美国艾滋病预防的道德解读:刑法与侵权法

S. Okta
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摘要

美国政府一直在开展活动,鼓励人们接受艾滋病毒检测,从而得到治疗。令人费解的是,超过50%的国家制定了针对艾滋病毒的刑法,将接触和传播都定为犯罪。与此同时,越来越多的侵权法要求对意外接触和传播艾滋病毒的人进行经济赔偿。虽然这两项法律都提出了保护人们免受艾滋病毒感染的道德要求,但本文试图找到以下问题的答案:在美国,在解决艾滋病毒预防问题上,刑法和侵权法的使用在道德解读上有什么不同?本文采用传统的描述性比较方法,对具有全国管辖范围的美国法系刑法和侵权法进行比较。本文以德沃金的法律、道德和解释理论为参照系来衡量这一差异。根据美国的普通法传统,刑法和侵权法一直在发展关于艾滋病毒暴露和传播的类似责任原则。就预防艾滋病毒本身而言,刑法和侵权法在实现扭转艾滋病毒流行的公共卫生目标方面发挥的作用微乎其微。刑法被认为与法律的目的不一致,在实体层面和潜在的道德要求上都存在误解。另一方面,侵权法在公共卫生方面的道德要求就更少了。然而,侵权行为法始终保持着狭义的经济责任。
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The Moral Reading of HIV Prevention in the United States: Criminal Law and Tort Law
The United States government has been campaigning to encourage people to take HIV testing and thus get treated. It is puzzling that more than 50% of States have HIV-specific criminal laws that criminalize both exposure and transmission. At the same time, there is an increased tort law to seek financial compensation for unwanted HIV exposure and transmission. While both laws the moral claim of protecting people from HIV infection, this paper is trying to find an answer to the following inquiry: What is the difference of the moral reading between the use of criminal law and tort law in addressing HIV prevention in the United States? This paper uses the traditional descriptive comparison between criminal law and tort law under the American legal system with a nationwide jurisdictional scope. This paper measures the difference using the frame of reference of Ronald Dworkin's law, morality, and interpretation theory. Both criminal law and tort law have been developing similar liability principles regarding HIV exposure and transmission under the United States' common law tradition. For HIV prevention itself, both criminal law and tort law play a marginal role in gaining public health purposes in reversing the HIV epidemic. Criminal law has been scrutinized as not aligned with the purpose of law where misconceptions exist in both substantive dimension and the underlying moral claim. Tort law, on the other hand, suffers an even less moral claim on public health purposes. However, tort law maintains a consistent narrow sense of financial liability.
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