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Quintavalle: The Quandary in Bioethics. 昆塔瓦莱:生命伦理学的困境。
Pub Date : 2016-01-01
Lisa Cherkassky

The case of R. (Quintavalle) v. Human Fertilisation Embryology Authority (and Secretary of State for Health) presents a handful of legal problems. The biggest legal query to arise from the case is the inevitable harvest of babies, toddlers and very young children for their bone marrow. This article unpacks the judicial story behind Quintavalle to reveal how the strict provisions of the Human Fertilisation and Embryology Act 1990--namely 'suitable condition' under schedule 2 paragraph 1(1)(a) and 'treatment services' and 'assisting' under section 2(1)--were widely misinterpreted to introduce the social selection of embryos into law. The legal loopholes created by the judgment (embryo wastage, welfare, eugenics and the legality of child harvest in particular) are also identified. It will be concluded that screening for a tissue match is social selection despite arguments to the contrary and that parents are not yet entitled in law to harvest a very young child for bone marrow, making the creation of a saviour sibling under the 1990 Act as a result of Quintavalle ultimately futile.

昆塔瓦莱诉人类受精胚胎学管理局(和卫生大臣)一案提出了一些法律问题。该案引发的最大法律质疑是,婴儿、幼儿和非常年幼的儿童不可避免地会被采集骨髓。本文揭示了昆塔瓦莱背后的司法故事,揭示了1990年《人类受精和胚胎法》的严格规定——即附表2第1(1)(a)段中的“适当条件”和第2(1)节中的“治疗服务”和“协助”——是如何被广泛误解为将胚胎的社会选择引入法律的。还指出了该判决造成的法律漏洞(特别是胚胎浪费、福利、优生学和摘取儿童的合法性)。尽管有相反的观点,但最终的结论是,筛选组织匹配是一种社会选择,父母在法律上还没有权利从很小的孩子身上采集骨髓,这使得根据1990年的法案,由于昆塔瓦莱的结果,创造一个救世主的兄弟姐妹最终是徒劳的。
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引用次数: 0
Healer, Witness, or Double Agent? Reexamining the Ethics of Forensic Psychiatry. 治疗者,证人,还是双重间谍?重新审视法医精神病学的伦理学。
Pub Date : 2015-07-09 DOI: 10.2139/SSRN.2614668
Matthew U. Scherer
In recent years, psychiatrists have become ever more prevalent in American courtrooms. Consequently, the issue of when the usual rules of medical ethics should apply to forensic psychiatric encounters has taken on increased importance and is a continuing topic of discussion among both legal and medical scholars. A number of approaches to the problem of forensic psychiatric ethics have been proposed, but none adequately addresses the issues that arise when a forensic encounter develops therapeutic characteristics. This article looks to the rules governing the lawyer-client relationship as a model for a new approach to forensic psychiatric ethics. This new model focuses on the expectations of the evaluee and the ways in which the evaluating psychiatrist shapes those expectations to determine how and when the rules of medical ethics should apply to forensic psychiatric encounters. This article describes and analyzes three previously proposed approaches to that question and the closely related question of when and how a doctor-patient relationship can form in the context of a forensic psychiatric evaluation. It also explains why each of these prior approaches does not sufficiently address the issues that arise when a forensic encounter takes on therapeutic characteristics. Finally, it proposes a new approach that draws inspiration from the rules governing the lawyer-client relationship.
近年来,精神科医生在美国的法庭上变得越来越普遍。因此,医学伦理的通常规则何时适用于法医精神病学接触的问题变得越来越重要,并成为法律和医学学者之间持续讨论的话题。已经提出了许多解决法医精神病学伦理问题的方法,但没有一个能充分解决当法医遭遇发展为治疗特征时出现的问题。本文着眼于管理律师-委托人关系的规则,作为法医精神病学伦理新方法的模型。这种新模式侧重于被评估者的期望,以及评估精神科医生塑造这些期望的方式,以确定医学伦理规则应如何以及何时适用于法医精神病学会面。本文描述和分析了三个先前提出的方法来解决这个问题,以及在法医精神病学评估的背景下,何时以及如何形成医患关系的密切相关问题。它还解释了为什么这些先前的方法都不能充分解决当法医遭遇具有治疗特征时出现的问题。最后,本文提出了一种从管理律师-客户关系的规则中汲取灵感的新方法。
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引用次数: 3
Quit the Botching, Ohio: Exploring the Flaws in the Ohio Execution Protocol and the Need for Change. 退出拙劣,俄亥俄州:探索俄亥俄州执行协议的缺陷和变革的必要性。
Pub Date : 2015-01-01
Rachael Wood

