Skeen Andrew
University of the Witwatersrand, Johannesburg, South Africa.
Med Law. 2004;23(4):937-43.
The legal status of living wills and advance directives in South African Law will be considered. Presently there is no reported judgment of a court in South Africa which has directly ruled on the validity of an advance directive or living will. In a case decided in 1992 the issue as to whether to discontinue life supporting treatment was decided with reference to the legal persuasions of society and whether, in light of these, it would be reasonable to discontinue artificial feeding of the patient. The judge indicated that just as a living person has an interest in the disposal of his body so did he think that the patient's wishes as expressed when he was in good health should be given effect. In South African law every person is legally entitled to refuse medical treatment even if the consequences may be to hasten death. The South African Law Convention has extensively investigated the issue in its report entitled Report on Euthanasia and the Artificial Preservation of Life in 1998. Certain problems were identified and a draft bill was suggested.
将探讨南非法律中生前遗嘱和预立医疗指示的法律地位。目前,南非尚无法院直接就预立医疗指示或生前遗嘱的有效性作出裁决的报道。在1992年判决的一个案件中,关于是否停止维持生命治疗的问题,是参照社会的法律信念以及据此停止对患者人工喂食是否合理来决定的。法官指出,正如活人对自己身体的处置有利益一样,他认为患者在身体健康时所表达的意愿也应得到执行。在南非法律中,每个人都有合法权利拒绝接受医疗治疗,即使后果可能是加速死亡。南非法律委员会在其1998年题为《关于安乐死和生命的人工维持的报告》中对该问题进行了广泛调查。确定了某些问题并提出了一项法案草案。