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Recent Case Developments in Health Law: Mental Illness and the Right to Refuse

Published online by Cambridge University Press:  01 January 2021

Extract

In January 2009, the California Court of Appeal for the Fifth District held that an individual suffering from paranoid schizophrenia could be forcefed and medicated despite his refusal of consent. The patient was a prison inmate, who engaged in a hunger strike to protest imagined abuses by prison guards. The court, reconciling conflicting provisions of California law, upheld the appointment of a conservator to make treatment decisions because the patient could not participate in those decisions “by means of a rational thought process.” However, in tying mental capacity to the plausibility of a protestor’s claims, the court risks placing political dissent at the mercy of judicial discretion.

Type
JLME Column
Copyright
Copyright © American Society of Law, Medicine and Ethics 2009

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References

References

See In re Conservatorship of Burton, 88 Cal. Rptr. 3d 524 (Ct. App. 2009).Google Scholar
See id., at 526.Google Scholar
Cal. Prob. Code § 813(a), (a)(2) (West 2002).Google Scholar
Falcón, M. J. y Tella, , Civil Disobedience, trans. Muckley, P. (Leiden, The Netherlands: Brill Academic Publishers, 2004): at 105–06.Google Scholar
See Weatherford, D., A History of the American Suffragist Movement (Santa Barbara: ABC-CLIO, 1998): at 218.Google Scholar
See Fessler, D. M. T., “The Implications of Starvation Induced Psychological Changes for the Ethical Treatment of Hunger Strikers,” Journal of Medical Ethics 29, no. 4 (2003): 243; Golden, T., “Guantanamo Detainees Stage Hunger Strike,” New York Times, April 9, 2007, at A12.CrossRefGoogle Scholar
See Falcón, y Tella, , supra note 4, at 105.Google Scholar
Turner v. Safley, 482 U.S. 78, 89 (1987).Google Scholar
Washington v. Harper, 494 U.S. 210, 214 n.2 (1990).Google Scholar
Id., at 214.Google Scholar
Id., at 215 (quoting Washington Special Offender Center Policy 600.30).Google Scholar
“[N]or shall any state deprive any person of life, liberty, or property, without due process of law.” U.S. Const. amend. XIV, § 1.Google Scholar
See Harper, , supra note 9, at 225.Google Scholar
Compare Cal. Const. art. I, § 1 (“All people are by nature free and independent and have inalienable rights. Among these are…privacy.”) with Griswold v. Connecticut, 381 U.S. 479, 484 (1965) (“Various guarantees [of the U.S. Constitution] create zones of privacy.”).Google Scholar
In re Qawi, 81 P.3d 224, 231 (Cal. 2004).CrossRefGoogle Scholar
Id. (quoting Addington v. Texas, 441 U.S. 418, 426 (1979)).Google Scholar
Cal. Prob. Code § 3201(b) (West 1991 & Supp. 2009).Google Scholar
See Cal. Prob. Code § 3208(a) (West 1991 & Supp. 2009).Google Scholar
Burton, supra note 1, at 526–27.Google Scholar
Id., at 525–26.Google Scholar
Id., at 526.Google Scholar
Id. (quoting a prison psychiatrist).Google Scholar
Id., at 526–27.Google Scholar
Cal. Prob. Code § 811(b) (West 2002).Google Scholar
Cal. Prob. Code § 813(a), (a)(2) (West 2002).Google Scholar
Burton, supra note 1, at 528–29.Google Scholar
Id., at 528.Google Scholar
Id., at 529.Google Scholar
Id., at 529–30.Google Scholar
Id., at 530.Google Scholar
See Fessler, , supra note 6, at 244.Google Scholar
Council on Ethical and Judicial Affairs, American Medical Association, Code of Medical Ethics of the American Medical Association (Chicago: American Medical Association, 2006): at § 2.20.Google Scholar
Kahan, D. M., “Some Realism About Retroactive Criminal Lawmaking,” Roger Williams University Law Review 3, no. 1 (1997): 111. See generally Llewellyn, K. N., The Common Law Tradition: Deciding Appeals (Boston: Little, Brown and Company, 1960): at 121–57.Google Scholar
See Morse, S. J., “A Preference for Liberty: The Case Against Involuntary Commitment of the Mentally Disordered,” California Law Review 70, no. 1 (1982): 54.CrossRefGoogle Scholar