This note argues that the Ohio Department of Rehabilitation and Corrections (ODRC) should not obtain lethal injection drugs from unregulated compounding pharmacies. Ohio should only purchase drugs from an FDA-registered outsourcing facility. Part II explores the death sentence statute in Ohio and the use of compounding pharmacies. Part III compares Oklahoma's statute in conjunction with Ohio and illustrates the adverse effects by utilizing compounding pharmacies. Part IV proposes recommendations to Ohio's execution protocol. Part V provides a conclusion.

本文认为,俄亥俄州康复和矫正部(ODRC)不应该从不受监管的复方药房获得致命注射药物。俄亥俄州应该只从fda注册的外包机构购买药品。第二部分探讨了俄亥俄州的死刑法规和复方药房的使用。第三部分将俄克拉何马州的法规与俄亥俄州相比较,并说明了利用复合药房的不利影响。第四部分提出了对俄亥俄州执行议定书的建议。第五部分是结论。
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引用次数: 0
The Not So "Sweet Surprise": Lawsuits Blaming Big Sugar for Obesity-Related Health Conditions Face an Uphill Battle. 不那么“甜蜜的惊喜”:将肥胖相关健康状况归咎于大糖的诉讼面临着一场艰苦的战斗。
Pub Date : 2015-01-01
Catherine Srithong Wicker

Because obesity and its associated health problems have been largely attributed to poor self-control, laziness, and various other personal failings, society has been unwilling to assign blame to food manufacturers for their role in contributing to this problem. But, as consumers are becoming more aware of the significantly harmful effect that poor diets can have on a person's heath, the scales may be tipping in favor of bringing "Big Food" to court. Food manufacturers, however, are not exactly vulnerable. Armed with precedent disputing the causal link between consumption of fast food and adverse health effects, judicially-created barriers to admitting epidemiologic evidence, and the defense of personal responsibility, food plaintiffs face an uphill battle. This Comment explores that reality.

由于肥胖及其相关的健康问题在很大程度上归因于自制力差、懒惰和其他各种个人缺点,社会一直不愿将造成这一问题的责任归咎于食品制造商。但是,随着消费者越来越意识到不良饮食对人体健康的严重危害,天平可能会倾向于将“大食品”告上法庭。然而,食品制造商并非完全脆弱。有了关于快餐消费和不良健康影响之间因果关系的先例争论,司法上对承认流行病学证据的障碍,以及对个人责任的辩护,食品原告面临着一场艰苦的战斗。本文探讨了这一现实。
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引用次数: 0
The Federal Rules of Civil Procedure, Electronic Health Records, and the Challenge of Electronic Discovery. 联邦民事诉讼规则,电子健康记录,以及电子证据开示的挑战。
Pub Date : 2015-01-01
Terrance K Byrne

Byrne argues that disparities among different courts' interpretations of the Federal Rules of Civil Procedure amendments have caused confusion for those in law and healthcare. Additional amendments to the FRCP are necessary to provide clarity, especially in the area of healthcare electronic discovery. Specifically, future amendments should include: 1. Enforcing the "Meet and Confer" process, especially as related to e-discovery and ESI 2. Clear specification about when the duty to preserve information begins 3. Delineating reasonable and consistent standards for production of information 4. Outlining the details for when sanctions for failing to retain ESI are appropriate.

