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Miss Diagnosis: Gendered Injustice in Medical Malpractice Law 诊断失误:医疗事故法中的性别不公正
Pub Date : 2020-04-16 DOI: 10.7916/CJGL.V39I2.5701
C. Plaza
Women patients have experienced a history of discrimination in medical practice. Medical malpractice litigation offers an avenue for patients affected by practitioner negligence to recoup the costs inflicted by their injuries. The present study investigates the impact of patient gender on plaintiffs’ recovery amounts in medical malpractice suits alleging delayed, wrongful, or misdiagnosis, as women are more vulnerable to diagnosisrelated malpractice. This study also analyzes the impact of contextual factors such as state demographics, state malpractice legislation, and features of each instance of litigation, such as the duration of each case. Using a national database of resolved malpractice cases from 2004 to 2018, this study uses several different statistical models to shed light on the contours of the gender gap in medical malpractice litigation. This study also offers suggestions for future research and potential solutions to address the gender gap and increase equal access to legal recourse after medical injury due to negligence for patients of all genders.
女性患者在医疗实践中经历过歧视的历史。医疗事故诉讼为受医生疏忽影响的患者提供了一条途径,以弥补他们受伤造成的费用。本研究调查了患者性别对医疗事故诉讼原告索赔金额的影响,这些诉讼指控医疗事故延误、错误或误诊,因为女性更容易受到与诊断相关的医疗事故的影响。本研究还分析了背景因素的影响,如州人口统计、州渎职立法,以及每起诉讼的特点,如每起案件的持续时间。本研究利用2004年至2018年已解决的医疗事故案件的国家数据库,使用几种不同的统计模型来揭示医疗事故诉讼中的性别差距。这项研究还为未来的研究和潜在的解决方案提供了建议,以解决性别差距,并增加所有性别患者在因疏忽造成医疗伤害后平等诉诸法律的机会。
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引用次数: 1
Reimagining Reproductive Rights Jurisprudence in India: Reflections on the Recent Decisions on Privacy and Gender Equality from the Supreme Court of India 重新构想印度的生殖权利法理学:对印度最高法院最近关于隐私和性别平等的判决的反思
Pub Date : 2020-03-22 DOI: 10.7916/CJGL.V39I2.5673
D. Jain, Payal Shah
In July 2018, twenty-year-old Sarita approached the Supreme Court of India seeking permission to terminate her twenty-five-week pregnancy.1 Sarita was a domestic violence survivor and suffered from other health complications due to epilepsy. She had learned of her pregnancy at seventeen weeks and her petition stated that she had become pregnant as a result of her husband’s refusal to use contraceptives. At twenty-one weeks, when she first approached the Bombay High Court, Sarita was just one week over the legal limit specified in the 1971 Medical Termination of Pregnancy (MTP Act), which permits
2018年7月,20岁的Sarita向印度最高法院申请终止她25周的怀孕Sarita是一名家庭暴力幸存者,并因癫痫而患有其他健康并发症。她在怀孕17周时得知自己怀孕,她的请愿书说,她怀孕是因为她丈夫拒绝使用避孕药具。当她第一次向孟买高等法院提出申请时,已怀孕21周的Sarita只比1971年《医疗终止妊娠法》规定的法定期限多一周
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引用次数: 4
My Brother's Keeper, My Sister's Neglector: A Critique and Explanation of Single-Sex Initiatives for Black Boys 我兄弟的守护者,我妹妹的忽视者:对黑人男孩单一性别的批评与解释
Pub Date : 2020-01-29 DOI: 10.7916/CJGL.V39I1.4558
Laura Lane-Steele
The urgent problems facing Black boys and young men have triggered the proliferation of single-sex initiatives aimed at tackling these obstacles, namely public single-sex schools and programs inspired by President Obama’s My Brother’s Keeper initiative. Black girls have largely been left out of these initiatives despite facing many of the same barriers as Black boys and disadvantages of their own. This Article identifies, critiques, and explains this disproportionate intervention for Black boys. It argues that these single-sex initiatives are a poor policy tool for fighting racial oppression because (1) there is no evidence that these boys-only initiatives work to achieve their stated goals; (2) statistical gender gaps between Black boys and girls are not large enough to warrant disproportionate intervention; and (3) these initiatives have great potential to reify destructive aspects of dominant Black masculinity. It then employs critical race theory to explain how this current disproportionate intervention is part of a historically-based discourse that prioritizes Black men’s needs over those of Black women, casts Black men as “privileged victims” of racism, and seeks to restore patriarchy in the Black community. Finally, it predicts that these initiatives will continue to proliferate for two reasons. First, the current legal frameworks, specifically Title IX and the Equal Protection Clause, do not necessarily prevent the increasing disproportionality of these initiatives and the resulting unfairness to Black girls. Second, there is insufficient political will to halt the expansion of these initiatives—they face little to no political opposition, even from politicians on the Left who claim to champion gender equity.
