Tag: Medical

  • A Substantive Due Process Challenge to the War on Drugs

    A Substantive Due Process Challenge to the War on Drugs

    [ad_1]

    Substantive Due Process Analysis of the Incarceration of Drug Offenders

    A. Framework

    In Washington v. Glucksberg, Chief Justice Rehnquist described the framework for substantive due process analysis:

    Our established method of substantive-due-process analysis has two primary features: First, we have regularly observed that the Due Process Clause specially protects those fundamental rights and liberties which are, objectively, “deeply rooted in this Nation’s history and tradition,” and “implicit in the concept of ordered liberty,” such that “neither liberty nor justice would exist if they were sacrificed.” Second, we have required in substantive-due-process cases a “careful description” of the asserted fundamental liberty interest. Our Nation’s history, legal traditions, and practices thus provide the crucial “guideposts for responsible decisionmaking,” that direct and restrain our exposition of the Due Process Clause. As we stated recently in Flores, the Fourteenth Amendment “forbids the government to infringe . . . ‘fundamental’ liberty interests at all, no matter what process is provided, unless the infringement is narrowly tailored to serve a compelling state interest.”

    Applying this method, one must first examine freedom from incarceration to determine if it is a fundamental right. If so, government policies that require the incarceration of offenders, including drug offenders, must serve compelling interests and be narrowly tailored to achieve them. This article assumes for the sake of argument that drug problems give rise to compelling state interests. It then reviews the interests asserted by the government in its pursuit of its drug war policies and the results of those policies to determine whether the policy of incarcerating drug offenders is narrowly tailored to those asserted interests.

    B. The Fundamental Liberty Interest: Freedom from Incarceration

    Federal and state laws subject drug offenders to incarceration. Incarceration is a tremendous deprivation of liberty that triggers the protections of the Due Process Clause. The Supreme Court has recognized this right on a number of occasions. In DeShaney v. Winnebago County DSS for example, the court held:

    [I]t is the State’s affirmative act of restraining the individual’s freedom to act on his own behalf–through incarceration, institutionalization, or other similar restraint of personal liberty–which is the “deprivation of liberty” triggering the protections of the Due Process Clause . . . .

    Perhaps the earliest explicit recognition by the Supreme Court of freedom from incarceration as a fundamental right under substantive due process came in Allgeyer:

    The ‘liberty’ mentioned in [the fourteenth] amendment means, not only the right of the citizen to be free from the mere physical restraint of his person, as by incarceration, but the term is deemed to embrace the right of the citizen to be free in the enjoyment of all his faculties; to be free to use them in all lawful ways; to live and work where he will; to earn his livelihood by any lawful calling; to pursue any livelihood or avocation; and for that purpose to enter into all contracts which may be proper, necessary, and essential to his carrying out to a successful conclusion the purposes above mentioned.

    An 1891 law review article noted that Blackstone described “freedom from restraint of the person” as “perhaps the most important of all civil rights,” and that Lord Coke felt “the liberty of a man’s person is more precious to him than everything else that is mentioned [in the Magna Charta].” Blackstone states that “the rights of all mankind . . . may be reduced to three principal or primary articles; the right of personal security, the right of personal liberty, and the right of private property.” Indeed, the original Latin in the Magna Charta’s “law of the land” clause uses the term “imprisonetur.”

    No court has invalidated a criminal statute through the application of substantive due process analysis to the fundamental right of freedom from incarceration. At the same time, no court has ruled to the contrary. The Supreme Court avoided the question in Reno v. Flores:

    The “freedom from physical restraint” invoked by respondents is not at issue in this case. Surely not in the sense of shackles, chains, or barred cells, given the Juvenile Care Agreement. Nor even in the sense of a right to come and go at will, since, as we have said elsewhere, “juveniles, unlike adults, are always in some form of custody,” and where the custody of the parent or legal guardian fails, the government may (indeed, we have said must) either exercise custody itself or appoint someone else to do so.

