What Future for the Right to Health? 作为转折点的 COVID-19 大流行:健康权的未来如何?
IF 3.7 3区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2023-12-01
Ted Schrecker

"Building back better" post-pandemic, as advocated by the Organisation for Economic Co-operation and Development, could advance the realization of health as a human right. However, the COVID-19 pandemic is more likely to represent a tipping point into a new and even more unequal normal, nationally and internationally, that represents a hostile environment for building back better. This paper begins with a brief explanation of the tipping point concept. It goes on to describe the mechanisms by which the pandemic and many responses to it have increased inequality, and then identifies three political dynamics that are inimical to realizing health as a human right even in formal democracies, two of them material (related to the unequal distribution of resources within societies and in the global economy) and one ideational (the continued hegemony of neoliberal ideas about the proper limits of public policy). Observations about the unequal future and what it means for health conclude the paper.

经济合作与发展组织倡导的大流行后 "重建更美好的生活 "可以推动实现健康这一人权。然而,COVID-19 大流行更有可能成为一个临界点,使国家和国际社会进入一个新的、甚至更加不平等的正常状态,这对 "重建美好 "来说是一个不利的环境。本文首先简要解释了临界点的概念。本文接着描述了大流行病和许多应对措施加剧不平等的机制,然后指出了即使在正规民主国家也不利于实现健康这一人权的三种政治动态,其中两种是物质动态(与社会内部和全球经济中的资源分配不均有关),一种是意识形态动态(关于公共政策适当限度的新自由主义思想的持续霸权)。最后,本文对不平等的未来及其对健康的影响发表了看法。
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引用次数: 0
Locked Up and Left Behind: Addressing Cruel and Unusual Punishments among Senior Inmates during COVID-19 across US Prisons. 被关起来,被抛在后面:在 COVID-19 期间,在美国各监狱中处理高级囚犯中的残忍和不寻常惩罚问题。
IF 3.7 3区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2023-12-01
Sabba Salebaigi

The COVID-19 pandemic has shed light on long-standing constitutional violations within the US correctional system, particularly affecting vulnerable populations such as senior inmates. By analyzing the impact of COVID-19 in prisons, the challenges faced in implementing preventive strategies, and the specific vulnerabilities of elderly prisoners, this paper identifies potential constitutional infringements experienced by senior inmates during the pandemic and the physical, mental, and social effects of the pandemic on this population. Specifically, this paper aims to bridge the fields of constitutional law, prison reform, elder law, and the COVID-19 pandemic by examining the impact of the pandemic on the rights of senior inmates under the US Constitution's Eighth Amendment protection against cruel and unusual punishment. The objective is to examine whether potential violations have occurred and propose actions to prevent violations in the future while ensuring accountability and redress if such violations occur. To address such violations, the paper emphasizes the need for increased sanitation measures and decarceration as preventive measures in future public health crises.

COVID-19 大流行揭示了美国惩教系统中长期存在的违反宪法行为,尤其是对老年囚犯等弱势群体的影响。通过分析 COVID-19 在监狱中的影响、实施预防策略所面临的挑战以及老年囚犯的特殊脆弱性,本文指出了老年囚犯在大流行病期间所经历的潜在违宪行为,以及大流行病对这一人群造成的身体、精神和社会影响。具体而言,本文旨在通过研究大流行病对老年囚犯在美国宪法第八修正案保护下免受残忍和不寻常惩罚的权利的影响,在宪法、监狱改革、老年法和 COVID-19 大流行病等领域架起一座桥梁。其目的是审查是否发生了潜在的侵权行为,并提出行动建议,以防止今后发生侵权行为,同时确保在发生侵权行为时进行问责和补救。为解决此类侵权问题,本文强调有必要加强卫生措施和非监禁措施,作为未来公共卫生危机的预防措施。
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引用次数: 0
Reproduction as Work: Addressing a Gap in Current Economic Rights Discourses. 作为工作的再生产:解决当前经济权利讨论中的一个空白。
IF 3.7 3区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2023-12-01
Lauren Danielowski

