Throughout the last decade several cyclists have published memoirs in which they account for their doping use. In previous literature such autobiographical accounts have been characterized as attempts of fallen sports stars to sanitize their spoiled public image. In contrast, the analysis in this article will show that the accounts are of relevance when it comes to understanding the problem of doping in professional cycling. Their accounts break the omertà regarding doping, providing insights about the motivation and opportunity structures behind doping and how such structures are endemic to the system of professional cycling.

Age limits, minimum and maximum, and both explicit and ‘covert’, are still used in the National Health Service to determine access to a range of health interventions, including infertility services and cancer screening and treatment. Evidence suggests that chronological age is used as a proxy for a host of characteristics in determining access to healthcare: as a proxy for the capacity of an individual to benefit from an intervention; for the type of harm that may result from an intervention; for the likelihood of such benefit or harm occurring; and, in some cases, for other indicators used to determine what may be in the patient’s interest. Age is used as a proxy in this way in making decisions about both individual patients and wider populations; it may be used where no better ‘marker’ for the relevant characteristic exists or – for reasons including cost, practicality or fairness – in preference to other available markers. This article reviews the justifications for using age in this way in the context of the existing legal framework on age discrimination in the provision of public services.

This article argues in favour of lowering the voting age to 16. First, it outlines a respect-based account of democracy where the right to vote is grounded in a respect for citizens’ autonomous capacities. It then outlines a normative account of autonomy, modelled on Rawls’s two moral powers, saying what criteria must be met for an individual to possess a (pro tanto) moral right to vote. Second, it engages with empirical psychology to show that by the age of 16 (if not earlier) individuals have developed all of the cognitive components of autonomy. Therefore, since 16- and 17-year-olds (and quite probably those a little younger) possess the natural features required for autonomy, then, to the extent that respect for autonomy requires granting political rights including the right to vote – and barring some special circumstances that apply only to them – 16- and 17-year-olds should be granted the right to vote.

Text and Data Mining (hereinafter, TDM) issue for the purpose of scientific research or for any other purpose which is included in the provisions of the new EU Directive on Copyright in the Digital Single Market (hereinafter, DSM). TDM is a term that includes Web harvesting and Web Archiving activities. Web harvesting and archiving pertains to the processes of collecting from the web and archiving of works that reside on the Web. In the following analysis we will elaborate briefly upon provisions in EU Copyright law which were discussed during the proposal for a new Directive on Copyright in the DSM as well as provisions which are included in the text of art.3 and art.4 of the new Directive 2019/790/EU per TDM. In addition, the following analysis presents legislation in very few EU Member States which pertains to TDM and preceded the rulings of Directive 2019/790/EU. Digital legal deposit remarkable examples from EU Member States are also presented in this paper. The example of Australia is also presented below hereto because it is one of the oldest and most successful worldwide. The National Library of Australia’s digital legal deposit is state-of-the-art.

Stand-by time from home represents working time of medical personnel even for the periods when no medical activity was actually performed (no attendance at the hospital was required), the salary rights for such period being determined as a percentage of the hourly rate for the basic salary and the number of hours when stand-by time from home was performed.

As a reaction to the perceived enforcement deficit of criminal law in the field of drug control, several countries implemented alternative regulatory strategies. One such strategy is the reregulating drugs, especially cannabis. Another strategy is the use of civil or administrative law to address drug-related crime. Especially the use of eviction to combat drug activities has become increasingly popular.
My PhD research focuses on these two developments within the field of drug control. More specifically, on the underlying rationales for the policies on recreational cannabis, the possibilities that international law provide to regulate recreational cannabis, the legal protection against drug-related evictions, and the explanation for the use of eviction to fight drug-related activities.

In deze bijdrage wordt onderzocht wat er vanuit een ‘herstelgericht’ perspectief te zeggen is over de afwikkeling van medische schade. Biedt restorative just culture aanknopingspunten voor een afwikkeling van medische schade die beter aansluit bij de behoeften van betrokkenen?

An employee’s functional impairment, which at the time of dismissal had had a duration of 11 months and with an uncertain prognosis, was not deemed a long-term one. For that reason, the Danish Western High Court found that the employee was not disabled within the meaning of the Anti-Discrimination Act or Directive 2000/78 establishing a general framework for equal treatment in employment and occupation.

