Gostin L O
Harvard School of Public Health.
Am J Law Med. 1986;12(3-4):461-90.
Developments in medicine and constitutional law dictate modification of public health legislation in the United States. Traditionally overlooked by legislators, present public health laws provide inadequate decision-making criteria and inappropriate procedures for dealing with issues. Revised legislation should provide health care officials and agencies with the tools to balance individual rights against public health necessities. This Article makes four recommendations for legislative reform: (1) remove artificial legislative distinction between venereal and other communicable diseases; (2) provide criteria defining "public health necessity" to limit discretionary exercise of police power by health officials; (3) provide strong confidentiality protections in the collection and storage of public health information; (4) empower public health officials to select from a graded series of less restrictive alternatives in dealing with public health problems.
医学和宪法的发展要求美国修改公共卫生立法。传统上被立法者忽视的现行公共卫生法律,提供的决策标准不足,处理问题的程序也不恰当。修订后的立法应向医疗保健官员和机构提供工具,以平衡个人权利与公共卫生需求。本文对立法改革提出四项建议:(1)消除对性病和其他传染病在立法上的人为区分;(2)提供界定“公共卫生需求”的标准,以限制卫生官员自由裁量行使警察权力;(3)在公共卫生信息的收集和存储方面提供强有力的保密保护;(4)授权公共卫生官员在处理公共卫生问题时,从一系列限制较小的替代措施中进行选择。