伯恩认为,不同法院对《联邦民事诉讼规则》修正案的解释存在差异,这给法律和医疗保健领域的人士造成了困惑。有必要对FRCP进行额外修订,以提供清晰度,特别是在医疗保健电子发现领域。具体来说,未来的修订应包括:执行“会面和协商”流程,特别是与电子发现和ESI 2相关的流程。明确规定信息保全义务何时开始为信息的产生制定合理和一致的标准概述对未能保留ESI的处罚何时合适的细节。
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引用次数: 0
Standards-Based Regulation of Athletic Protective Headgear - Policy Background, Mechanisms and Evaluation. 基于标准的运动防护帽管理——政策背景、机制与评价。
Pub Date : 2015-01-01
Stephen D Pfriem

This paper considers the regulatory reality of sports equipment that is at the center of this brain trauma in sports issue. It reveals that not all regulation concerning athletic head injuries occurs in the public sector. It goes on to explain that in the case of sports helmets, very little is performed by the government and explains how the private sector executes this regulation instead. Protective equipment (helmets, by and large) are regulated, or more precisely, "quasi-regulated" by a structure defined largely by private technical standards. This paper offers an introduction to these standards and explains the key elements and differences between the private regulatory models for helmets. It also evaluates the effectiveness of standards-based regulation of athletic headgear and concludes with recommendations for adjustments to the existing conformity assessment systems and undertakings by the helmet standards community that would serve the end of providing excellent private regulation for equipment that faces the serious challenge of reducing brain injury in sports.

本文考虑了运动器材的监管现实,这是在这个中心的运动脑损伤问题。它表明,并非所有有关运动头部损伤的规定都发生在公共部门。它接着解释说,在运动头盔的情况下,政府很少执行,并解释了私营部门是如何执行这一规定的。防护装备(大体上是头盔)是受监管的,或者更准确地说,是由一个主要由私人技术标准定义的结构来“准监管”的。本文介绍了这些标准,并解释了头盔私人监管模式的关键要素和差异。它还评估了基于标准的运动头盔监管的有效性,并总结了头盔标准社区对现有合格评估系统和承诺的调整建议,这些建议将服务于为面临减少运动中脑损伤的严重挑战的设备提供优秀的私人监管。
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引用次数: 0
A Legal Challenge of the Prescription Drug User Fee Act. 《处方药使用者收费法案》的法律挑战。
Pub Date : 2015-01-01
Jimmy J Zhuang

In Part II, I present a legal challenge to the Prescription Drug User Fee Act (PDUFA) from an administrative law perspective. While I share sympathies with those who believe PDUFA represents an unacceptable conflict of interest for the FDA, I posit arguments purely from the framework of permissible administrative agency discretion so as to avoid ambivalent analytical and empirical arguments. My argument is that given the statutory and case law determinations of permissible federal agency discretion, the FDA cannot assess a flat user fee for widely variable types of services it renders during the drug approval process. Thus, the current implementation of PDUFA is legally impermissible. Subsequently, in Part III, I compare PDUFA to three other agency user-fee mechanisms and propose specific improvements to PDFUA to minimize its conflict of interest while maintaining its revenue efficiency.

在第二部分中,笔者从行政法的角度对《处方药用户收费法》提出了法律挑战。虽然我对那些认为PDUFA代表FDA不可接受的利益冲突的人表示同情,但我纯粹从允许的行政机构自由裁量权的框架中提出论点,以避免矛盾的分析和经验论点。我的论点是,鉴于法定和判例法对允许的联邦机构自由裁量权的决定,FDA不能对其在药物批准过程中提供的各种各样的服务收取统一的用户费用。因此,目前PDUFA的实施在法律上是不允许的。随后,在第三部分中,我将PDUFA与其他三种机构用户收费机制进行了比较,并对PDFUA提出了具体的改进建议,以尽量减少其利益冲突,同时保持其收入效率。
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引用次数: 0
Why Public Health Policy Should Redefine Consent to Assault and the Intentional Foul in Gladiator Sports. 为什么公共卫生政策应该重新定义角斗士运动中的同意攻击和故意犯规。
Pub Date : 2015-01-01
Jennifer A Brobst