    This analysis would not apply to adult drug offenders. The Fourth Circuit also avoided addressing freedom from incarceration as a fundamental right in Hawkins v. Freeman:

    Hawkins’s rhetorical reference to the right as being “freedom from unjust incarceration,” and that of amicus, American Civil Liberties Union of North Carolina, as the “right to be free from arbitrary incarceration,” are issue-begging generalizations that cannot serve the inquiry. A properly precise description can, however, be found in the facts and legal authorities relied upon by Hawkins in support of his claim. From these, we deduce that the precise right asserted is that of a prisoner to remain free on erroneously granted parole so long as he did not contribute to or know of the error and has for an appreciable time remained on good behavior to the point that his expectations for continued freedom from incarceration have “crystallized.”

    Hawkins is distinguishable because it deals with an inmate whose parole was revoked. In any event, the casual dismissal as an “issue-begging generalization” flies in the face of nearly 800 years of common law tradition and over a century of Supreme Court decisions recognizing freedom from incarceration as a fundamental right. Indeed the language of the Supreme Court’s Ingraham decision supports the application of substantive due process proposed in this paper:

    While the contours of this historic liberty interest in the context of our federal system of government have not been defined precisely, they always have been thought to encompass freedom from bodily restraint and punishment. It is fundamental that the state cannot hold and physically punish an individual except in accordance with due process of law.

    The Court also stressed this fundamental liberty interest in Foucha v. Louisiana, a case involving the confinement of a person found not guilty by reason of insanity:

    Freedom from bodily restraint has always been at the core of the liberty protected by the Due Process Clause from arbitrary governmental action. “It is clear that commitment for any purpose constitutes a significant deprivation of liberty that requires due process protection.” We have always been careful not to “minimize the importance and fundamental nature” of the individual’s right to liberty.

    While the Foucha Court indicated that “a State may imprison convicted criminals for the purposes of deterrence and retribution,” the remark was dicta and did not involve any discussion of substantive limits on the police power. In Meachum v. Fano the Court made a similar remark in the context of a case dealing with prison conditions: “[G]iven a valid conviction, the criminal defendant has been constitutionally deprived of his liberty to the extent that the State may confine him.” Again there was no discussion of substantive limits on the police power. Indeed the previous sentence noted: “The Due Process Clause by its own force forbids the State from convicting any person of crime and depriving him of his liberty without complying fully with the requirements of the Clause.”

    Recently in Zadvydas v. Davis, the Court noted:

    The Fifth Amendment’s Due Process Clause forbids the Government to “depriv[e]” any “person … of … liberty … without due process of law.” Freedom from imprisonment–from government custody, detention, or other forms of physical restraint–lies at the heart of the liberty that Clause protects.

    Freedom from incarceration is not just a fundamental right. It is the one of the most fundamental of rights.

    C. Identifying the State’s Interests

    Governmental drug policy interests identified in federal statutes include “demand reduction,” “supply reduction,” and “reducing drug abuse and the consequences of drug abuse in the United States, by limiting the availability of and reducing the demand for illegal drugs.”

    Federal law sets specific goals for the National Drug Control Strategy. These include:

    “Reduction of unlawful drug use to 3 percent of the population”;

    “Reduction of adolescent unlawful drug use to 3 percent of the adolescent population”;

    “Reduction of the availability of cocaine, heroin, marijuana, and methamphetamine”;

    “Reduction of the respective nationwide average street purity levels for cocaine, heroin, marijuana, and methamphetamine”; and

    “Reduction of drug-related crime.”

    Goals are also set forth with regard to drug-related crime:

    (i) reduction of State and Federal unlawful drug trafficking and distribution; (ii) reduction of State and Federal crimes committed by persons under the influence of unlawful drugs; (iii) reduction of State and Federal crimes committed for the purpose of obtaining unlawful drugs or obtaining property that is intended to be used for the purchase of unlawful drugs; and (iv) reduction of drug-related emergency room incidents . . . .

