DOI: https://doi.org/10.25040/medicallaw2016.01.050
Med. pravo., 2016; 1(17): 50-62
UDC: 613:342.7 (477)
SENYUTA IRYNA YAROSLAVIVNA
candidate of legal sciences, associate professor, chair of the Department of medical law of the Faculty of Post-Graduate education of Danylo Halytskyi Lviv National Medical University, president of the All-Ukrainian NGO “Foundation of Medical Law and Bioethics of Ukraine”, chief editor of the scientific and practical journal “Medical Law”, advocate, member of the Board of the International Renaissance Foundation”, mentor of the ASPHER HRPC Junior Faculty Scholars Program.
KLAPATYI DMYTRO YOSYFOVYCH
teaching assistant of the Department of medical law of the Faculty of Post-Graduate education of Danylo Halytskyi Lviv National Medical University, member of the Board of the All-Ukrainian NGO “Foundation of Medical Law and Bioethics of Ukraine”, junior faculty scholar of the ASPHER HRPC Junior Faculty Scholars Program.
Medical neutrality as Human Rights in patient care protectection concept:experience of Ukraine
The issue of human rights has been always relevant. It needs permanent promotion from the side of the state and that everybody respects the most valuable achievement of the mankind. The importance of human rights is increasing in the time of war – traumatic epidemic when everybody is taking efforts to stop this epidemic, to find a “vaccine”, which will help fight the threats within the country. These are the recipes, which today are looked for in Ukraine – a country, which unintentionally joined the group of states, where the basic principles of medical neutrality are violated.
The aim of the article is to establish basic general-theoretical foundations of the concept of medical neutrality and to develop legal mechanisms of human rights in patient care protection through the prism of this concept. Within the research the following tasks shall be fulfilled: 1) to distinguish the features and functions of medical neutrality; 2) to suggest a definition of the term “medical neutrality”; 3) to formulate and find out the essence of the principles of medical neutrality; 4) to find out the main theoretical approaches to understanding the concept of medical neutrality; 5) to identify gaps in the national laws of Ukraine in the context of the concept of medical neutrality; 6) to develop proposals to address these gaps; 7) to prepare proposals to the draft recommendations of the UN General Assembly on the implementation of UN General Assembly Resolution "Global Health and Foreign Policy" (11 December 2014; 69th session of the UN).
Given the objective and the tasks of the research there were chosen appropriate scientific research methods. A spectrum of general scientific and special methods of knowledge was used. Into the basis of the research such methods were a dialectical method with a systemic and structural approach were laid: dialectical method combined with a systemic and structural approach was used to study the materials and formulate conclusions, comparative-legal method was used to explore the norms of international and regional standards, national laws and foreign states’ legislation. The methods of analysis and synthesis were applied to formulate proposals concerning national concept of medical neutrality, as well as hermeneutics-linguistic method was used to interpret legal texts of different historical-legal periods.
Key words: medical neutrality, human rights, medical care, medical professional, impartiality, health care
Reference List
1. Gross M. Carrick D. eds. (2013), Military Medical Ethics. London. Ashgate Publishing.
2. Gross M. (2006), Bioethics and Armed Conflict. Moral Dilemmas of Medicine and War. Cambridge MIT Press.
3. Henckaerts J, Doswald Beck L. (2005) Rule 25 of Customary International Humanitarian Law. Customary International Humanitarian Law, Vol. 1, p. 78.
4. Protocol Additional to the Geneva Conventions of 12 August 1949, and relating to the Protection of Victims of NonInternational Armed Conflicts (Protocol II), 8 June 1977, viewed 10 September 2015. Retrieved from https://www.icrc.org/ihl/INTRO/475?OpenDocument
5. Toebes B. (2013) Health Care on the Battlefield. In Search of Legal and Ethical framework, Journal of International Humanitarian Legal Studies, 4, p. 197.
6. List J. (2008) Medical Neutrality and Political Activism. Physicians Roles in Conflict Situations, International Library of Ethics. Law and the New Medicine, Vol. 41, p. 237.
7. Nathanson V. (2013) Medical Ethics in Peacetime and Wartime the Case for Better Understanding International Review of the Red Cross, 889, p. 189.
8. World Medical Association (wma), Regulations in Times of Armed Conflict, adopted by the 10th World Medical Assembly, Havana, Cuba, October 1956, last amended by the wma General Assembly, Tokyo, 2004, Retrieved from http://www.wma.net/en/30publications/10policies/a20
9. International humanitarian law and violation of medical neutrality, in Reflections on the Law of War Collected Essays, Brill Academic Publishers, Leiden, Netherlands and Boston, MA, 2007.
10. Geiger J H., Cook Deegan R.M. (1993) The Role of Physicians in Conflicts and Humanitarian Crises Case Studies From the Field Missions of Physicians for Human Rights, 1988 to 1993, JAMA, Vol. 270 No. 5, p. 617.
https://doi.org/10.1001/jama.270.5.616
11. Gross M. (2007) From Medical Neutrality to Medical Immunity, Virtual Mentor, Vol. 9, 10, p. 718.
12. Rubenstein L. (2013) A Way Forward in Protecting Health Services in Conflict Moving Beyond the Humanitarian Paradigm International Review of the Red Cross, 890, p. 331.
13. Toebes, B. (2013) Health and Humanitarian Assistance. Towards an Integrated Norm under International Law Tilburg Law Review, 18 (2013), p. 133.
14. Leaning J. (1999) Medicine and International Humanitarian Law Provides Norms that Must Guide Doctors in War and Peace, British Medical Journal, 319(7207), p. 393.
15. Weller M. (1997) The Relativity of Humanitarian Neutrality and Impartiality Proceedings of the Annual Meeting (American Society of International Law) Vol. 91, Implementation, Compliance and Effectiveness, p. 441.
16. Emergency Nurses Association, 50 State Survey Criminal Laws Protecting Health Professionals Updated January 2014, viewed 10 September 2015. Retrieved from https://www.ena.org/government/State/Documents/StateLawsWorkplaceViolenceSheet.pdf