By R. VINOBA SELVANDURAI, GUEST LECTURER, GOVERNMENT LAW COLLEGE, THIRUNELVELI
The dawn of third millennium has seen many ups and downs in human relations. There have been many turbulent changes in the society. This has not spared even doctor-patient relationship. The rapid changes in the medical field have strained the age-old good relations between the patient and the treating physician or surgeon.
Criminal law is applicable to all individuals and doctors are no exception to it. As far as medical practice is concerned patients or relatives usually don’t approach the police. But now-a-days this scenario is also changing. In last few decades as doctor patient relationship has deteriorated, the complaints against doctors have increased (1). According to the provisions of Indian Penal Code 1860 (IPC), any act of commission or omission is not a crime unless it is accompanied by a guilty mind (MENS REA). The acts are not punishable only because it led to some mischievous results unless associated with intention or mental attitude of the person. Most of the times doctors treatment is in good faith, with the consent of the patient and hence most of the provisions of IPC are not applicable to the doctors unless or until there is rashness or gross negligence. The following Sections of IPC are related to medical profession (2):
Sec. 304-A Deals with death caused by a negligent act.
Sec. 336-338 Deals with causing hurt by rash or negligent act.
Section 304 and 304-A
There is lot of discrepancy while applying these sections in cases of professional negligence by doctors and drivers. Most of the times, the police authorities register cases of professional negligence deaths under Sec 304 of IPC. According to this Section the offence is non-bailable. This causes lot of hardship, bad reputation and mental agony to the doctors. In fact the police should register the cases of deaths due to medical negligence under Sec. 304-A of IPC, in which the offence is bailable and the doctor can be released on bail. This judgment has been passed by Bombay High Court in Criminal Revision application no. 282 of 1996 (Dr. Mrs. Mrudula S. Deshpande vs State of Maharashtra) dated 28th November 1998(3). The basic difference is that in Sec. 304 there is intentional act of negligence while in 304-A the act is never done with the intention to cause death.
In the case of Prabha Karan vs. State of Kerala; AIR 2007 SC 2376, Ratan Singh vs. State of Punjab; 1979 A.Cr.R. 484 (SC), Satnam Singh vs. State of Rajasthan; (2001) 1 SCC 662 & State of Karnataka vs. Sharanappa Basnagouda; 2002 (45) ACC 39 (SC), the Supreme Court has held that where a life has been lost due to the rash and negligent act of the accused, no compassion or leniency U/s. 304-A IPC can be shown and two years imprisonment should be awarded to the accused..
In Prabaharan Vs State of Kerala in the 2007 the honourable Supreme Court decided that
Voicing serious concern over the number of road accidents in the country, the Supreme Court has favoured amending the law suitably for enhancing the punishment for reckless driving. But, since under the present IPC provision of Section 304A, the maximum sentence is two years, no higher punishment can be imposed on an offender, a Bench of Justices Arijit Pasayat and D K Jain ruled while reducing to two years, the five years rigorous imprisonment awarded to a bus driver. The driver, Prabhakaran, was charged with reckless driving resulting in the death of a school boy. Quoting statistics, SC said out of the 1.2 million people killed in road accidents across the world, India accounts for 59,927 deaths. "In addition to the devastating human toll, the economic impact of road crashes is also enormous, Many of those injured or killed are wage earners, leaving their families destitute and without means of support," SC said.
The Bench made the observation while holding Prabhakaran. Guilty under Section 304 A (causing death due to rash & negligent action) as against Section 304 II (culpable homicide not amounting to murder) imposed by a sessions court in Kerala While under Section 304 A, the maximum sentence is two years RI, under Section 304 the punishment could extend up to 10 years. "There is substance in this submission considering the increasing number of vehicular accidents resulting in death of large number of innocent persons," the Bench said. "It is for the legislature to provide for an appropriate sentence. But the statute presently provides for a maximum sentence of two years," the Bench said. According to the prosecution, Prabhakaran drove the bus in a rash and reckless manner despite being cautioned by passengers and the vehicle ran over a 10-year-old boy.