黑人男孩和年轻男子面临的紧迫问题引发了旨在解决这些障碍的单性别倡议的激增,即公立单性别学校和受奥巴马总统“我兄弟的守护者”倡议启发的项目。黑人女孩在很大程度上被排除在这些倡议之外,尽管她们面临着与黑人男孩相同的许多障碍,而且她们自己也有不利条件。这篇文章指出,批评,并解释了这种不成比例的干预黑人男孩。它认为,这些单一性别倡议是对抗种族压迫的糟糕政策工具,因为:(1)没有证据表明这些仅针对男孩的倡议能够实现其既定目标;(2)黑人男孩和女孩之间的统计性别差距没有大到需要不成比例的干预;(3)这些倡议极有可能具体化占主导地位的黑人男子气概的破坏性方面。然后,它运用批判性的种族理论来解释当前这种不成比例的干预是如何成为一种基于历史的话语的一部分,这种话语优先考虑黑人男性的需求,而不是黑人女性的需求,将黑人男性视为种族主义的“特权受害者”,并试图恢复黑人社区的父权制。最后,报告预测,由于两个原因,这些举措将继续激增。首先,目前的法律框架,特别是第九条和平等保护条款,并不一定能防止这些倡议的不成比例增加以及由此导致的对黑人女孩的不公平。其次,没有足够的政治意愿来阻止这些倡议的扩张——它们几乎没有面临政治上的反对,甚至来自声称支持性别平等的左翼政治家。
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引用次数: 0
We Are Not Struck with Blindness: The Establishment Clause and Religiously Motivated State Preemption of Municipal Non-Discrimination Law 我们不是盲目的:《城市非歧视法》的设立条款与宗教动机的国家优先权
Pub Date : 2020-01-29 DOI: 10.7916/CJGL.V39I1.4560
K. Ritter
On August 19, 2019, the City Council of Fayetteville, Arkansas, had a ten-hour meeting. More than a hundred citizens lined up to share their thoughts on Ordinance 119, a proposed regulation that had become a source of great public debate in the town. Only after they had all spoken did the meeting adjourn at 3:30 AM. The City Council then passed Ordinance 119 by a six-to-two margin, approving its establishment of protections on the basis of sexual orientation and gender identity in the city’s nondiscrimination law, and making Fayetteville the first town in the state to extend such protections to LGBT individuals. Six months later, the law was invalidated. The Arkansas General Assembly preempted Fayetteville’s legislation, making it outside of the city’s authority as a municipality to create protected classes beyond those that exist at the state level. Arkansas state law does not protect sexual orientation and gender identity.
