Absolam wrote: » Gosh, I hardly think "The State acknowledges the right to life of the unborn and, with due regard to the equal right to life of the mother, guarantees in its laws to respect, and, as far as practicable, by its laws to defend and vindicate that right." is complicated legislation.
oldrnwisr wrote: » I have grouped these three points together because they are all dealt with in the court transcript I have previously linked to. Contrary to your assertion highlighted in the second point above, it was not the legal team who made the decision to continue somatic support, rather it was the doctors who made the decision in the absence of advice from the legal team. The court transcript notes:"He was told by the medical staff that, for legal reasons, they felt constrained to put his daughter on life-support because her unborn child still had a heart beat.""A study of the notes brought home that the doctors in the Dublin hospital were clearly concerned, having regard to the mother’s pregnancy, not to do anything that would “get them into trouble from a legal point of view and were awaiting legal advice”."
oldrnwisr wrote: » As for the Constitution, it is the current legislative environment that caused the doctors to act the way they do. A legislative environment which has its roots in the 8th Amendment. So although this case doesn't deal directly with abortion, it is the side effects of the 8th Amendment which caused legal uncertainty in this matter which caused distress to the patient's family.
oldrnwisr wrote: » You're right, there isn't a reference in what I've quoted to the unborn. I wasn't speaking about the unborn. I was talking about the responsibilities had in relation to the patient (i.e. the mother), responsibilities which extend (from Article 22.1 above) unto death. Those are the responsibilities that you wish to ignore for the sake of a possibility of a live birth.
oldrnwisr wrote: » However, this is not a gish gallop. This isn't a multitude of minor arguments. The quotes are examples of the ethical requirements doctors must consider in the care of their patient (i.e. the mother).
oldrnwisr wrote: » No, it wasn't. An appeal to emotion typically takes the form:Favourable emotions are associated with X, therefore X is true. That is not my argument. Instead I was pointing out that the distress being caused to the relatives of the patient by undertaking the course of treatment is a valid and necessary consideration.
oldrnwisr wrote: » We are talking about bad science here. As shown by ProfessorPlum, the treatment was experimental. You don't experiment on patients without their informed consent (as detailed in the guidelines above).
oldrnwisr wrote: » As ProfessorPlum has explained, it is not all about a live birth at all costs. Consideration must be given as to what kind of life that would be. There is a significant level of disability in children born very prematurely (i.e. <30 weeks) which must be considered in a decision like the one in this case.
oldrnwisr wrote: » Just to clarify one point here, when I said that "the doctors in this case wanted to experiment on a brain-dead woman" the point that ProfessorPlum disputed (which I acknowledged) was that "wanted" had nothing to do with it. The doctors didn't want to continue somatic support but felt that they had to.
oldrnwisr wrote: » You, on the other hand are disputing my use of the term experimentation. It absolutely is experimentation. This was mentioned by two of the expert witnesses in the trial and I have also linked to the scientific literature to show that this is the case. The use of somatic support in this case had no prospect for success and had no support from previously published research. Therefore it was experimental.
ProfessorPlum wrote: » ^^^^ Thank you. That was also my point, which Absolam seems to have missed. Not a 'big picture' kind of guy, maybe.
Deleted User wrote: » Surely that's exactly the point?
Absolam wrote: » Doesn't seem to be? The proposition was "The constitution is no place for complicated legislation. When people argue against repealing the 8th amendment with the question "what would you replace it with?" the answer is simple: legislation." It's in the Constitution, and it's not complicated; check. There is legislation, which is (moderately) complicated, and not in the Constitution; check. If you're arguing to repeal the 8th on the basis that the Constitution is no place for complicated legislation, there's no need.
Deleted User wrote: » Considering the extent of the difficulties and nuance of the entire situation of access to abortion (and indeed the seemingly ever-changing landscape of thought); an overly simplistic 'catch all' within our constitution (from which all law must indeed work from) ensures that the the difficulties and nuance cannot be adequately captured and controlled for by legislation. Straightforward enough.
Absolam wrote: » If you're arguing to repeal the 8th on the basis that the Constitution is no place for complicated legislation, there's no need.
Absolam wrote: » Honestly, I think the whole 'Oh it's too difficult to make it work properly we should get rid of it' is really just a smokescreen for 'Oh it's too difficult to make abortion more available we should get rid of it'.