References

Decision Memo for Surgery on the Wrong Body Part (CAG-00402N): 1.Google Scholar
AHRQ Study Finds Wrongsite Surgery Rare and Preventable, Press Release, April 17, 2006, Agency for Healthcare Research and Quality, Rockville, MD., available at <http://www.ahrq.gov/news/press/pr2006/wrongsitepr.htm> (last visited February 17, 2009).+(last+visited+February+17,+2009).>Google Scholar
Decision Memo for Surgery on the Wrong Body Part, supra note 1: at 1Google Scholar
42 U.S.C. 1395y(a)(1)(A).Google Scholar
AHRQ Study Finds Wrongsite Surgery Rare and Preventable, supra note 2.Google Scholar
National Quality Forum, Serious Reportable Events in Healthcare: Fact Sheet, available at <http://www.qualityforum.org/projects/completed/sre/> (last visited February 28, 2009).+(last+visited+February+28,+2009).>Google Scholar
Decision Memo for Surgery on the Wrong Body Part, supra note 1, at 3.Google Scholar
Decision Memo for Surgery on the Wrong Body Part, supra note 1, at 5.Google Scholar
There is not currently a national reporting system for never events, though several states have made reporting mandatory. See Kizer, K. and Stegun, M., “Serious Reportable Adverse Events in Health Care,” available at <http://www.ncbi.nlm.nih.giv/books/bv.fcgi?rid=aps.section.7695> (last visited March 8, 2009).+(last+visited+March+8,+2009).>Google Scholar
The Joint Commission, Facts About the Universal Protocol, available at <http://www.jointcommission.org/Patient-Safety/UniversalProtocol/up_facts.htm> (last visited February 19, 2009).+(last+visited+February+19,+2009).>Google Scholar
The AMA argued during the public comment period that claims processors do not have the requisite “expertise to determine whether certain surgical procedures are performed correctly.” Decision Memo for Surgery on the Wrong Body Part, supra note 1: at 6.Google Scholar
Aleccia, J., More States Shred Bills for Awful Medical Errors, available at <www.msnbc.msn.com/id/26081421/> (last visited February 18, 2009).+(last+visited+February+18,+2009).>Google Scholar