SC said that Prabhakaran should have been convicted only under Section 304 A. However, it agreed that maximum imprisonment of two years was insufficient.
News in Times of India dt 23.08.2009 The Law Commission has framed a set of drastic recommendations to deal with rash and negligent driving, including that the punishment be raised from two years to a 10-year term and denial of bail. The Commission has suggested an amendment to Section 304A of the Indian Penal Code which at present pegs the maximum punishment for anyone causing death by rash and negligent driving at two years. "Keeping in view the present day practical reality, the punishment should be increased to 10 years imprisonment," the law panel said in its 234th report. Importantly, it said the offence should be made non-bailable, which means the police would have no power to release on bail a person accused of causing death by rash and negligent driving. The report, submitted by Law Commission's chairperson Justice AR Lakshmanan to law minister Veerappa Moily, seeks to alter the legal regime for rash and negligent driving in a radical way. What weighed on the minds of the Law Commission was the website data of 1 lakh deaths due to road accidents in India every year. It also quoted the website of a leading automobile major to say that "more than a million people are injured or maimed" and "road accidents cost the country some Rs 550 billion every year". Besides, the panel took into account accidents caused by drunk driving and said: "Causing death of any person through driving under the influence of alcohol or drugs should be punishable with a minimum imprisonment of two years." It said road and transport being state subjects, there had been no uniformity in the law and punishment across the country. "There is no comprehensive central legislation to effectively and holistically regulate all kinds of traffic on the roads," it said.
"The Seventh Schedule of the Constitution will be required to be amended for such a comprehensive central legislation. The Law Commission feels that there is a need of a comprehensive Central road traffic law," it said.
Regarding enforcement, it recommended installation of close circuit TV cameras at all vulnerable points to curb unruly traffic and suggested that weigh-bridges be installed at border points to deter overloaded transport vehicles from entering a state. Hence the country needs an amendment in the existing acts or enactment of new laws applicable to the present situation.
You May Also Find These Documents Helpful
-
MAKO Surigical Corp Susan Goold, M. L. (1999 ). The Doctor–Patient Relationship: Challenges, Opportunities, and Strategies. Retrieved from Society of General Internal Medicine: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1496871/…
- 4506 Words
- 19 Pages
Best Essays -
Idiocy takes place everywhere in today's society. As idiocy takes control of some people others are there to stop it those people that help stop if are called policeman, Doctors also step out of there comfort zone in order to save their patients. “The Use of Force” by William Carlos William , examines when it is justifiable for doctors to use force against his patients in order to protect them from his/her own ‘Idiocy”, but in today's society the use of force has changed dramatically.…
- 1847 Words
- 8 Pages
Good Essays -
Medical Malpractice can be called as a professional negligence by omission or by act. It happens everywhere in the world. Each year are brought against doctors between 15,000 and 19,000 malpractice suits. Some medical mistakes can't be avoided due the fact that patients do not have control of,but others can be avoided with the proper care. Let's have a look at things we can do in order to prevent medical malpractice.…
- 469 Words
- 2 Pages
Satisfactory Essays -
The law commission have also identified a problem specific to constructive manslaughter the stated it is wrong for a defendant to be liable for a death which he did not…
- 550 Words
- 3 Pages
Good Essays -
Health Law and Ethics HCS/478 Negligence Paper Health care providers have a responsibility to provide competent and safe care to their patients. When patient care is compromised or the patient does not have a successful medical outcome, sometimes the legal system becomes involved. It is important to be aware of the terms negligence, gross negligence, and malpractice because they are often misunderstood. This paper attempts to provide a definition of each legal term in an effort to distinguish the difference between each term Application of negligence and malpractice will be applied through review of a newspaper article entitled, “Amputation mishap; negligence.” Effective documentation leaves no room for liability of the health care provider. After review of this paper, it is hopeful that the reader will feel well informed of the meanings of negligence, gross negligence, and malpractice and how to effectively chart in a patient’s medical record.…