2019年8月19日,阿肯色州费耶特维尔市议会举行了10个小时的会议。一百多名市民排队分享他们对第119号条例的看法,这项拟议的条例已成为该镇公众争论的焦点。直到他们都发言后,会议才于凌晨3:30休会。市议会随后以六比二的优势通过了第119号法令,批准在该市的非歧视法中建立基于性取向和性别认同的保护,并使费耶特维尔成为该州第一个将此类保护扩大到LGBT个人的城镇。六个月后,该法律宣告无效。阿肯色州议会抢先通过了费耶特维尔的立法,使其脱离了该市作为市政当局的权限,在州一级之外创建受保护的阶级。阿肯色州法律不保护性取向和性别认同。
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引用次数: 0
The Right Family 正确的家庭
Pub Date : 2020-01-29 DOI: 10.7916/CJGL.V39I1.4518
Noam Ben-Asher, Margot J. Pollans
The family plays a starring role in American law. Families, the law tells us, are special. They merit, among others, tax deductions, testimonial privileges, untaxed inheritance, parental presumptions, and, over the course of the twentieth century, the Supreme Court has expanded individual rights stemming from familial relationships. In this Article, we argue that family matters as much for when it is ignored as for when it is featured. We shed light on the use of the family in the law by contrasting policies in which the family is the key unit of analysis with others in which it is not. Looking at four seemingly disparate recent areas of policymaking—the travel ban, family separation at the southern border, agricultural subsidies, and the religious rights of closely held corporations—we explore the interplay between the family, the individual, and the corporation in modern law. We observe that both liberals and conservatives make use of the family to humanize or empower certain people, and both reject the family when seeking to dehumanize or disempower. Where liberals and conservatives differ is over which families to champion. Ultimately, we conclude that the use of family as a mechanism through which to confer rights and benefits becomes a cover to hide policies that entrench and exacerbate existing racial and religious hierarchies. Further, in the context of family businesses, it risks becoming a stepping stone for radical expansion of rights to businesses themselves. To tell this story, we analyze the use and rhetoric of family in politics, in the media, and in recent Supreme Court decisions such as Trump v. Hawaii (2018), Burwell v. Hobby Lobby (2014), Kerry v. Din (2015), and Masterpiece Cakeshop v. Colorado Civil Rights Comm’n (2018).
家庭在美国法律中起着举足轻重的作用。法律告诉我们,家庭是特殊的。除其他外,他们应该得到减税、证明特权、免税遗产、父母的推定,而且,在20世纪的过程中,最高法院扩大了源于家庭关系的个人权利。在这篇文章中,我们认为家庭在被忽视和被重视时同样重要。我们通过对比以家庭为主要分析单位的政策和以家庭为非主要分析单位的政策,阐明了在法律中使用家庭的问题。通过考察四个看似不相干的近期政策制定领域——旅行禁令、南部边境家庭分离、农业补贴和股份制公司的宗教权利——我们探索了现代法律中家庭、个人和公司之间的相互作用。我们注意到,自由主义者和保守主义者都利用家庭来使某些人人性化或赋权,而在寻求使某些人非人性化或赋权时,他们都拒绝家庭。自由派和保守派的分歧在于应该支持哪些家庭。最后,我们得出结论,利用家庭作为一种授予权利和利益的机制,成为掩盖巩固和加剧现有种族和宗教等级制度的政策的幌子。此外,在家族企业的背景下,它有可能成为企业本身权利急剧扩大的垫脚石。为了讲述这个故事,我们分析了家庭在政治、媒体和最近的最高法院判决中的使用和修辞,如特朗普诉夏威夷(2018年)、伯韦尔诉霍比大厅(2014年)、克里诉丁(2015年)和杰作蛋糕店诉科罗拉多州民权委员会(2018年)。
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引用次数: 0
Understanding Illicit Insemination and Fertility Fraud, From Patient Experience to Legal Reform 从患者经验到法律改革,了解非法人工授精和生育欺诈
Pub Date : 2020-01-01 DOI: 10.7916/CJGL.V39I1.4559
J. Madeira
Recently, several cases have been filed in North America and Europe alleging that fertility physicians inseminated former patients with their own sperm only to have this conduct come to light decades later when their unsuspecting adult children use direct-to-consumer genetic tests and learn that they are not biologically related to their fathers and often that they have multiple half-siblings. For instance, Donald Cline of Indianapolis, Indiana, has over sixty doctor-conceived children, with more continuing to come forward. Although these cases induce disgust, it has thus far proven difficult to hold these physicians legally accountable because their conduct falls within gaps in existing civil and criminal