    D. Defining “Narrow Tailoring” in the Context of Substantive Due Process

    Assuming that the governmental interests are compelling, we must determine whether the incarceration of drug offenders is narrowly tailored to achieving them. The government must show that its policy passes strict scrutiny. The concept of narrow tailoring is not well defined in the context of substantive due process, but has been fairly well defined in regard to the First Amendment and Equal Protection. Equal Protection cases also arise out of the Fourteenth Amendment. In Wygant v. Jackson Bd. of Education the Supreme Court held: “Under strict scrutiny the means chosen to accomplish the State’s asserted purpose must be specifically and narrowly framed to accomplish that purpose.” In a footnote, the Court described narrow tailoring in even further detail:

    The term “narrowly tailored,” so frequently used in our cases, has acquired a secondary meaning. More specifically, as commentators have indicated, the term may be used to require consideration of whether lawful alternative and less restrictive means could have been used. Or, as Professor Ely has noted, the classification at issue must “fit” with greater precision than any alternative means. “[Courts] should give particularly intense scrutiny to whether a nonracial approach or a more narrowly-tailored racial classification could promote the substantial interest about as well and at tolerable administrative expense.”

    It is important to note here that a policy that does not advance the government’s interests violates substantive due process regardless of how it compares with the alternatives. If it does not accomplish its purpose, logic dictates it cannot be specifically and narrowly framed to accomplish its purpose.

    E. Advancing Governmental Interests

    Congress has identified certain tools for assessing the national drug control strategy. The National Household Survey is the measure for “unlawful drug use.” Similarly, “adolescent unlawful drug use” is to be measured “by the Monitoring the Future Survey of the University of Michigan or the National PRIDE Survey conducted by the National Parents’ Resource Institute for Drug Education.” On these measures, the goals are not being reached.

    The measure of adolescent drug use that was specifically identified by Congress, illicit drug use in the past 30 days, worsened in 2001. More than 25% of US twelfth graders reported using illicit drugs in the past 30 days. That is nearly double the figure for 1992 and more than eight times the stated goal of 3%. Over 40% of 12th graders tried an illicit drug in the past year.

    The PRIDE Survey and National Household Survey show similar results.

    The drug war has also failed in its other goals. The Monitoring the Future Survey tracks how twelfth graders perceive the availability of drugs. Reducing availability is an explicit goal of the drug war. The perceived availability of marijuana in 2001 was slightly higher than in 1975. The figures for harder drugs are more disturbing. From 1975 to 1986, roughly 20% of twelfth graders said heroin was easy to get. That number shot up in the late 1980s and has remained consistently higher than 30%. Cocaine remains widely available to our youth, with nearly 50% of twelfth graders saying it is easy to get. The survey began measuring the availability of ecstasy in 1989, when only 22% of twelfth graders felt it was easy to get. In 2001, that number went over 61%, having jumped from 51% the year before.

    Drug war policies are not achieving the stated drug war goals. They cannot be “specifically and narrowly framed to accomplish their purpose” because they are not accomplishing their purpose. Drug use has not been reduced in any significant way, and levels of drug use are far above the stated goals. Our children have easy access to drugs. We can’t even keep drugs out of jails. The drug war and the incarceration of drug offenders have also failed to achieve secondary goals regarding supply, demand, purity, drug-related health problems and drug-related crime. The policy of incarcerating drug offenders does not “directly advance[] the governmental interest asserted.” The War on Drugs is not working.

    F. Alternative Means

    Even if a court is persuaded that incarceration advances the government’s interests, the government must also show that its policy choice fits better than the alternatives. Critics of the drug war encompass a broad spectrum of backgrounds, and the range of “solutions” is just as wide. Libertarians and others favor outright legalization of drugs. The legalization of marijuana is a somewhat popular variation of overall legalization, and there are other variations such as the legalization of marijuana for medical purposes and decriminalization of drugs or marijuana. Another leading approach, known as harm reduction, looks at drugs from a public health perspective.

    The effectiveness of some of these alternatives is difficult to assess. Even so, certain comparisons can be made. Advocates of treatment point to studies showing that treatment is much more effective than incarceration. Spencer notes:

    The recidivism rate for first time Dade County drug offenders was sixty percent, but for those who successfully completed the Dade County Drug Court treatment programs, the recidivism rate reported by Dade County officials was only seven percent. Drug court treatment programs are also cost effective. It costs Florida only $2,000 to put a drug offender through a drug court program, as compared to $17,000 per drug offender for incarceration. As a result, other drug court programs are being established throughout the country.

    Similarly, a Rand study found treatment to be seven times more cost-effective than current supply-control policy in reducing cocaine consumption.

