Physicians Professional Immunity in the COVID-19 Pandemic

Problems and Solutions

Authors

  • Viorel Rotila Professor PhD, Dunarea de Jos University from Galati; Director of Center for Social Research and Development "Solidaritatea", Galati

Keywords:

doctors; professional immunity; malpractice; COVID-19; limitation of liability;

Abstract

In this article, by professional immunity we refer to limitation of liability to the specific pandemic context, respectively to the concrete possibilities of diagnosis, treatment, care and too few degrees of professional freedom still available. The relevance of one or another of the limitation measures of professional liability depends on the specific legal context of each community. Our thesis is that, regardless of the form of transposition into practice, a form of health professionals protection, such as professional immunity is necessary. From the multitude of possible protection measures, each state can select the appropriate ones. The need for specific measures for professional immunity is not identical in each state, depending on the specifics of the legal system, social values, measures characteristics taken to combat the pandemic, the degree of transparency of each healthcare system, the level of bioethical principles influence. However, this need doesn`t start from "no measure", the appropriate minimum level of protection seemingly to constitute a patient compensation no-fault model, plus the characteristics of the professional immunity, designed to adapt liability to specific conditions.  The main problem in the absence of professional immunity is the risk of transferring the cost of ignorance, visible, in the inadequate expectations of medical science, on healthcare professionals, the limits of scientific knowledge risking to be reinterpreted as medical fault. The COVID-19 pandemic has somehow forced an additional step towards broadening discussions on universal human rights, being forced to consider ways of putting them into practice in the context of limited resources. Assuming that the increase in social complexity increases the risks of such events, we approach these problems from the perspective of creating rapid mechanisms to adapt to such changes, the lessons learned now being applied in the future to other similar cases.

Author Biography

Viorel Rotila, Professor PhD, Dunarea de Jos University from Galati; Director of Center for Social Research and Development "Solidaritatea", Galati

Prof. univ. dr.

Dep. Istorie, Filosofie si Sociologie

References

Al-Azri N. H. (2020). Healthcare workers' legal liability and immunity during the COVID-19 pandemic. Disaster medicine and public health preparedness, 1–8. Advance online publication. https://doi.org/10.1017/dmp.2020.449

Ben Amar, W., Karray, N., Zribi, M., Siala, H., Dhouib, H., Karray, M., Hammami, Z., & Maatoug, S. (2020). Criminal medical liability in the context of Covid-19 pandemic. La Tunisie medicale, 98(5), 334–342.

Berlin J. (2020). Pandemic Poses Legal Pitfalls: TMA Seeks Better Liability Shields. Texas medicine, 116(8), 38–40.

Bilotta, C., Zerbo, S., Perrone, G., Malta, G., & Argo, A. (2020). The medico-legal implications in medical malpractice claims during Covid-19 pandemic: Increase or trend reversal?. The Medico-legal journal, 88(1_suppl), 35–37. https://doi.org/10.1177/0025817220926925

Brodhead, F. (2020). Liability Protection for COVID-19 Health Care Providers. The American journal of nursing, 120(9), 16. https://doi.org/10.1097/01.NAJ.0000697572.79173.5d

Cioffi, A., & Rinaldi, R. (2020). Covid-19 and medical liability: A delicate balance. The Medico-legal journal, 88(4), 187–188. https://doi.org/10.1177/0025817220935879

Cohen, I. G., Crespo, A. M., & White, D. B. (2020). Potential Legal Liability for Withdrawing or Withholding Ventilators During COVID-19: Assessing the Risks and Identifying Needed Reforms. JAMA, 323(19), 1901–1902. https://doi.org/10.1001/jama.2020.5442

Colegiul Medicilor din România. (2020). Propunere reglementare extindere competențe pentru personalul care îngrijește pacienți infectați cu SARS-CoV-2, pe fondul unor resurse medicale limitate, inclusiv resurse umane (Proposed regulatory extension of competence for staff caring for SARS-CoV-2 infected patients, due to limited medical resources, including human resources). Retrieved from: https://www.cmr.ro/new/index.php/2020/11/propunere-reglementare-extindere-competente-pentru-personalul-care-ingrijeste-pacienti-infectati-cu-sars-cov-2-pe-fondul-unor-resurse-medicale-limitate-inclusiv-resurse-umane/

d'Aloja, E., Finco, G., Demontis, R., Napoli, P. E., Fossarello, M., & Nioi, M. (2020). COVID-19 and medical liability: Italy denies the shield to its heroes. EClinicalMedicine, 25, 100470. https://doi.org/10.1016/j.eclinm.2020.100470