laws. This Article explores the legal contours of fertility fraud cases involving illicit physician inseminations, explaining why it falls through gaps in existing criminal and civil law and why it is essential to take whatever measures are necessary to hold physicians accountable. Part I discusses six physicians who have thus far faced criminal or civil charges for their conduct in North America and explores how artificial insemination has long been a stigmatized practice cloaked in secrecy. Part II discusses how fertility fraud violates various ethical and legal interests of female and male former patients and their doctor-conceived children. Part III assesses how Cline’s illicit inseminations affected parents and progeny and how Cline’s progeny learn of new genetic connections, what they think of Cline and his motivations, how they derive support from one another, their reactions to criminal proceedings against Cline, and why they regard a legislative “fertility fraud” bill as an ideal outcome. Part IV analyzes why it is difficult to hold physicians criminally and civilly liable under existing law, including excerpts from an interview with the prosecutor in the Cline case. Finally, Part V discusses successful efforts to overcome these difficulties through passing fertility fraud legislation in Indiana and Texas.
最近,在北美和欧洲提起了几起案件,指控生育医生用自己的精子给以前的病人人工授精,但几十年后,当他们毫无疑心的成年子女直接对消费者进行基因检测时,发现他们与父亲没有血缘关系,而且往往有多个同父异母的兄弟姐妹时,这种行为才被曝光。例如,印第安纳州印第安纳波利斯的唐纳德·克莱恩(Donald Cline)有60多名医生怀上的孩子,还有更多的孩子继续出生。尽管这些案件令人厌恶,但迄今为止,事实证明很难追究这些医生的法律责任,因为他们的行为属于现行民事和刑事法律的空白。本文探讨了涉及非法医生人工授精的生育欺诈案件的法律轮廓,解释了为什么它在现有的刑事和民事法律中存在空白,以及为什么必须采取任何必要措施追究医生的责任。第一部分讨论了迄今为止在北美因其行为而面临刑事或民事指控的六位医生,并探讨了人工授精如何长期以来一直是一种隐藏在秘密中的耻辱做法。第二部分讨论了生育欺诈如何侵犯了女性和男性前患者及其医生怀孕的孩子的各种道德和法律利益。第三部分评估克莱恩的非法人工授精如何影响父母和后代,克莱恩的后代如何了解新的基因联系,他们如何看待克莱恩和他的动机,他们如何获得彼此的支持,他们对针对克莱恩的刑事诉讼的反应,以及为什么他们认为立法“生育欺诈”法案是一个理想的结果。第四部分分析了为什么在现行法律下很难追究医生的刑事和民事责任,包括对克莱恩案件中检察官的采访摘录。最后,第五部分讨论了在印第安纳州和德克萨斯州通过生育欺诈立法来克服这些困难的成功努力。
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引用次数: 1
Does Climate Change Increase the Risk of Child Marriage? a Look at What We Know - and What We Don't - with Lessons from Bangladesh and Mozambique 气候变化会增加童婚风险吗?从孟加拉国和莫桑比克的经验教训看我们知道什么,不知道什么
Pub Date : 2019-09-22 DOI: 10.7916/CJGL.V38I1.4604
C. McLeod, H. Barr, Katherina Rall
Her husband eventually abandoned her and their three children to return to his first wife. As a single mother, Beauty relies on agricultural work to feed her children and often loses the chance to work due to regular flooding in her area. Even though tuition is waived for primary school in Bangladesh, she was forced to take her two daughters out of school after class five and class three,2 as they could not afford to purchase school
她的丈夫最终抛弃了她和他们的三个孩子,回到了他的第一任妻子身边。作为一名单身母亲,Beauty依靠农业工作养活孩子,由于所在地区经常发生洪水,她经常失去工作机会。尽管孟加拉国的小学免除了学费,但她被迫在五班和三、二班后带着两个女儿辍学,因为她们买不起学校
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引用次数: 7
Biopolitical and Necropolitical Constructions of the Incarcerated Trans Body 被监禁跨体的生物政治和死政治建构
Pub Date : 2019-08-07 DOI: 10.7916/CJGL.V37I2.2787
Christopher Zhang
This Article posits that the issue of gender-affirming genital surgery conjures competing constructions of the incarcerated trans body that reflect different conceptions of its relationship to state power. It offers a reading of this conflict as a clash between a biopolitical and a necropolitical conception of the incarcerated trans body. Biopolitics is a theory of state power that views the state as the arbiter and administrator of life and all life processes. Necropolitics, on the other hand, posits that sovereignty is defined by its power to mark out certain populations for social and literal death.
