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Artikel

Access_open ‘Dividing the goods or dividing the beds?’ De dreiging van triage in de risicomaatschappij

Tijdschrift Recht der Werkelijkheid, Aflevering 3 2020
Trefwoorden Risk society, Cosmopolitan solidarity, Refexive modernization, Healthcare regulation, COVID-19
Auteurs Mr. dr. Tobias Arnoldussen
SamenvattingAuteursinformatie

    The COVID-19 pandemic caused overcrowded IC units. In the Netherlands a discussion erupted on what category of patients should be granted a bed, if there would not be enough place to treat everybody. In this article the medical guidelines for this situation as well as the public discussion are examined and related to Ulrich Beck’s theory of reflexive modernization. It is argued that discussion and regulation of this dilemma follow reflexive patterns, albeit patchy. The discussion and regulation displayed reflective understanding of the perilous position of the elderly and frail but issues of class and ethnicity were not discussed. This research revealed that Beck’s theory holds its own when tested in an empirical situation, but it has weaknesses in regard to the predicted emergence of cosmopolitan solidarity.


Mr. dr. Tobias Arnoldussen
Tobias Arnoldussen is werkzaam als universitair docent rechtstheorie aan de Universiteit van Tilburg. Hij onderzoekt de invloed van groeiend milieubewustzijn op recht en regulering, zowel empirisch als theoretisch.
Artikel

Medical liability: do doctors care?

Tijdschrift Recht der Werkelijkheid, Aflevering 2 2012
Auteurs Ben C.J. van Velthoven en Peter W. van Wijck
SamenvattingAuteursinformatie

    Van Velthoven and Van Wijck review empirical studies on the effects of tort law in the medical sector. The data they present comes mainly from the US, because from the 1970’s US states have enacted a variety of reforms in their tort systems. This variation has provided very useful data to study preventive effects. The empirical evidence analysed shows that medical malpractice risk affects the behaviour of health care providers. It has a negative impact on the supply of services and it encourages extra diagnostic testing;yet if the additional tests and procedures have any value, it is only a marginal one. Furthermore it has been found that changes in the supply of services do not affect health adversely. This suggests that the physicians who are driven out of business have a below average quality of performance. The authors conclude that, at the margin, medical liability law may have some social benefits after all.


Ben C.J. van Velthoven
Ben van Velthoven is associate professor of law and economics at Leiden University. His research interests are: liability issues, civil litigation, and criminal law enforcement.

Peter W. van Wijck
Peter van Wijck is associate professor of law and economics at Leiden University and coordinator strategy development at the Dutch Ministry of Security and Justice. His research interests concern tort law, contract law, civil litigation, and crime.
Praktijk

Securing legal certainty within a multilevel regulatory space

Evidence from the regulatory practice of marketing authorisation of medical devices in Europe

Tijdschrift Recht der Werkelijkheid, Aflevering 1 2012
Trefwoorden legal certainty, multilevel regulation, regulatory space
Auteurs Nupur Chowdhury
SamenvattingAuteursinformatie

    One of the primary functions of law is to ensure that the legal structure governing all social relations is predictable, coherent, consistent and applicable. All these characteristics of law are referred to as legal certainty. In traditional approaches to legal certainty, law is regarded as a hierarchic system of rules characterised by stability, clarity, predictability, uniformity, calculable enforcement, publicity and predictability.1xWeber 1925, p. 68. Others like Llewellyn have underlined the importance of appellate courts in ensuring legal certainty by filling up gaps in the law.2xLlewellyn 1960. Also see, Stinchcombe 1999. Such traditional approaches to legal certainty were developed within the context of national legal orders, in which rule making, rule enforcement and rule adjudication authority vested within public actors functioning as representatives of the state.

Noten

  • 1 Weber 1925, p. 68.

  • 2 Llewellyn 1960. Also see, Stinchcombe 1999.


Nupur Chowdhury
Nupur Chowdhury is doctoral fellow at the Law and Regulation Group, School of Management and Governance, University of Twente.
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