    G. The Incarceration of Drug Offenders is Not Narrowly Tailored

    Incarceration involves a far greater infringement of fundamental rights than alternatives which are both more effective and less intrusive. The incarceration of offenders is not advancing the state’s asserted interests. The drug war is not narrowly tailored, failing the Supreme Court’s “established method of substantive-due-process analysis” as described by Chief Justice Rehnquist. The laws requiring the incarceration of drug offenders are therefore unconstitutional, if substantive due process analysis is applied.

    IV. CONCLUSION

    It is true that the approach suggested in this paper would limit the police power. Constitutional protection of individual rights exists for that very purpose. We face coercive government action, carried out in a corrupt and racist manner, with military and paramilitary assaults on our homes, leading to mass incarceration and innocent deaths. We can never forget the tyranny of a government unrestrained by an independent judiciary. Our courts must end the War on Drugs.

    For the full article, with endnotes, see: http://www.redlichlaw.com/crim/substantive-due-process-drug-war.pdf

    [ad_2]

    Source by Warren Redlich

    Views: 0

  • All About Traditional Chinese Medicine

    All About Traditional Chinese Medicine

    [ad_1]

    Traditional Chinese medicine is an alternative to contemporary medicine. The treatment method corrects imbalances in the body and works in different ways that include:

    • Addressing the environment and the external factors of the patient.
    • Helping the patients relate to the internal emotions in a healthier way.
    • Improving the lifestyle of the patients. This includes promoting better diet and exercise.

    The traditional Chinese medicine affects different areas of the body but it focuses on only a few of these areas. The areas include: large intestine, gallbladder, small intestine, lung, liver, spleen, kidneys, and heart.

    Benefits of traditional Chinese medicine

    The treatment option comes with many advantages that include:

    Reduced inflammation: The herbs and mushrooms used in the treatment have antioxidant, antiapoptotic, autophagic, and anti-inflammatory effects on the body. When you take the herbs, you have reduced levels of oxidative stress and inflammation thus you protect the body cells, tissues, and organs from developing diseases.

    Reduction of chronic pain and headache: The use of acupuncture and acupressure plays a vital role in managing pain brought about by arthritis and other medical conditions. Experts have also found that treatment methods such as eating a healthy diet and tai chi aid in reducing chronic tension headaches.

    Hormonal balance: Research studies show that the herbs used in the treatment contain anti-inflammatory and antioxidants that improve the functions within the endocrine and central nervous system. This aids in improving the healing abilities of the body and balances the hormones such as insulin, estrogen, cortisol, and testosterone.

    Improvement of the health of the liver: Since traditional Chinese medicine advocates that you take a healthy diet, the diet aids in improving the health of the liver. Some of the best foods that you should take to improve the health of your liver include: sweet potatoes, healthy fats, spices rich in ginger and garlic, and herbs. You should avoid fried foods, sugary drinks, and snacks, refined oils, alcohol, and processed carbohydrates.

    Tips to consider when engaging in traditional Chinese medicine

    For you to have a great experience with the treatment method, you need to consider a number of tips. Before you settle on a given practitioner, always take your time to research him/her and ensure that he/she is reputable. Experts recommend that you visit a number of facilities and take a look at the displayed certifications. If there are no certifications, you should stay away from the practitioner.

    While the herbs are natural, you should take them under maximum supervision. You shouldn’t take them if suffering from a medical condition or when pregnant. You should avoid medications from an unknown company as they might be containing dangerous additives, lead, cadmium, mercury, and traces of other heavy metals.

    To get the most from the treatment method, you should incorporate different lifestyle and preventative habits such as exercising, eating a healthy diet, getting enough sleep, and taking beneficial supplements.

    Conclusion

    This is what you need to know about traditional Chinese medicine. You should remember that the medications are recommended as complementary treatment methods; therefore, you should try them together with the complementary medications. To avoid complications always follow the doctor’s advice.

    [ad_2]

    Source by Idd Aziz

    Views: 0

  • Family Doctors Are Important To A Person’s Health

    Family Doctors Are Important To A Person’s Health

    [ad_1]

    A family doctor is essential to all people who need health care. Doctors help people in a variety of different ways. They keep close records of their patient’s medical history and they are able to diagnose and treat people when they become ill or are injured. A family physician can even screen their clients to figure out if they have a disease or if they are developing some type of condition that could negatively impact their lives.