Background: In many European countries caring responsibilities are being reallocated to the older people themselves to keep the welfare state affordable. This policy is often legitimized with reference to the ethical principle of autonomy. Older people are expected to be autonomous, have freedom to make their own decisions, and be self-reliant and self-sufficient as long as possible.
Aim: The purpose of this article is to explore whether and how older people can remain autonomous in order to continue living their lives in accordance with their own values in the context of declining professional caring facilities and shrinking social networks, and which concepts of autonomy can guide professionals and other involved parties in facilitating the choices of older people.
Method: An empirical-ethical approach is used to interpret the moral values enacted in the caring practice for older people. Two cases are presented. One is the narrative of a woman who lives by herself; she has been hospitalized after a fall and hip fracture, but does not want to be operatied. The second is the narrative of man living in a residential home; he wants to be actively involved, doing good deeds like he always did as a Scout. The cases are evaluated with the help of two concepts of autonomy: autonomy as self-determination and relational autonomy.
Results: In both cases the enactment of autonomy remains problematic. In the case of the woman there was not enough care at home to live up to her own values. After she was admitted to a hospital her wish not to be operated was questioned but ultimately honoured due to compassionate interference by close relatives and her oncologist. In the second case there was not enough space for the man to lead his life in the way he always had; his plans for improving the social environment in the care home were torpedoed by management and ultimately the man decided to step back.
Conclusion: In order to do justice to the complexity of each empirical case that involves autonomy of an older person more than one concept of autonomy needs to be applied. Relying on self-determination or relational autonomy exclusively will give professionals and all involved parties a restricted view on the situation, where the wishes of older people are at stake. In both cases autonomy was overruled by system procedures and stereotypical ideas about old people as being weak and not able to make their own decisions. Both cases show, however, that older people - even if they are physically and mentally frail - long to remain morally responsible for the direction their lives are taking, in accordance with their own values. They communicate their wish to determine their own future and at the same time they are interdependent on others to realize their (relational) autonomy and require support in their attempt to maintain their identity. This conclusion has implications for the normative behaviour of the professionals who are involved in care and treatment of older people.
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Achtergrond: In veel landen wordt de verantwoordelijkheid voor de zorg voor ouderen naar de ouderen zelf verplaatst, dit teneinde de welvaartstaat betaalbaar te houden. Dit beleid wordt veelal gelegitimeerd met referentie naar het ethische principe van autonomie. Oudere mensen worden geacht autonoom te zijn, vrij te zijn om hun eigen beslissingen te nemen, en om zo lang mogelijk zelfredzaam te blijven.
Doel: Het doel van dit artikel is om te onderzoeken of en hoe oudere mensen autonoom kunnen blijven teneinde hun leven in overeenstemming met hun eigen waarden te kunnen voortzetten in de context van teruglopende professionele zorgactiviteiten en krimpende sociale netwerken, en welke concepten van autonomie zorgprofessionals en andere betrokken partijen kunnen helpen bij het faciliteren van de keuzes door ouderen.
Methode: Een empirisch-ethische benadering wordt gebuikt om de morele waarden in de zorgpraktijk voor ouderen te interpreteren. Twee casussen worden gepresenteerd. De eerste is het verhaal van een vrouw die op zichzelf woont. Ze is na een val waarbij haar heup is gebroken, in een ziekenhuis opgenomen, maar ze wil niet geopereerd worden. De tweede is het verhaal van een man die in een verzorgingshuis woont. Hij wil actief betrokken worden en goede dingen doen zoals hij die altijd heeft gedaan toen hij padvinder was. Beide verhalen worden met behulp van twee concepten van autonomie geëvalueerd: autonomie als zelfbeschikking en relationele autonomie.
Resultaat: In beide casussen blijft de verwezenlijking van autonomie problematisch. In het geval van de vrouw was er thuis onvoldoende zorg om volgens haar waarden te kunnen leven. Toen zij in het ziekenhuis was opgenomen werd haar wens om niet te worden geopereerd tegen gehouden, maar uiteindelijk ingewilligd als gevolg van bemoeienis uit hoofde van barmhartigheid door directe verwanten en haar oncoloog. In het tweede geval was er voor de man onvoldoende ruimte om zijn leven te leiden op de manier zoals hij dat altijd had gedaan. Zijn plannen om de sociale omgeving in het verzorgingshuis te verbeteren werden door het management getorpedeerd en uiteindelijk heeft hij zich ervan teruggetrokken.
Conclusie: Teneinde recht te doen aan de complexiteit van beide casussen die betrekking hebben op de autonomie van een oudere, dient meer dan één concept voor autonomie te worden ingezet. Het vertrouwen in zelfbeschikking of relationele autonomie alleen zal aan de professionals en alle andere betrokken partijen een beperkt zicht geven van de situatie wanneer het de wensen van ouderen betreft. In beide gevallen werd de autonomie ter zijde geschoven door protocollen en stereotypische ideeën over ouderen als kwetsbare personen die niet in staat zouden zijn om zelf hun beslissingen te nemen. Echter tonen beide voorbeelden aan dat ouderen, zelfs als ze fysiek en mentaal kwetsbaar zijn, de wens hebben om moreel verantwoordelijk te blijven voor de richting die hun leven zal nemen, in overeenstemming met hun eigen waarden. Zij geven de wens aan om hun eigen toekomst te bepalen en tegelijkertijd zijn ze onderling afhankelijk van anderen om hun (relationele) autonomie te verwezenlijken, én hebben ze behoefte aan steun bij hun poging om hun identiteit te behouden. Deze conclusie heeft gevolgen voor het normatieve handelen van professionals die bij de zorg en behandeling van ouderen betrokken zijn.