Absolam wrote: » That seems to be a different proposition, but still... how so? Right now, the Constitutional provision severely limits what legislation may be created infringing on an unborn persons right to life, which is the point of it. You could say it's overly simplistic (though the Court cases we've all pored over show it's quite nuanced nonetheless), or you could say it's straightforward (if in some particularly difficult regards requiring Judicial judgment). Whether or not the difficulties and nuance cannot be adequately captured and controlled for by legislation would certainly be a matter of opinion; that it largely prevents such legislation being subverted to impinge on the right to life of the unborn would seem to be less so.
Deleted User wrote: I support access to abortion in the same way as I support access to amputation. If the option needs to be exercised, I'd like it to be available. If it is to be available, I'd like the best services possible to be available. By supporting amputation being an option in Irish Medicine, I am not pushing for amputations to become common. I would be very happy for not a single amputation to take place in a calendar year. I am also more than happy to leave the mechanics of the procedure to those that are best placed to decide on them; that is the medical professional taking care of the patient involved.
Absolam wrote: » Well, the Court transcript of the judgement certainly touches on the points, though I did say it was my recollection. Still... the transcript quotes you provided show that N.P. said he was told by medical staff that, for legal reasons, they felt constrained to put his daughter on life-support because her unborn child still had a heart beat, but it doesn't say he knew how they arrived at that legal reasoning, does it? And yes, according to another doctors reading of their notes the doctors were concerned, but the transcript doesn't show where that concern came from does it? In fact, the judgement transcript oddly doesn't have any testimony from any of the Doctors engaged in the care of the unborn child at time, so all we really have is is hearsay. Still, I'll agree, my recollection may not be all that accurate; certainly the Examiner at the time said that "Neurosurgeons recommended that her life-support machine be switched off after determining she was clinically dead. However, lawyers for the HSE stepped in after another medical specialist treating the woman expressed concern about legal issues arising in the case." so perhaps it was more correct to say the Doctors excepting one wanted to discontinue somatic support, the dissenting doctor had legal concerns, and at that point lawyers for the HSE stepped in. I'm happy enough to concede that at least one Doctor had legal concerns, whether those concerns emanated from, or were simply taken up by, the legal team The POLDPA is the legislative environment that gave the Doctors legal concerns, and it doesn't rely on either the Constitution or the 8th Amendment. Neither the Constitution nor the 8th places any obligation on the Doctors in this regard, nor does it express a penalty for contravening it. The POLDPA does provide for a penalty to the doctors if they intentionally destroy unborn human life; which is why the Examiner at the time offered the point "Clinicians fear that they will breach their ethical and legal duty to preserve the life of this unborn child if they remove life support from this woman. Indeed, the Protection of Life During Pregnancy Act exposes clinicians to a maximum term of 14 years imprisonment if they “intentionally destroy unborn human life”.". And the POLDPA obviously does not rely on the 8th; it's an independent piece of legislation which gives effect to the States obligation under the 8th, but if the 8th were repealed, the POLDPA would still be law (until someone decided to repeal that as well).
Dr. David Mortell is the obstetrician who dealt with N.P. and her unborn child. While he had provided a report, it was simply intended to address what he was doing at any particular moment in time and what might happen perhaps in the future. Having heard the evidence of Dr. Colreavy,he was now aware of the “dreadful state that the patient is in”. The mother’s temperature is going up, there is infection and her blood pressure is difficult to control. He now had great concern about her somatic care and about her chances of survival. Since he wrote his original report there had been an ongoing evolving situation which was getting worse day by day. Asked if he believed in the light of Dr. Colreavy’s evidence of deterioration in the mother’s condition that somatic support remained a viable option, he replied that he did not.
Deleted User wrote: » Cool. My position on the 8th Amendment is simple and above. I don't think that the constitution is a suitable place for difficult and changeable legislation concerning an extremely nuanced issue.
Deleted User wrote: » No smokescreen here. I'm quite open about it.
ProfessorPlum wrote: » After reading that, I'm wondering did you bother to read the judgment in the case at all? Your post is littered with errors, beginning with the name of the plaintiff (it was P.P.)
