3
11.
Naturally, a person’s privacy must be scrupulously respected; however, it is
also necessary, with the aid of the authorities that will provide guarantees as to the
proper handling of the information, to remove existing obstacles in cases in which it
turns out to be lawful and necessary (given the capacity of the petitioners, the
existing circumstances and the intended purposes) to access data for use in making
urgent decisions or attributing inescapable liability.
D)
Health care legislation. Liability. Crime definition
12.
Another issue of interest that came up in this case has to do with the
provisions on liability (in several spheres, as already noted, even if frequently of a
criminal nature) in cases of deficient or misguided care. The subject of malpractice –
again, one connected to ethical and technical issues – is one that arises often and
intensely. Addressing this issue calls for legal provisions covering both prevention
and verification and claims potentially leading to the application of punishment.
Creating such body of provisions is also a specific duty of the State, rooted in the
respect and guarantee obligation laid down by international human rights treaties,
which the State must observe.
13.
Different arguments have been raised in this regard. These include a
proposal to establish crime definitions providing for punishable malpractice: crime
descriptions featuring their own elements based on the protected legal interests, the
perpetrator (the health service provider), the victim (the service patient), and the
relationship between both (health care), in addition to further specifications of an
instrumental or circumstantial nature.
14.
The judgment rendered in the instant case establishes – and does so rightly,
in my view – that it is not inevitably necessary to create a specific crime of
malpractice, which, as a general rule, would be a crime of negligence. The general
rules (notwithstanding the inclusion of qualifying rules: aggravated or mitigated
crimes) on homicide or injury – maybe even other outcomes of punishable actions –
might prove to be enough, on condition that they suffice to timely, sufficiently and
proportionately deal with every unlawful conduct that might take place, exclusive of
contexts of full impunity or inadmissible benevolence, which amounts to impunity in
the end.
15.
This situation, which allows the State to opt between different law-making
alternatives, is different from a case in which there is an international instrument
that is binding on the State and contains a description of the crime, such description
being the result of extended analysis into which the concerns and decisions of the
international community combine. Such is the case, as stated by the Court on
various occasions – including in the judgment to which this Opinion relates –, with
genocide, torture and forced disappearance, among others. In such cases, the
State’s law-making decision is conditioned by a pre-existing normative decision in
which the State also participated by ratifying or acceding to the relevant
international treaty containing the elements that the domestic crime definition
“must” feature.
16.
It is true that the State is allowed to reconstruct the crime description
provided in the international instrument by restating a given element or including
others; however, it is also true that such reconstruction should not entail a reduction