PARTIALLY DISSENTING OPINION OF JUDGE PATRICIA PEREZ GOLDBERG INTER-AMERICAN COURT OF HUMAN RIGHTS CASE OF BRÍTEZ ARCE V. ARGENTINA JUDGMENT OF NOVEMBER 16, 2022 (Merits, Reparations and Costs) With full respect for the majority opinion of the Inter-American Court of Human Rights (hereinafter “the Court”), I issue this opinion 1 with the purpose of explaining why it is not proper to establish a State’s international responsibility for an alleged infringement of the individual right to health on the basis of Article 26 of the American Convention on Human Rights (hereinafter “the Convention”). In the following paragraphs, I indicate the reasons why the Court is not competent to declare such a violation. 1. In the first place, it is necessary to point out that the Commission found that the facts of this case demonstrated the international responsibility for violating the rights to life, to personal integrity and to health to the detriment of Ms. Brítez Arce and for infringing the rights to judicial guarantees and to judicial protection with respect to her children. The representative considered those same rights to be infringed and the State, in its answering brief, accepted its international responsibility for those violations. 2. The judgment states that an analysis will be conducted on the alleged violation of the right to health “simultaneously” with that on the rights to life and to personal integrity of Ms. Brítez Arce. The principal idea on which this decision rests has as its basis that “the rights to life and to personal integrity are directly and immediately linked to human health care and that the lack of adequate health care may imply a violation of Articles 4(1) and 5(1) of the Convention.” 2 3. Once again and as I expressed in my opinions in Guevara Díaz v. Costa Rica and Mina Cuero v. Ecuador, I confirm my position on the Court’s lack of jurisdiction to declare the autonomous violation of economic, social, cultural and environmental rights (hereinafter “the ESCER”). 4. I will not repeat here the many logical, juridical and practical difficulties raised by the theory of the direct justiciability of the ESCER that, with its acceptance by the Court’s majority beginning with Lagos del Campo v. Peru, has created a group of new problems that do nothing but affect the reasonable predictability and the legal security that the Court must ensure. 5. To proceed thus evades the requirement that all international obligations must emanate from the prior and express consent of the States; it omits making explicit that those States have not granted jurisdiction to the Court to rule on Article 65(2) of the Rules of Procedure of the Court establishes that: “Any judge who has taken part in the consideration of a case is entitled to append a separate reasoned opinion to the judgment, concurring or dissenting. These opinions shall be submitted within a time limit to be fixed by the Presidency so that the other judges may take cognizance thereof before notice of the judgment is served. Said opinions shall only refer to the issues covered in the judgment.” 2 Cf. Para. 59. 1 1

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