ProfessorPlum wrote: » Several of the doctors who were directly involved in N.P.'s care were mentioned in the judgment and their testimony summarised.
ProfessorPlum wrote: » The POLDP Act, however wasn't mentioned, and the 8th Ammendment was mentioned, and discussed in detail, both wrt the case in question and how it applied in other relevant cases. As to you assertion that it is not a complicated piece of 'legislation', there was even disagreement as to what it means, and the nuances of the English and Irish language version. This was not the first, and won't be the last case before the courts where the nuances of the 8th are argued!
ProfessorPlum wrote: » As to who brought the legal concern to light, but I have yet to see lawyers wandering the wards of our hospitals, and as they have no right to confidential patient records unless consulted, it would seem to be beyond reasonable doubt that it was the clinicians who first raised the legal question.
oscarBravo wrote: » If I was arguing that, you might have a point. On the contrary, I would argue to repeal the 8th because it's a blunt instrument that makes it difficult to frame laws with the level of nuance required.
oscarBravo wrote: » The constitution is no place for complicated legislation. When people argue against repealing the 8th amendment with the question "what would you replace it with?" the answer is simple: legislation.
oscarBravo wrote: » A simplistic article like 40.3.3 that grants a blanket right to life of the unborn has no other purpose than to require the state to criminalise abortion. The result is legislation like the POLDPA. We've already seen numerous problems resulting from that Act, and those problems are notoriously hard to fix because any fixes would likely run into the brick wall that is 40.3.3.
oscarBravo wrote: » There are two possible answers: make the prohibition on abortion in the Constitution more nuanced, or remove it and deal with the issue in legislation where it belongs. I'm arguing for the latter.
oscarBravo wrote: » Calling it a smokescreen suggests that those of us who believe women should have a right to choose whether or not to be pregnant are in some way coy about that belief, and feel the need to disguise it in some way.
oscarBravo wrote: » Let me be crystal clear: I believe that a woman should have a right to choose whether or not to be pregnant. An unsubtle "right to life of the unborn" clause in the Constitution removes that right, and does so purely on the basis that a non-sentient clump of cells has a right to life that exceeds a woman's right to bodily integrity.
oscarBravo wrote: » If you want to talk about smokescreens, we can discuss the repeated use of the word "baby" to describe non-sentient clumps of cells, for the specific purpose of clouding the issue.
Absolam wrote: » Duly amended Though that seems to be the only error you've pointed out, so littered might be overstating things!.
ProfessorPlum wrote: » Try reading the judgement - you're sure to find some more. I even went to the bother of pointing them out to you, but I haven't the time, nor frankly could I be arsed to help you further.
ProfessorPlum wrote: » Good luck out there in the big bad world. I imagine you don't interact with it much.
Absolam wrote: » That's the point of it being in the Constitution; whether or not someone finds it difficult, putting it in the Constitution makes it not changeable, other than by referendum. It makes it the least changeable legislation in the State.
Absolam wrote: » And that would not be an argument for removing the Amendment from the Constitution because it's too difficult to make it work properly, that would be an argument for removing the Amendment from the Constitution because it prevents access to abortion.
Deleted User wrote: » Well once again, isn't that exactly the point!? The public opinion on the matter is and has been extremely intricate, nuanced, and from opinion polls across the state over the last 20 years appears to be extremely changeable and fluid.
Deleted User wrote: » The legislation is unable to accurately react and adjust to reflect this opinion because of the inflexible rule that it must inherit from.
Deleted User wrote: » See above for the argument against having it in the Constitution. Same argument that I've been making the whole time!
Deleted User wrote: » Talk me through that logic. Is it 'Laws that we feel might not accurately represent the will of the people should be pushed up to the Constitution so as to make them more difficult to change'?
Deleted User wrote: » I asked you to talk me through the logic and explained what I read it as. You could have talked me through the logic and said no if I was wrong (which you suggest).