    Most families must have insurance to receive help from a family doctor. A primary care physician wants their patients to have insurance because they receive payments from them. Most people cannot afford to pay out-of-pocket for health care. Doctors know this and rely on insurance to receive payment. Without insurance, most doctors just could not afford to see patients.

    Doctors are also trained to provide care in specific areas of medicine or for general health problems. Their training is important because it gives them the ability to help people to resolve basic medical issues. A doctor will be able to treat and diagnose patients for medical issues related to their body. They will also deal with infections, broken bones, physical and they should be able to detect when their patient is having a medical issue.

    Many hospitals and health clinics often employ doctors and physicians. They can also work within private offices. These offices typically located in various locations within a city. Some doctors serve inner city neighborhoods and some medical professionals help people who are located suburban neighborhoods. Most doctors offices are located in areas that best serve specific communities where the population can pay or are in need.

    Private practices are very lucrative for doctors and for their patients. This is because doctors can charge their own fees and set their own prices for visits and care. Many doctors no longer make house visits. However, they might perform this service in rural locations. Many doctors can also be found inside of hospital facilities where they are also needed to provide care.

    Family doctors also help to ensure that children remain healthy and strong. They know that children face a lot of problems during the early developmental stages of life. Doctors ensure that children are receiving adequate check ups and physical and that they have safe environments to live. They also help to safeguard a child’s emotional and mental state.

    In modern times, doctors have to closely monitor their patient’s mental health. No longer are they just concerned with the physical aspects of health care, they must make sure that their clients mental state is functioning normally. Doctors routinely diagnose their patients to determine if they are suffering from ailments such as depression or emotional instability.

    They also focus on sport related problems such as concussions and broken limbs. These areas of sports related health issues are impacting people on a greater degree and is impacting people more than ever before. Athletes and sporting teams also have their personal family doctors that are designed to help them to prepare for sporting events and to stay in good condition during the season and when they have time off.

    Having a personal doctor just makes sense. As people get older in life they typically need more medical care because their bodies break down. Since this is the case, doctors have a tendency to serve seniors within their communities. Older people also need more care and frequently visit the doctor more so than younger people.

    A good family doctor will also endorse the benefits of good health care and stress its importance. As a matter of fact people with family doctors could live longer and healthy lives under normal circumstances. Some people could even extend their lives by at least 15 years with the proper care from a licensed and trained doctor. Family doctors are important to help families to live healthy and productive lives for many years to come.

    [ad_2]

    Source by Ryan A Buffington

    Views: 0

  • Finding a Suitable Doctor

    Finding a Suitable Doctor

    [ad_1]

    It’s an unfortunate fact of life that many people who suffer from painful diseases, such as arthritis, tend to accept that their pain is inevitable, and leave it for as long as possible before seeking medical advice and/or attention.

    This course of action is not to be recommended, as early treatment can certainly help, and of course save the sufferer years of needless pain. It is advisable to take some care when choosing a doctor, however, as not all medical professionals are best qualified to give advice on individual diseases-believe it or not, some of them are still of the opinion that arthritis is a disease that only occurs in the elderly. It is therefore important to find a doctor who has a good knowledge of your disability, and preferably one with a sympathetic ear as well.

    When looking for a suitable doctor, remember that some of them who refer to themselves as specialists aren’t necessarily that, as they don’t have all the credentials to use the word. “U.S. News & World Report” estimated that around 30% of “specialists” were in this category. A doctor who has gone through formal specialty training, and has passed the necessary exams is a “diplomat” or a “board certified” specialist. Others who are so-called specialists might have quite a lot of expertise or experience, but have not met the requirements of the specialty board examiners.

    Of course, you must remember that credentials are not everything. Quite often, you’ll find it helpful if you get a good referral from a friend, or even from someone else in the medical profession. It’s also quite often the case that the most sought after doctors are, naturally, the busiest, the result being that they have less time and, dare I say it, energy, to devote to each individual. It follows that the quality of care that you can expect to receive will be somewhat diminished.

    When you do find a doctor with whom you feel you can have a good relationship, and you’re fairly sure that he can help you, there are some things that you can do yourself to make things easier all round.

