Contenuti per la categoria: Bioetica e diritto

SOMMARIO: 1. - Il “caso Oneda” - 2. -Evoluzione successiva e stato attuale - 3. - La violenza medica - 4. Conclusioni - Appendice.

Freedom of choice of therapy and medical violence. Brief Considerations on the Refusal of Blood Transfusions by Jehovah's Witnesses

ABSTRACT: This short essay considers the change in the jurisprudential orientation on the matter in the light of the recent regulatory and healthcare evolution. In Italy the debate began with the Oneda case, which saw the conviction of two parents who opposed the transfusions of their daughter - at the time the only known therapy to combat a severe form of anemia. Nowadays, this question must be contextualized in the light both of the principle of health self-determination and the possibility of the "bloodless" treatment. Therefore, the Court of Tivoli (the sentence is attached in appendix) recently convicted a doctor who transfused a dissenting patient for “private violence”.

SOMMARIO: 1. Introduzione - 2. La tutela della salute nell’emergenza sanitaria: le raccomandazioni e linee guida delle società scientifiche quali sintomi della crisi delle fonti del diritto - 3. Il concetto di vulnerabilità - 4. Le Raccomandazioni di etica clinica della SIAARTI del 6 marzo 2020: criticità - 5. Le linee guida SIAARTI-SIMLA: nulla di nuovo nelle scelte di triage – 6. Conclusioni.

The problem of vulnerability in the SIAARTI Recommendations and in the SIAARTI-SIMLA guidelines

ABSTRACT: During the health emergency from Covid-19 a situation of scarcity of health resources has been realized that has induced the SIAARTI to elaborate of the recommendations of clinical ethics. The latter are subject to multiple criticism because of the choice of criteria for allocation of resources because one of the criteria used is the chronological criteria. From this it was decided to analyze the condition of a category of vulnerable people, namely the elderly, during the health emergency. Subsequently, the position these subjects possess within the recommendations of clinical ethics of SIAARTI and the guidelines elaborated by SIAARTI and SIMLA was analyzed.

SOMMARIO: 1. L’art. 7 del d.p.r. n. 285 del 1990 - 2. Parti anatomiche amputate e rifiuti infettivi - 3. Riflessioni sul trattamento dei feti abortiti - 4. Qualche precisazione su temi connessi - 5. A mo’ di conclusione.

“The Ball and the Cross”: the fetuses aborted as medical waste to be destroyed or as mortal remains to be honoured

ABSTRACT: Is there an obligation for Italian hospitals to destroy aborted fetuses as infectious waste? Yes, for a recently published paper. On the contrary, we’ll se that, even without an explicit application of the mother, the hospital has the right not to destroy the aborted fetus, proceeding to its burial or cremation. In fact, it is necessary to interpret correctly the article 7 of the Decree of the President of the Republic n. 285 of 1990, also applying the rules on the treatment of medical waste. So it will be clear that the same regulations for the treatment of recognizable body parts must be applied to the treatment of aborted fetuses.

SUMMARY: 1. Problem description - 2. Business based on commercial “surrogacy” is immoral and inhuman in nature, can be defined as the organisation and implementation of hidden child trafficking and mediation in such trade - 3. Illegal presumption and positioning of a child (whose birth “surrogacy” is aimed at) as an object of a commercial transaction, which is endowed with the characteristics of a product and consumer commodity properties, in “surrogacy” transactions - 4. Ideologically motivated, manipulative substitution of the concepts of the mother of the child and a woman-donor of an ovum, claiming to have a child born as a result of the “surrogacy” technologies use - 5. The practice of “surrogacy” is a gross violation of the child's rights, first of all, the child's right to his/her natural mother - 6. Legal and actual inconsistency and defectiveness of classifying commercially motivated “surrogacy” as an assisted reproductive technology and a form of high-tech or other medical care - 7. Reduction of the value and role of a woman as the mother to the value and role of a paid, commercially exploited living “human incubator”, a means of production by technology and the industry of “surrogacy” - 8. Risks of using children “obtained” as a result of “surrogacy” for criminal purposes - 9. Conclusions.

ABSTRACT: This article presents a critical legal and bioethical analysis of the legal framework and practice of using the technology of commercial surrogacy («surrogate motherhood») - as a paid service provided in the interests of a third party (customers, third parties) with the subsequent transfer ("alienation") of this child to the customer of such a service. In conclusion a moral assessment of such actions is given.

SOMMARIO: 1. Premessa. I confini del diritto - 2. La dimensione etica, prima base dell’Ordinamento - 3. Il rapporto pubblico-privato, la stagione delle Riforme. Le nuove relazioni ecclesiastiche - 4. La laicità, fonte delle leggi, coerente con la dignità della persona.

SOMMARIO: 1. Il caso - 2. La normativa di riferimento - 3. Interruzione di gravidanza e diritto alla privacy - 4. Nel nome della madre e del figlio mai nato - 5. I cimiteri dei feti - 6. Osservazioni conclusive.