Deleted User wrote: » Could you talk me through the logic of what you've suggested please? About how the nuance of the situation is an argument for having it the Constitution not against. Your logic behind your suggestion would be superb. Thanks
Deleted User wrote: » Nice one. Time to ask the people again so imo. The process that would be required to make that change is a referendum and a referendum only. I have no problem asking the people again. And respecting the will of the people on the matter. A referendum regarding the 8th gives us the opportunity to test assumptions. It would test my assumption that public opinion would agree that it is time to remove it and adequately legislate for access to abortion. Likewise, the assumption that the public at large would like to keep the amendment. Making available the opportunity to test those assumptions is in both a pro and anti choice parties interests surely? If we do indeed both respect the will of the people and their ability to forge and edit the guiding document of our state. I'd imagine both sides of the debate would be happy to avail of the chance to vindicate their position if that was the case. What would be eminently undemocratic and disrespectful of that guiding document would be if people were against offering The People the chance to update or vindicate it. It would open some very interesting questions if people wanted to rely on the document to vindicate a position (the people have spoken) but be against the proposition of asking the people to speak again.
Deleted User wrote: » Nice one. Time to ask the people again so imo. The process that would be required to make that change is a referendum and a referendum only. I have no problem asking the people again. And respecting the will of the people on the matter. A referendum regarding the 8th gives us the opportunity to test assumptions. It would test my assumption that public opinion would agree that it is time to remove it and adequately legislate for access to abortion. Likewise, the assumption that the public at large would like to keep the amendment.
Deleted User wrote: » Making available the opportunity to test those assumptions is in both a pro and anti choice parties interests surely? If we do indeed both respect the will of the people and their ability to forge and edit the guiding document of our state.
Deleted User wrote: » I'd imagine both sides of the debate would be happy to avail of the chance to vindicate their position if that was the case.
Deleted User wrote: » What would be eminently undemocratic and disrespectful of that guiding document would be if people were against offering The People the chance to update or vindicate it.
Deleted User wrote: » It would open some very interesting questions if people wanted to rely on the document to vindicate a position (the people have spoken) but be against the proposition of asking the people to speak again.
Absolam wrote: » In fact, the judgement transcript oddly doesn't have any testimony from any of the Doctors engaged in the care of the unborn child at time, so all we really have is is hearsay. The POLDPA is the legislative environment that gave the Doctors legal concerns, and it doesn't rely on either the Constitution or the 8th Amendment. Neither the Constitution nor the 8th places any obligation on the Doctors in this regard, nor does it express a penalty for contravening it.
ProfessorPlum wrote: » After reading that, I'm wondering did you bother to read the judgment in the case at all? Your post is littered with errors, beginning with the name of the plaintiff (it was P.P.) Several of the doctors who were directly involved in N.P.'s care were mentioned in the judgment and their testimony summarised. The POLDP Act, however wasn't mentioned, and the 8th Ammendment was mentioned, and discussed in detail, both wrt the case in question and how it applied in other relevant cases. As to you assertion that it is not a complicated piece of 'legislation', there was even disagreement as to what it means, and the nuances of the English and Irish language version. This was not the first, and won't be the last case before the courts where the nuances of the 8th are argued! As to who brought the legal concern to light, but I have yet to see lawyers wandering the wards of our hospitals, and as they have no right to confidential patient records unless consulted, it would seem to be beyond reasonable doubt that it was the clinicians who first raised the legal question.
Absolam wrote: » Duly amended Though that seems to be the only error you've pointed out, so littered might be overstating things!I didn't say they weren't mentioned (or that their notes weren't referred to), only that the judgement transcript oddly doesn't have any testimony from any of the Doctors engaged in the care of the unborn child at time, so all we really have is is hearsay. None of the Doctors engaged in the care of the unborn child at time, presented testimony, did they? And If the Doctors who did testify presented what they read from the other Doctors notes or were told by those Doctors (which they did), would that not be hearsay? I don't think I said it was mentioned in the case, did I? I said the Examiner offered an opinion on it, and that the Doctors had no reason to have any legal concerns based on the 8th since it placed them under no obligation, and subjected them to no penalty. Unlike the POLDPA, which does. And discussing the specific meaning of the wording doesn't make it complicated; it just means there can be more than one interpretation of a simple phrase, which is why Judges rule on these things in the first place. Yep, I'm pretty sure I agreed that it was a Doctor who had legal concerns, but as I said I don't think we can say where those legal concerns came from; it's neither in the transcript nor the reporting.
