RESUMO
Following the recent condemnation of the National Health Service charging regulations by medical colleges and the UK Faculty of Public Health, we demonstrate that through enactment of this policy, the medical profession is betraying its core ethical principles. Through dissection of the policy using Beauchamp and Childress' framework, a disrespect for autonomy becomes evident in the operationalisation of the charging regulations, just as a disregard for confidentiality was apparent in the data sharing Memorandum of Understanding. Negative consequences of the regulations are documented to highlight their importance for clinical decision makers under the principles of beneficence and non-maleficence. Exploration of the principle of justice illuminates the core differentiation between the border-bound duties of the State and borderless duties of the clinician, exposing a fundamental tension.
Assuntos
Definição da Elegibilidade/ética , Emigração e Imigração , Acessibilidade aos Serviços de Saúde/estatística & dados numéricos , Justiça Social/ética , Medicina Estatal , Beneficência , Estudos de Casos e Controles , Tomada de Decisões , Definição da Elegibilidade/legislação & jurisprudência , Emigração e Imigração/legislação & jurisprudência , Emigração e Imigração/estatística & dados numéricos , Regulamentação Governamental , Acessibilidade aos Serviços de Saúde/ética , História do Século XX , Humanos , Obrigações Morais , Autonomia Pessoal , Relações Médico-Paciente , Seguridade Social , Medicina Estatal/ética , Medicina Estatal/legislação & jurisprudência , Reino Unido/epidemiologia , Populações Vulneráveis/etnologia , Índias Ocidentais/epidemiologiaRESUMO
This article explores judicial activism in Argentina as it relates to health, as evidenced by courts' willingness to address health issues and to monitor public policies. It examines the strategic use of the courts to channel claims against the government or companies providing health care services both by organizations devoted to litigation in the public interest and by individuals. In addition, the article looks closely at conflicts that have been adjudicated in the courts and various court responses. Special focus is given to the possible effects of certain court decisions on the Argentine health system following its reform during the 1990s, which included transfer and decentralization of functions and services.