    Think beforehand about what you want to tell the doctor. It’s usually better to tell him/her orally, as some of them do not take kindly to seeing a long list of written items. Try not to take too long in explaining your symptoms, but make sure that you are specific. You can also ask questions if there are things that are still puzzling you.

    Being able to communicate properly with your doctor is a great help-if you find that you’re not able to do so, it’s probably time to look around for another one.

    Next!

    [ad_2]

    Source by Donnie Graham

    Views: 0

  • What Is Regenerative Medicine?

    What Is Regenerative Medicine?

    [ad_1]

    When Adrienne Shapiro’s daughter Marissa was diagnosed with sickle cell disease, the doctors said that she would not live till her first birthday. However, when Marissa managed to live past that benchmark, it did not mean the end of Adrienne’s worries. In fact, it was the beginning of many painful years of blood transfusions and immunological disorders. When an improperly matched blood transfusion caused a severe reaction leading to the removal of Marissa’s gall bladder and temporary kidney failure, she was unable to receive further blood transfusions.

    However, luckily for Marissa a project sponsored by the California Institute for Regenerative Medicine (CIRM), headed by Don Kohn, MD at UCLA, was starting a clinical trial. The objective of the project was ‘to remove bone marrow from the patient and fix the genetic defect in the blood-forming stem cells. Then those cells can be reintroduced into the patient to create a new, healthy blood system.’The success of this clinical trial has given hope to Adrienne that with the help regenerative medicine her daughter will be able to lead a healthy and pain-free life.

    The Stem Cell & Regenerative Medicine Center at the University of Wisconsin-Madison describes ‘Regenerative Medicine’ as ‘a new scientific and medical discipline focused on harnessing the power of stem cells and the body’s own regenerative capabilities to restore function to damaged cells, tissues and organs.’

    Stem cells that are found in the umbilical cord blood of new born children have the ability to renew and regenerate themselves. A stem cell, through the process of mitosis, can divide itself to either become a specialized cell like a brain cell or muscle cell, or remain a stem cell. They are also able to repair internal damage caused by any type of disease, disorder or trauma. Stem cell transplantation, stem cell grafting and regenerative medicine are some of the ways in which these cells are used to cure disorders and illnesses.

    Regenerative medicine includes a wide range of scientific disciplines, such as biochemistry, genetics, molecular biology and immunology. Scientists from these fields have been conducting research and studies in this domain and have identified three methods of using regenerative medicine. They are cellular therapies, tissue engineering and medical devices and artificial organs.

    Cellular Therapies – In this method, cellular materials, in most cases adult stem cells, are extracted and stored and then injected into the site of injury, tissue damage or disease. These cells, thereafter, repair the damaged cells or regenerate new cells to replace the damaged ones.

    Tissue Engineering – This method is related to the field of biomaterials development and utilizes a combination of functioning tissues, cells and scaffolds to engineer a fully functioning organ which is then implanted into the body of the receiver in place of a damaged organ or tissue.

    Medical Devices and Artificial Organs – When a body organ fails, the most common method of treatment is to replace it with a donor organ. Donor organs are not easily available and can pose as a hindrance in such cases. Even if a donor is available, he or she may need to take immunosuppressant drugs before the transplant and these drugs have been known to cause side-effects. In such circumstances, medical devices that imitate the function of the failed organ can be used, instead of transplantation. An example of one such device is the ventricular assist device (VAD) that is used in place of heart transplants.

    Since regenerative medicine deals with the use of stem cells, it occasionally requires embryonic stem cells for research purposes. This use of embryonic stem cells can often give rise to questions regarding ethics and legality. The laws and regulations concerning regenerative medicine are different in different countries. Creation of human embryos for research is only legally permitted in three countries. Majority of the countries only allow extraction of cells from surplus IVF embryos. A recent study, related to human embryonic stem cells (hECS) research policy, was conducted which revealed that UK, Sweden and Belgium were very permissive in authorizing the creation of human embryos for research, whereas, Luxembourg, Austria, Poland and Ireland had no laws regarding hECS. The legislations regarding hESC in most other countries range between being mildly restrictive to very restrictive.

    Regenerative medicine is the future of modern medical treatments. Scientists are conducting clinical trials and studies every day to further enhance and improve in this area of medicine.

    [ad_2]

    Source by Richa Verma

    Views: 0