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提高囚犯痛苦缓解的“文明最低标准”,以避免残酷和不寻常的惩罚。

Raising the "civilized minimum" of pain amelioration for prisoners to avoid cruel and unusual punishment.

作者信息

McGrath James

机构信息

Appalachian School of Law, USA.

出版信息

Rural Sociol. 2002 Spring;54(3):649-84.

Abstract

This Article addresses the problems with our nation's cultural and legal prohibitions against certain pain management treatments. The practice of pain management has not kept pace with the many medical advances that have made it possible for physicians to ameliorate most pain. The Author notes that some patients are denied access to certain forms of treatments due to the mistaken belief that addiction may ensue. Additionally, some individuals are under-treated for their pain to a greater degree than are others. This is especially the case for our nation's prisoners. The Author contends that prisoners are frequently denied effective pain amelioration. He notes, however, that there has been improvement in medical treatment in general for prisoners due to court challenges based on the Eighth Amendment's prohibition against cruel and unusual punishment. Yet, due to the protection of qualified immunity given to jailers and prison health care providers, prisoners cannot bring a claim for negligence or medical malpractice, they must allege a violation of their constitutional rights, a significantly higher legal standard. Prisoners must meet a subjective test showing that there was a deliberate indifference to their medical needs that violates the protection of the Eighth Amendment. The Author concludes that because medical advances have made it possible to alleviate most pain suffering, withholding pain treatment or providing a less effective treatment is tantamount to inflicting pain and should be viewed as a violation of the Eighth Amendment.

摘要

本文探讨了我国文化和法律对某些疼痛管理治疗的禁令所带来的问题。疼痛管理的实践未能跟上众多医学进步的步伐,这些进步使医生能够缓解大多数疼痛。作者指出,一些患者因错误地认为可能会成瘾而无法获得某些形式的治疗。此外,一些人的疼痛治疗不足程度比其他人更大。我国的囚犯尤其如此。作者认为,囚犯经常被剥夺有效的疼痛缓解治疗。然而,他指出,由于基于第八修正案禁止残忍和不寻常惩罚的法庭质疑,囚犯的总体医疗待遇有所改善。然而,由于给予狱卒和监狱医疗保健提供者的合格豁免权的保护,囚犯不能提出过失或医疗事故索赔,他们必须声称其宪法权利受到侵犯,这是一个高得多的法律标准。囚犯必须通过主观测试,证明存在对其医疗需求的故意漠视,这违反了第八修正案的保护。作者得出结论,由于医学进步使缓解大多数疼痛成为可能,拒绝给予疼痛治疗或提供效果较差的治疗等同于施加疼痛,应被视为违反第八修正案。

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