References

An EHR is a record of “electronically maintained information about an individual's lifetime health status and health care, stored such that it can serve. multiple legitimate users.” Shortliffe, E. H. and Cimino, J. J., eds., Biomedical Informatics: Computer Applications in Health Care and Biomedicine, 3rd ed., (New York: Springer, 2006): 937; Steinbrook, R., “Health Care and the American Recovery and Reinvestment Act,” New England Journal of Medicine 360, no. 11 (2009): 1057-60.CrossRefGoogle Scholar
Ableson, Reed, “While the U.S. Spends Heavily on Health Care, a Study Faults the Quality,” New York Times, July 17, 2008, at C3.Google Scholar
Protti, D. J., Edworthy, S. and Johansen, I., “Adoption of Information Technology in Primary Care Physician Offices in Alberta and Denmark: Part 1 – Historical, Technical and Cultural Forces,” Electronic Healthcare 6, no. 1 (2007): 95102.Google Scholar
See Ableson, , supra note 3.Google Scholar
Blumenthal, D., The Federal Role in Promoting Health Information Technology (New York: The Commonwealth Fund Perspectives on Health Reform, January 2009) available at <http://www.commonwealthfund.org/Content/Publications/Perspectives-on-Health-Reform-Briefs/2009/Jan/The-Federal-Role-in-Promoting-Health-Information-Technology.aspx.> (last visited April 13, 2009).Google Scholar
Kohn, L. T. et al., eds., To Err Is Human: Building A Safer Health System 1–2 (Washington, D.C.: National Academies Press, 2000).Google Scholar
Hoffman, S. and Podgurski, A., “Finding a Cure: The Case for Regulation and Oversight of Electronic Health Record Systems: Case Legal Studies Research Paper No. 08–13,” Harvard Journal of Law and Technology 22, no. 1 (2008): 103165, at 105.Google Scholar
Walker, M., “Electronic Medical Records Can Cure Potential Nightmares,” San Francisco Business Times, March 29, 2002, available at <http://sanfrancisco.bizjournals.com/sanfrancisco/stories/2002/04/01/newscolumn2.html> (last visited April 14, 2009).+(last+visited+April+14,+2009).>Google Scholar
See Blumenthal, , supra note 6.Google Scholar
Girosi, F. et al., “Extrapolating Evidence of Health Information Technology Savings and Costs,” Rand Health 3536 (2005), available at <http://www.rand.org/pubs/monographs/2005/RAND_MG410.pdf> (last visited April 14, 2009). The other format I've seen for this item is the book citation- as follows: Girosi, F. et al., Extrapolating Evidence of Health Information Technology Savings and Costs (RAND Corporation: Santa Monica, 2005), available at <http://www.rand.org/pubs/monographs/2005/RAND_MG410.pdf> (last visited April 14, 2009).Google Scholar
See Hoffman, and Podgurski, , supra note 8.Google Scholar
Doolan, D. F. and Bates, D. W., “Computerized Physician Order Entry Systems in Hospitals: Mandates and Incentives,” Health Affairs 21. no. 4 (2002): 180188, at 180, 183–184.CrossRefGoogle Scholar
See Hoffman, and Podgurski, , supra note 8, at 153.Google Scholar
Id., at 117.Google Scholar
Editorial, “The Candidates' Health Plans,” New York Times, October 28, 2008, at A30Google Scholar
King, M., “Health Care Reform: We Can't Afford to Wait to Fix This Broken System,” The Atlanta Journal-Constitution, December 14, 2008, at 12A.Google Scholar
See Steinbrook, , supra note 1.Google Scholar
Steinbrook, , supra note 1.Google Scholar
Blumenthal, , supra note 6.Google Scholar
Pear, R., “Daschle Will Lead Health Care Overhaul,” New York Times, December 11, 2008, at 28.Google Scholar
See Hoffman, and Podgurski, , supra note 8.Google Scholar
Marks, A., “In Digitizing Healthcare, A Battle over Patient Privacy,” Christian Science Monitor, February 11, 2009, at 1, available at <http://www.csmonitor.com/2009/0211/p02s01-usec.html> (last visited April 14, 2009).+(last+visited+April+14,+2009).>Google Scholar
Collins, Eve et al., “HIPAA Compliance Strategies: National Review of HIPAA Compliance Finds Rampant Confusion, Mistakes,” Report on Patient Privacy and AIS's HIPAA Compliance Center, Atl. Information Services., Inc., Washington, D.C., 2007, available at <http://www.aishealth.com/Compliance/Hipaa/RPP_National_Review_Rampant_Mistakes.html> (last visited April 14, 2009).Google Scholar
45 C.F.R. § 160.103Google Scholar
See Steinbrook, , supra note 1.Google Scholar
The American Recovery and Reinvestment Act of 2009, H.R.1. available at <http://thomas.loc.gov/cgi-bin/query/F?c111:8:./temp/~c111dDSWC0:e351310:.> (last visited April 15, 2009).+(last+visited+April+15,+2009).>Google Scholar
Office Of Inspector General, U.S. Department of Health and Human Services, “Nationwide Review of the Centers for Medicare & Medicaid Services Health Insurance Portability and Accountability Act of 1996 Oversight I-II,” 2008, available at <http://oig.hhs.gov/oas/reports/region4/40705064.pdf> (last visited April 14, 2009).+(last+visited+April+14,+2009).>Google Scholar
American Civil Liberties Union, “The American Recovery and Reinvestment Act of 2009 Health Information Technology Privacy Summary,” available at <http://www.aclu.org/images/asset_upload_file625_38771.pdf> (last visited April 14, 2009).+(last+visited+April+14,+2009).>Google Scholar