A for abortion: The Scarlet Letter in XXI century in the “Garden of angels”.

ABSTRACT: The work analyzes in a juridical key the story of the burial of an abortive product, in the "garden of the angels" (Flaminio cemetery in Rome). The burial, which took place without the mother's consent, is marked by a cross with the woman's personal data. This circumstance raises several critical profiles, examined in the article, regarding the right to privacy, the right to self-determination and freedom of conscience.

SOMMARIO: 1. Premessa - 2. La strategia elvetica per fare fronte alla pandemia e le osservazioni da parte della Conferenza Episcopale Svizzera - 3. La situazione italiana di fronte alla pandemia e le scelte in campo medico. I limiti all’autodeterminazione attraverso la proposta di introdurre l’obiezione di coscienza - 4. Conclusioni.

Switzerland and Italy: triage and intensive medicine solutions in comparison

ABSTRACT: Italy and Switzerland are two very different countries. This diversity is particularly evident in the health sector, not only in terms of its organization and management, but above all in the different approach that each country has with regard to the health of its members. The exaltation of therapeutic self-determination by Switzerland clashes with the medical paternalism to which Italy remains nostalgically linked, despite the fact that the needs of Italian society have changed profoundly. However, the dramatic choices to which the spread of Covid-19 has led have created the conditions for an inevitable reversal of the trend on the part of Italy and its approach to Swiss policies in terms of defending the freedom of choice of the individual.

SOMMARIO: 1. Il dilemma etico ai tempi della pandemia da Covid-19 -2. Le Raccomandazioni di etica clinica della SIIARTI del 6 marzo 2020 - 3. I criteri selettivi di accesso ai reparti di terapia intensiva in Svizzera, Quebec (Canada) e Alabama (USA) - 4. Triage in emergenza pandemica. Possibile contrasto di alcuni criteri selettivi con i valori religiosi ed etici del personale sanitario -5. Emergenza sanitaria e “clausola di coscienza” in Italia.

Science and conscience at the time of the Covid-19 health emergency

ABASTRACT: The Covid-19 pandemic crisis and the saturation of the intensive care wards have made it necessary to prepare patient selection criteria in case of lack of available places. The spread of various "selective criteria", in different regulatory realities, starting in Italy from the Ethical Recommendations of the SIIARTI (Italian Society of Anaesthesia, Analgesia, Resuscitation and Intensive Care) of March 6, 2020, as well as for reasons of distributive justice and appropriate allocation of limited health resources, was also necessary to relieve medical staff from part of the responsibility in the choices to be made, sometimes particularly onerous. The rationale behind the "medicine of catastrophes" documents, however, may conflict with the ethical values of medical personnel, undoubtedly capable of influencing their professional choices. The present contribution aims to verify the configurability of a space within which to give prominence, even in emergency conditions, to the ethical-religious beliefs of health personnel, in accordance with the rules of medical and nursing ethics that allow the individual operator to invoke the "conscience clause" to justify the refusal of services considered contrary to their conscience or their technical-scientific beliefs, even in cases not recognized by laws that expressly provide for "conscientious objection".

SOMMARIO: 1. Introduzione - 2. La genitorialità intenzionale nell’attuale giurisprudenza italiana - 3. Profili critici - 4. La questione di illegittimità costituzionale - 5. Scenari possibili.

The Sins of the Fathers. Comment to Corte di Cassazione, judg. n. 8325 April 29th 2020

ABSTRACT: This essay examines the Italian judgement (Ordinanza) n. 8325, issued on April 2020, that has raised a question of constitutionality against the jurisprudential address which, appealing to the limit of the public order, excludes the Italian recognition of foreign jurisdictional decisions that ascertain the right to be inserted - as an intentional parent - in the birth certificate of a child born through the so-called “surrogate motherhood”. In particular, after a survey of the current Italian case law (§ 2) and the problems that it raises (§ 3), the essay examines the arguments advanced by the judgement (§ 4), wondering about its possible outcomes (§ 5).

SOMMARIO: 1. Premessa - 2. Il principio di leale collaborazione tra i poteri in Italia - 3. I significati del principio di leale collaborazione all'interno di un ordinamento - 4. Tipologia di pronuncia della sentenza n. 242 del 2019 - 5. Metodo decisorio della Corte - 6. Considerazioni conclusive.

The "loyal collaboration between the powers" has completed its parable. Brief considerations on the sidelines of the Sentence n. 242/2019.

ABSTRACT: The Italian Constitutional Court in sentence no. 242 of November 2019 founded its decision to rewrite the contested rule by claiming its power to "manage the constitutional process". The author's aim is to solicit a reflection on the work of the Court which cannot and must not legislate in place of Parliament since only the latter has had the popular mandate in order to implement the laws necessary for the nation.