At a time when heated debates continue to rage on health,
it is also important to look health from a human rights perspective. The
appropriate starting point is the 1948 Universal Declaration of Human Rights
(UDHR). Among other stipulations,
article 25(1) of the UDHR provides to the effect that health is a human right
(Kennedy, 2009, p.165). UDHR was merely an action plan at the time it was
adopted but has since become part of customary international law. Even more
important for establishing health as a human right is article 12 of the
International Covenant on Economic, Social and Cultural Rights (ICESCR). It
provides that parties to the covenant are committed to ensuring citizens in
their countries enjoy the highest attainable standard of health. The right to
health is, therefore, not equivalent to the right to be healthy.
It is the recognition of the difficulty of guarantee that
everyone can be healthy that the right to health focuses on the determinants of
health (Kennedy, 2009, p.170). These are adequate sanitation, safe and potable
water, adequate food and shelter, safe and healthy working conditions as well
as a healthy environment. It is the Committee on Economic, Social and Cultural
Rights, a body set up to monitor compliance with ICESCR that outlined these
determinants in General Comment 14. The rationale is that one can only impact
on health by impacting on the underlying determinants. For instance, allowing
people to live in a polluted environment is likely to work against their
health.
Lastly, health as a right connotes that the government
must have a role to play. It does not imply that the government must provide
medical care to every person who needs it (Anas, 2005, pp.64-67). Rather, the
government has a responsibility to put appropriate policies in place to ensure
that those in need of healthcare services can get such services. Besides,
courts in some jurisdictions have held that the government has an obligation to
provide emergency medical treatment.
References
Anas, G.J. (2005).Human Rights and Health: The Universal Declaration of Human Rights at 50.In S.Gruskin, M.A.Grodin, and
G.J.Anas & S.P. Marks(Eds.),Perspectives on Health and Human Rights(pp.63-70).New York:Routlege Taylor
&Francis.
Kennedy, E.M. (2009).Health Care as a Basic
Human Right: Moving from Lip Service to Reality.
Harvard Human Rights Journal,
22,165-168.
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