This article considers in Part II the status and influence of public health research regarding the safety risks of gladiator sports and the field's tendency to neglect the sports' recognized medical and mental health benefits. In Part III, the historical trends in judicial interpretation of the scope of the criminal consent defense and civil doctrines of a privilege of consent to assault and assumption of the risk in the sports context are addressed. Finally, Part IV asserts the need to reform the civil and criminal defenses to intentional misconduct in sports through agency, judicial, and statutory reform, for the purpose of eliminating the strategic use of the intentional foul to better enforce the new medically informed safety regulations and sports rules while protecting the tradition of a wide array of gladiator sports.

本文在第二部分中考虑了关于角斗士运动安全风险的公共卫生研究的现状和影响,以及该领域忽视运动公认的医疗和心理健康益处的倾向。第三部分论述了体育语境下刑事同意抗辩范围、民事同意攻击特权和风险承担原则的司法解释历史趋势。最后,第四部分主张有必要通过机构、司法和法律改革改革对体育故意不当行为的民事和刑事辩护,以消除故意犯规的战略利用,以便更好地执行新的医学知情安全条例和体育规则,同时保护各种角斗士运动的传统。
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引用次数: 0
Down to the Felt: How Ohio's Lackluster Statutory Scheme Gambles with the Lives of Mothers and Innocent Children. 下到毡:俄亥俄州平淡的法定计划如何与母亲和无辜儿童的生命赌博。
Pub Date : 2015-01-01
Jim Rainone

This article examines three facets of the pregnant prisoner prenatal and post-birth care issue. First, it examines the injustice that pregnant prisoners are subjected to. Next, it examines other states' statutory regimes to identify adequate and inadequate features. Specifically, it examines the Pennsylvania regime because of its relevance and reputation for being the most accommodating to these women. Finally, it proposes a statutory regime for Ohio that provides mandatory care standards, means of accomplishing mandatory care, penalties for both the institution and its individual actors when care is not provided--and shows how a statutory regime without these changes puts mothers and their unborn children at risk for poor treatment, even death, like Pamela.

本文探讨了怀孕囚犯产前和产后护理问题的三个方面。首先,它审视了怀孕囚犯所遭受的不公正待遇。其次,它考察了其他国家的法定制度,以确定适当和不适当的特点。具体来说,它考察了宾夕法尼亚州的制度,因为它的相关性和声誉是最适应这些妇女。最后,它为俄亥俄州提出了一个法定制度,规定了强制性护理标准,完成强制性护理的手段,以及在不提供护理时对机构及其个人行为者的惩罚——并表明,没有这些变化的法定制度如何使母亲和未出生的孩子面临不良待遇甚至死亡的风险,就像帕梅拉一样。
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引用次数: 0
Striking the Soda Ban: The Judicial Paralysis on the Department of Health. 打击汽水禁令:卫生部门的司法瘫痪。
Pub Date : 2015-01-01
Alana Sivin

Media coverage surrounding the New York City Department of Health's recent portion-cap on sugary beverages sold in food service establishments tends to focus on public opinions regarding the role of government. Within this dialogue, there are two camps. On one hand lies the opposition; these individuals criticize the Department of Health as a "nanny state" involving itself with individual consumption choices. On the other side lay the supporters who recognize the gravity of the obesity epidemic and applaud government efforts to ameliorate its effects.

媒体对纽约市卫生局最近对食品服务场所出售的含糖饮料限量的报道,往往集中在公众对政府作用的看法上。在这种对话中,有两个阵营。一方面是反对派;这些人批评卫生部是一个干预个人消费选择的“保姆国家”。另一方是支持者,他们认识到肥胖流行病的严重性,并赞扬政府为改善其影响所做的努力。
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引用次数: 0
期刊
Journal of law and health
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