- 1021 Words
- 5 Pages
Better Essays -
In his book, People Care, Thom Dick shows us that while it is imperative to know and perform all the medical procedures well, it is also important to treat patients with kindness and respect. He points out that most people don’t remember much about medical procedures performed, but they do remember how they were treated. Also, he demonstrates that how patients are treated plays a big role in whether or not they decide to pursue malpractice litigation against healthcare providers. If patients are handled with gentleness and respect, they are more likely to forgive mistakes.…
- 1097 Words
- 5 Pages
Good Essays -
During 80’s- 90’s we used to see news of malpractices of so called ‘doctor’ only in villages who were famous to city people as ‘haturi doctors’. They used to leave medical gauges, scissors, wrist watches and what not. However, such instances were limited in villages only. Let us remind ourselves once again, this is 2012 and the medical science advanced to that extent where cancers can be cured, leaver can be transplanted, various laser treatments are in practice.…
- 2235 Words
- 9 Pages
Good Essays -
Submitted By: Lady Pearl E. Singson BSIT 302 Submitted To: Monna Liza Bosque Revised Penal Code of the Philippines…
- 820 Words
- 4 Pages
Good Essays -
A breach of duty must demonstrate that the physician deviated from current standards of care through their action or inaction. It must also be proven that an injury resulted from that breach of duty. “Even if it is a clear cut case of misdiagnosis, for example, the patient must prove that his condition was worsened by the error before a jury can, as a matter of law, award him pecuniary compensation” (Holder, 1957).…
- 380 Words
- 2 Pages
Good Essays -
Firstly, whenever we are born or died, only doctors can be the one to certificate our birth and death. As everyone needs to experience these two stages, we can only take orders from them and then this doubtless increases the medical power for doctors. Secondly, most of the specialized services need the referral from general practitioner, since they serve as the first point of contact with patients; they own the right of approval over other health professions. Finally, doctors are eligible to order a prescription for sick person; they have legitimated control over us and the society. All these things show that doctors are in superiority over other occupations. However, I think this phenomenon is unfair and doctors should not hold too much medical autonomy in case the overuse of power occurred. Sometimes when I watched the newspaper, there is news about the professional misconduct of doctors, for example, inappropriate sexual contact with patents, illegal or unethical prescribing, inappropriate issuing of medical certificates or keeping of medical records and so on. According to BBC news dated 5 December 2007, a top Indian doctor sought over illegal infant scans for patient, in order to let the patient knows the gender of the baby. However, medically-assisted sex selection is illegal in India to avoid abortion of girls as Indians often view a boy is superior to a girl. This reveals that doctors will also make use of their medical knowledge and power to break the law deliberately.…
- 563 Words
- 3 Pages
Good Essays -
PATIENT AS CONSUMER INTRODUCTION: It is the duty of the government to provide the fundamental right to life and personal liberty guaranteed by Article 21 of the Constitution1. Therefore, it is the duty of the state to provide to all citizens adequate and proper medical services. The consumer protection Act 1986 was enacted ‘to provide for better protection of the interests of the consumers’– the consumers of goods and services as defined under the Act. The Consumer protection tries to help consumer to participate actively in the market processes, not only when he goes to buy goods but also when he goes to a medical practitioner for treatment. Patient is consumer under consumer protection Act 1986. Doctors owe certain duty to take care of the patient and to give proper treatment for some consideration. But he gives treatment to the patient without care and caution is called as negligence. He will be liable for his negligence act and given compensation to the patient. It comes under section 2(1) (0) of the consumer protection Act 1986.…
- 2440 Words
- 7 Pages
Good Essays -