Absolam wrote: » Ah.. I thought I corrected those misapprehensions in the part of my post that you didn't quote. To save you worrying about helping me further, here's a quick recap. "the doctors who were directly involved in N.P.'s care were mentioned in the judgment and their testimony summarised" I never said they weren't, only that they didn't give testimony before the court that was mentioned in the transcript of the judgement. "The POLDP Act, however wasn't mentioned, and the 8th Ammendment was mentioned" I didn't say that the POLDPA was mentioned, or that the 8th Amendment wasn't, only that any legal concern of the Doctors would neccasarily be founded on the POLDPA, not the 8th. "As to you assertion that it is not a complicated piece of 'legislation', there was even disagreement as to what it means" Not complicated is not the same as not debatable. "it would seem to be beyond reasonable doubt that it was the clinicians who first raised the legal question" Which does not mean that their raising it wasn't as a result of information provided by their legal team. Thanks. I'm happy to say that what you imagine has no bearing on reality
ProfessorPlum wrote: » In fact, also reported in the news at the time was the testimony of the treating neurosurgeon, where he described, with other clinicians of trying to work out the 8th amendment. Not the legislation, but the 8th. So, nothing to support that it was the POLDP act that caused the concern.http://www.independent.ie/irish-news/courts/pregnant-womans-life-support-should-be-turned-off-court-told-30860620.htmlA leading neurologist, who cannot be named as he works at a hospital which cannot be identified under the terms of a court order, said he and colleagues had sought legal advices from authorities two days before the woman was declared dead on December 3, but none was forthcoming. "We are not lawyers. We will, like all clinicians, err on the side of caution," said the consultant. "We were three clinicians trying to figure out the eighth amendment."
recedite wrote: » They were neurosurgeons, and had little or no expertise in obstetrics or the legal implications of the 8th amendment. That's why they sent the brain dead woman with the live foetus back to the obstetrician, instead of switching off the life support. It seems to have been a very sensible approach.
ProfessorPlum wrote: » Ok, I know I'm probably wasting my time, but I'll just clarify some of the errors for you. 1. The title of the case, as already discussed.
ProfessorPlum wrote: » 2. The assertion that "In fact, the judgement transcript oddly doesn't have any testimony from any of the Doctors engaged in the care of the unborn child at time, so all we really have is is hearsay. " Except the judgement does have testimony from her treating doctors, and testimony from her doctors was widely reported on in the press at the time (which might be considered hearsay to 3rd party readers, but was actual evidence in court.
ProfessorPlum wrote: » 3. That the legal concern was founded on the POLDP act, and not the 8th amendment. Skip to the part of the judgment entitled 'Legal Principals', where, unsurprisingly, the legal principals of the case are discussed. It is almost entirely taken up with discussion of the 8th amendment, whereas the POLDP act is not mentioned. Not once. Although not conclusive, it would be strange then if it was the POLDP act that gave rise to the legal concern.
ProfessorPlum wrote: » In fact, also reported in the news at the time was the testimony of the treating neurosurgeon, where he described, with other clinicians of trying to work out the 8th amendment. Not the legislation, but the 8th. So, nothing to support that it was the POLDP act that caused the concern.
ProfessorPlum wrote: » 4.That we don't know if it was the lawyers or the doctors who first raised the legal concern. Now I've already explained to you why it couldn't have been the lawyers, owing to the fact that they would have not had access to the patients records. But if you look again at the report of the testimony of the neurosurgeon, it will confirm that it was he and colleagues who sought legal advice. Perhaps the other colleagues who were trying to work out the constitution?
ProfessorPlum wrote: » 5. That the 8th amendment is not complicated. Well, here I wil bow to your superior power of thought, as I and everyone else it seems, finds the 8th a very difficult piece of law. So much so that barristers and judges spend days trying to work out exactly what it means.
ProfessorPlum wrote: » Although I am probably wasteing my time here, because if Jesus Christ himself appeared to you and swore the facts, you still probably wouldn't be swayed from your own erroneous opinion.
volchitsa wrote: » Do you really think it was a good thing to have to physically send the woman back, when it was clear that no-one thought the baby could live, they just didn't want to be the ones to take the legal responsibility of turning off the life support? Subsidiary question : was she really sent to her initial maternity department? It would hardly be suitable to have a dead woman gestating in the midst of all the live ones, surely? Or perhaps she was actually in the general ICU, but if so, wouldnt it have been better to have kept her in Dublin?