In this paper I propose to analyse the binary notion of personal data and highlight its limits, in order to propose a different conception of personal data. From a risk regulation perspective, the binary notion of personal data is not particularly fit for purpose, considering that data collection and information flows are tremendously big and complex. As a result, the use of a binary system to determine the applicability of EU data protection law may be a simplistic approach. In an effort of bringing physics and law together, certain principles elaborated within the quantum theory are surprisingly applicable to data protection law, and can be used as guidance to shed light on many of today’s data complexities. Lastly, I will discuss the implications and the effects that certain processing operations may have on the possibility of qualifying certain data as personal. In other terms, how the chances to identify certain data as personal is dependent upon the processing operations that a data controller might put in place.

In this article, I am using Becker’s concept of moral entrepreneur to analyse the role of pain specialists in the labelling process, which has led to the normalisation of the use of opioid painkillers in the United States and ultimately to the death over 200.000 Americans. In general, the literature on labelling centres on crusading reformers, and the criminalisation and stigmatisation of transgressive behaviour. Here I will focus on the moral entrepreneurship of medical experts. What was their role in the normalisation process of opioid painkiller use and are there any similarities with the strategies of crusading reformers? My findings, based on qualitative analysis of documents such as newspaper articles and academic publications, show that, with two exceptions, pain specialists use the strategies of moral crusaders. First, in their narratives, pain specialists represented themselves as neutral objective experts without the emotional stance of moral crusaders. The second exception, which is related to the first, is that there was less emphasis in their narrative on creating villains, as they could not blame openly standard medical practice because they needed the support of the established medical world in order to normalise and legalise opioid painkillers.

The Labour Court of Brussels treats the long-term effects of cancer as a disability in accordance with the case law of the ECJ. This has triggered an obligation on employers to consider making reasonable adjustments before looking at dismissal.

The Danish Supreme Court has ruled that a medical diagnosis is not required when deciding whether a person suffers from a disability protected under Directive 2000/78.

Door de Wkkgz vindt de buitengerechtelijke afwikkeling van medische schadeclaims plaats in het klachtrecht in plaats van het aansprakelijkheidsrecht. Zorgaanbieders moeten zelf proactief en oplossingsgericht schadeclaims onderzoeken en beoordelen. De rol van de patiëntencontactpersoon in het ziekenhuis, van de zorgverlener en de samenwerking tussen ziekenhuis en verzekeraar zijn daarmee ingrijpend veranderd. Dit overzichtsartikel bespreekt de eerste stappen naar implementatie van de Wkkgz, de aard van het klachtrecht, de noodzaak van triage, de werkwijzen van zelfregelende ziekenhuizen, de noodzaak van informed consent, BGK , de zeswekentermijn, de eerste resultaten van de Wkkgz-geschilleninstanties, en het wetsvoorstel tot wijziging van de Wet BIG.

In deze bijdrage wordt uiteengezet wat ‘openheid van zaken geven’ concreet inhoudt. Na een begrippenkader worden het doel en de achtergrond gegeven van de Wet kwaliteit, klachten en geschillen zorg (Wkkgz) als juridisch kader. Uit actuele inzichten uit wetenschap en (tucht)rechtspraak zijn vijf elementen van openheid af te leiden waaraan een open en eerlijke reactie moet voldoen, deze worden toegelicht.