The Doctor Anyone who has ever been through the medical system - even with the very best of treatment - will identify with this film. "The Doctor" tells the story of an aloof, self-centered heart surgeon who treats his patients like names on a list. In comparison with the film to the Six Principals of Care, the characteristics of the healthcare professionals lack the importance of these six principals which is dignity, independence, safety, communication, infection control, and privacy.…
- 531 Words
- 2 Pages
Good Essays -
ILE-IFE FACULTY OF LAW SEMINAR TOPIC AN EXAMINATION OF THE MEANING AND BOUNDARIES OF DOCTORS DUTY OF CONFIDENTIALITY AND PRIVACY TO PATIENTS IN NIGERIA BY NAME OLASOJI ADESOLA PHOTIZO REG NO LP13/14/H/1916 COURSE PUL 609 MEDICAL JURISPRUDENCE DR. A.O YUSUFF ABSTRACT The paper aims to examine properly the concept of the doctor-patient relationship, duties of a doctor to a patient, what Confidentiality and Privacy mean in the context of a doctor-patient relationship and the attendant liability and exceptions. The papers objective is to show the concept of the duty of Confidentiality and Privacy is a legally accepted one which exists once there is a doctor-patient relationship created. The primary sources of information include judicial decision, foreign laws and conventions while the secondary sources include the opinions of textbooks and writers, the internet, journals and other research materials on the subject matter. The paper critically analyzed Doctors duty of confidentiality and privacy with a view to showcasing its essential elements and conversely, its limitations especially in Nigeria. The research pointed out that while it is a right owed to patients as enshrined in several Conventions and Laws, there are still exceptions and modifications to the absolute practice of those rights. Efforts have been directed to portray the meaning and the limits of the fundamental duties of confidentiality and privacy doctors owe to patients in Nigeria and show that breach is not necessarily occasioned by deliberate actions of doctors and does not in all cases signify liability. Consequently, the Medical Law in Nigeria has a long way to go. The Nigerian Medical Law needs to move beyond cultural shackles and embrace progress for doctors duties to truly work. BACKGROUND TO THE STUDY This paper examines the meaning and boundaries of the duty of confidentiality and privacy doctors owe to patients in Nigeria. Once a doctor-patient relationship is established, there are certain…
- 9927 Words
- 22 Pages
Powerful Essays -
Should doctors be tried in consumer courts? This issue requires much debate, a lot of questioning, also a lot of introspection. But before we do that, let me ask, why do we limit ourselves to consumer courts?? Why are we afraid to move to criminal courts if the quantum of crime is culpable enough to be tried only in criminal courts?? When I say this, I wish to emphasize on the point that doctors are after all human beings. They are bound to get carried away by pleasure of life, greed for money and desire for a lavish lifestyle. This may encourage the devils inside them, they may switch over to illegal activities, may mint quick money and fulfill their hiddendesires. Somebody, at this instance, may like to raise a point that doctors are human beings also when they are performing complex surgeries. They are bound to make small mistakes, forget a glove back in the stomach of a patient, inadvertently give a wrong injection, prescribe unknowingly a useless drug. Agreed!!! I don’t suggest harsh punishment for such situations. But I wish that we do not neglect this issue in totality and that too for two reasons. One, because if we allow a doctor to got scott free after leaving a surgical instrument into a patient’s abdomen, we are encouraging his carelessness. There is one in every chance that this mistake may repeat itself and the doctor will never repent for it. Another reason I discourage this practice is- A black sheep in…
- 1663 Words
- 7 Pages
Good Essays -
In determining whether a doctor has breached the duty of care owed to his patient, a judge will not find him negligent as long as there is a respectable body of medical opinion, logically held, that supports his actions. Beyond this time-honoured test of liability, neither this court nor any other should have any business vindicating or vilifying the acts of medical practitioners. It would be pure humbug for a judge, in the ratified atmosphere of the courtroom and with the benefit of hindsight, to substitute his opinion for that of the doctor in the consultation room or operating chamber. We often enough tell doctors not to play god; it seems only fair that, similarly, judges and lawyers should not play at being…
- 631 Words
- 3 Pages
Good Essays