Mariner Wendy K
School of Public Health, Boston University, USA.
J Health Law. 2005 Spring;38(2):247-85.
This Article examines three questions: What is public health? What is public health law? What roles can lawyers play in public health? It first describes the breadth of public health, highlighting six trends shaping its future: social determinants of health; synergy between medicine and public health; shifts in focus from external (e.g., environmental and social) to internal (behavioral) risks to health; federalization of public health law; globalization of health risks and responses; and bioterrorism. Because the domains of law that apply to public health are equally broad, the Article next offers a conceptual framework for identifying the types of laws most suitable to different public health problems. Finally, the role of lawyers in the applied field of public health law is examined, first to encourage attention to law's effect on health, even laws having little apparent relationship to health; and second, to recognize that laws intended to achieve specific health outcomes may affect broader legal principles. Lawyers have a unique role to play in ensuring that the legal principles used to promote health also preserve justice.
什么是公共卫生?什么是公共卫生法?律师在公共卫生中能发挥什么作用?文章首先描述了公共卫生的广度,突出了塑造其未来的六大趋势:健康的社会决定因素;医学与公共卫生之间的协同作用;关注重点从健康的外部(如环境和社会)风险转向内部(行为)风险;公共卫生法的联邦化;健康风险及应对措施的全球化;以及生物恐怖主义。由于适用于公共卫生的法律领域同样广泛,文章接下来提供了一个概念框架,以确定最适合不同公共卫生问题的法律类型。最后,考察了律师在公共卫生法应用领域中的作用,其一,鼓励关注法律对健康的影响,即使是那些与健康没有明显关系的法律;其二,认识到旨在实现特定健康结果的法律可能会影响更广泛的法律原则。律师在确保用于促进健康的法律原则也维护正义方面可发挥独特作用。