Michelle M. Mello (
Lawrence O. Gostin, Georgetown University, Washington, D.C.
Health Aff (Millwood). 2023 Mar;42(3):318-327. doi: 10.1377/hlthaff.2022.01292.
Public health emergency powers laws in the US underwent a profound stress test during the COVID-19 pandemic. Designed with bioterrorism in mind, they struggled to meet the challenges of a multiyear pandemic. Public health legal powers in the US are both too limited, in that they don't clearly permit officials to implement measures necessary to combat epidemics, and too broad, in that their accountability mechanisms fall short of public expectations. Recently, some courts and state legislatures have cut deeply into emergency powers, jeopardizing future emergency response. Instead of this curtailment of essential powers, the states and Congress should modernize emergency powers laws to balance powers and individual rights in more productive ways. In this analysis we propose reforms including meaningful legislative checks on executive power, stronger substantive standards for executive orders, mechanisms for public and legislative input, and clearer authority to issue orders affecting groups of people.
美国的公共卫生紧急权力法在 COVID-19 大流行期间经历了一次深刻的压力测试。这些法律是为应对生物恐怖主义而设计的,在应对多年大流行的挑战时遇到了困难。美国的公共卫生法律权力既过于有限,因为它们没有明确允许官员实施抗击传染病所需的措施,也过于广泛,因为它们的问责机制不符合公众的期望。最近,一些法院和州立法机构大幅削减了紧急权力,危及未来的应急反应。各州和国会不应该削弱这些必要的权力,而应该通过现代化紧急权力法,以更富有成效的方式平衡权力和个人权利。在这项分析中,我们提出了包括对行政权力进行有意义的立法制衡、为行政命令制定更强有力的实质性标准、为公众和立法机构提供投入的机制以及更明确的权力以发布影响人群的命令等改革措施。