Daniels Norman, Charvel Sofia, Gelpi Adriane H, Porteny Thalia, Urrutia Julian
Global Health and Population ; Harvard T.H. Chan School of Public Health ; Boston , MA USA.
Mexico Autonomous Institute of Technology (ITAM) ; Mexico City , Mexico.
Health Syst Reform. 2015 Apr 3;1(3):229-234. doi: 10.1080/23288604.2014.1002705.
-A moral right to health or health care, given reasonable resource constraints, implies a reasonable array of services, as determined by a fair deliberative process. Such a right can be embodied in a constitution where it becomes a legal right with similar entitlements. What is the role of the courts in deciding what these entitlements are? The threat of "judicialization" is that the courts may overreach their ability if they attempt to carry out this task; the promise of judicialization is that the courts can do better than health systems have done at determining such entitlements. We propose a middle ground that requires the health system to develop a fair, deliberative process for determining how to achieve the progressive realization of the same right to health or health care and that also requires the courts to develop the capacity to assess whether the deliberative process in the health system is fair.
在合理的资源限制下，健康或医疗保健的道德权利意味着由公平的审议过程确定的一系列合理服务。这样一项权利可以体现在宪法中，成为具有类似权利的法律权利。法院在决定这些权利是什么方面的作用是什么？“司法化”的威胁在于，如果法院试图执行这项任务，可能会超出其能力范围；“司法化”的前景在于，在确定此类权利方面，法院能够比卫生系统做得更好。我们提出一种折中的办法，要求卫生系统制定一个公平的审议过程，以确定如何逐步实现健康或医疗保健的相同权利，同时也要求法院具备评估卫生系统审议过程是否公平的能力。