这篇文章认为,确认性别的生殖器手术问题让人联想到被监禁的跨性别身体的相互竞争的结构,反映了对其与国家权力关系的不同概念。它将这场冲突解读为被监禁的跨性别者的生物政治和死亡政治概念之间的冲突。生物政治学是一种国家权力理论,将国家视为生命和所有生命过程的仲裁者和管理者。另一方面,死灵政治认为,主权是由其在社会和字面上标记特定人群死亡的权力来定义的。
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引用次数: 2
A New Rationale for the Doctrine of Provocation: Applications to Cases of Killing an Unfaithful Spouse 挑衅原则的新理论:在杀害不忠配偶案件中的应用
Pub Date : 2019-06-28 DOI: 10.7916/CJGL.V37I2.2786
Roni M. Rosenberg
In many states in the United States, a man who killed his wife upon discovering that she had been unfaithful to him can rely upon the provocation defense so long as he can demonstrate that sudden discovery of the infidelity affected his subjective judgement. This essay proposes a different rationale for the doctrine of provocation, which negates the reliance on the provocation defense in the case of an unfaithful spouse. The proposed rationale is neither excuse, which focuses on reduced guilt due to the defendant’s loss of self-control, nor justification, in that the victim was partly responsible for his or her own death. Rather, the rationale rests upon an understanding of why murder is prohibited and an examination of the protected values at the core of the offense of murder.
在美国的许多州,一名男子在发现妻子对他不忠后杀死了妻子,只要他能证明突然发现不忠影响了他的主观判断,他就可以依靠挑衅辩护。本文提出了一种不同的挑衅学说的理由,该学说否定了在配偶不忠的情况下对挑衅辩护的依赖。所提出的理由既不是借口,也不是受害者对自己的死亡负有部分责任的理由。相反,其理由在于对为什么禁止谋杀的理解,以及对谋杀罪核心受保护价值观的审查。
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引用次数: 0
Securing Posterity: The Right to Postmortem Grandparenthood and the Problem for Law 保障后嗣:死后祖父母的权利与法律问题
Pub Date : 2019-06-14 DOI: 10.7916/CJGL.V37I2.2784
Nofar Yakovi Gan-or
The purpose of this article is to begin conceptualizing the interests and motivations of bereaved parents, or would-be grandparents, who wish to produce a grandchild following the death of an adult son. It argues that two characteristics of this reproductive practice— the experience of loss that precedes it and the familial relationship that lies between its consumers (the would-be grandparents) and its subjects (the deceased sons)—provide the social context in which parents’ personal motivations to pursue postmortem grandparenthood can be understood.
这篇文章的目的是开始概念化丧亲父母或未来祖父母的兴趣和动机,他们希望在成年儿子去世后生下孙子。它认为,这种生育实践的两个特征——之前的丧亲经历,以及消费者(未来的祖父母)和受试者(已故的儿子)之间的家庭关系——提供了一个社会背景,可以在这个背景下理解父母追求死后祖父母身份的个人动机。
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引用次数: 0
期刊
Columbia journal of gender and law
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