In 2022, the global commercial surrogacy industry was valued at approximately US$14 billion. This paper explores the issue of surrogacy to reveal how international human rights standards and labor laws treat reproduction as work, building on previous scholarship analyzing similar framing at the grassroots level in Mexico. I argue that the failure to recognize surrogacy as labor is rooted in three lacunae: (1) contemporary policies and practices around surrogacy globally pay little attention to the well-being and rights fulfillment of surrogates themselves, particularly the economic rights of surrogates; (2) the stigma of surrogacy as sexualized care work results in neglect of the labor rights of surrogates in mainstream economic rights discourses; and (3) relevant international rights law has not yet addressed the economic rights of surrogates, nor has it effectively articulated the interdependent relationship between economic rights and reproductive rights. Lastly, I discuss where reproductive rights and economic rights overlap in existing human rights conventions and standards and what possibilities these offer for articulating the interdependence of reproductive and economic rights and for advancing the labor rights of surrogates.

2022 年,全球商业代孕产业价值约为 140 亿美元。本文探讨了代孕问题,揭示了国际人权标准和劳动法是如何将生育视为工作的,并借鉴了以往对墨西哥基层类似框架的学术分析。我认为,不承认代孕是劳动的根源在于三个方面的空白:(1)全球范围内有关代孕的当代政策和实践很少关注代孕者自身的福祉和权利实现,尤其是代孕者的经济权利;(2)将代孕视为性化护理工作的污名化导致主流经济权利论述忽视了代孕者的劳动权利;(3)相关国际人权法尚未涉及代孕者的经济权利,也未有效阐明经济权利与生殖权利之间的相互依存关系。最后,我将讨论生殖权利和经济权利在现有人权公约和标准中的重叠之处,以及这些公约和标准为阐明生殖权利和经济权利的相互依存关系和促进代孕者的劳动权利提供了哪些可能性。
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引用次数: 0
The Equity Effect of Universal Health Care. 全民医保的公平效应
IF 3.7 3区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2023-12-01
Anja Rudiger
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引用次数: 0
Using Ethics Committees to Justify Force-Feeding Political Prisoners in Israel. 利用伦理委员会为以色列强行喂食政治犯辩护。
IF 3.7 3区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2023-12-01
Zohar Lederman, Ryan Essex

Thousands of Palestinian prisoners are held in Israeli prisons without trial. For some of them, engaging in hunger strikes is the last resort in opposing unlawful detention and inhumane prison conditions. While mainstream bioethics deliberation, reasonable arguments, and international legal and medical professional declarations prohibit force-feeding, local ethical deliberations, professional medical guidelines, and legislation allow the use of medical judgment and clinical ethics committees to force-feed these prisoners. Until now, Israeli physicians have refused to do so, but this may change in the future. The international medical and bioethics communities need to stand behind these medical professionals, as well as prisoners. Clinical ethics committees in Israel must choose whether they serve the interests of these prisoner-patients and perhaps their political or human rights agenda, or whether they are subservient to an unjust, oppressive regime.

数以千计的巴勒斯坦囚犯未经审判被关押在以色列监狱中。对其中一些人来说,绝食是反对非法拘留和不人道监狱条件的最后手段。虽然主流生物伦理学的审议、合理的论证以及国际法律和医学专业宣言都禁止强制喂食,但当地的伦理审议、专业医学指南和立法允许利用医学判断和临床伦理委员会对这些囚犯进行强制喂食。迄今为止,以色列医生一直拒绝这样做,但这种情况今后可能会改变。国际医学界和生物伦理学界需要支持这些医疗专业人员和囚犯。以色列的临床伦理委员会必须做出选择,是为这些囚犯病人的利益服务,或许是为他们的政治或人权议程服务,还是屈从于一个不公正的专制政权。
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引用次数: 0
Economic Inequality and the Right to Health: On Neoliberalism, Corporatization, and Coloniality. 经济不平等与健康权:论新自由主义、公司化和殖民主义》。
IF 3.7 3区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2023-12-01
Gillian Macnaughton, A Kayum Ahmed
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Health and Human Rights
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