Duignan, K., & Bradbury, C. (2020). Covid-19 and medical negligence litigation: Immunity for healthcare professionals? The Medico-legal journal, 88(1_suppl), 31–34. https://doi.org/10.1177/0025817220935892

Fisher, O. M., Brown, K., Coker, D. J., McBride, K. E., Steffens, D., Koh, C. E., & Sandroussi, C. (2020). Distributive justice during the coronavirus disease 2019 pandemic in Australia. ANZ journal of surgery, 90(6), 961–962. https://doi.org/10.1111/ans.16069

Kelly, A. M. (2020). COVID-19 and medical litigation: More than just the obvious. Emergency Medicine Australasia: EMA, 32(4), 703-705. https://doi.org/10.1111/1742-6723.13548

Kirkpatrick, J. N., Hull, S. C., Fedson, S., Mullen, B., & Goodlin, S. J. (2020). Scarce-Resource Allocation and Patient Triage During the COVID-19 Pandemic: JACC Review Topic of the Week. Journal of the American College of Cardiology, 76(1), 85–92. https://doi.org/10.1016/j.jacc.2020.05.006

Klitzman R. L. (2020). Legal Immunity for Physicians During the COVID-19 Pandemic: Needs to Address Legal and Ethical Challenges. Chest, 158(4), 1343–1345. https://doi.org/10.1016/j.chest.2020.06.007

Martin-Fumadó, C., Gómez-Durán, E. L., Benet-Travé, J., Barbería-Marcalain, E., & Arimany-Manso, J. (2020). Liability claims in Spain post-COVID-19: A predictable scenario. Legal medicine (Tokyo, Japan), 47, 101745. https://doi.org/10.1016/j.legalmed.2020.101745

Oliva, A., Caputo, M., Grassi, S., Vetrugno, G., Marazza, M., Ponzanelli, G., Cauda, R., Scambia, G., Forti, G., Bellantone, R., & Pascali, V. L. (2020). Liability of Health Care Professionals and Institutions During COVID-19 Pandemic in Italy: Symposium Proceedings and Position Statement. Journal of patient safety, 16(4), e299–e302. https://doi.org/10.1097/PTS.0000000000000793

Parisi, S. G., Viel, G., Cecchi, R., & Montisci, M. (2020). COVID-19: The wrong target for healthcare liability claims. Legal medicine (Tokyo, Japan), 46, 101718. https://doi.org/10.1016/j.legalmed.2020.101718

Poole, N. (2020). Coronavirus and clinical negligence. Journal of Patient Safety and Risk Management, 25(3), 97–98. https://doi.org/10.1177/2516043520932463

Ricci, M., & Gallina, P. (2020). COVID-19-immunity from prosecution for physicians forced to allocate scarce resources: the Italian perspective. Critical care (London, England), 24(1), 295. https://doi.org/10.1186/s13054-020-03028-9

Robert, R., Kentish-Barnes, N., Boyer, A. et al. (2020). Ethical dilemmas due to the Covid-19 pandemic. Ann. Intensive Care 10, 84. https://doi.org/10.1186/s13613-020-00702-7

Rothstein M. A. (2010). Currents in contemporary ethics. Malpractice immunity for volunteer physicians in Public Health Emergencies: adding insult to injury. The Journal of law, medicine & ethics: a journal of the American Society of Law, Medicine & Ethics, 38(1), 149–153. https://doi.org/10.1111/j.1748-720X.2010.00475.x

Sandu, A. (2020). The Principles of Bioethics and their Use in Ethical Decision-Making. Logos Universality Mentality Education Novelty: Social Sciences, 9 (1), Issue 1, 139-154. doi: 10.18662/lumenss/9.1/39

Solomon, M. Z., Wynia, M., & Gostin, L. O. (2020). Scarcity in the Covid-19 Pandemic. The Hastings Center report, 50(2), 3. https://doi.org/10.1002/hast.1093

Teo, W., Brenner, L. H., & Bal, B. S. (2020). Medicolegal Sidebar: Legal Immunity for Healthcare Workers During COVID-19. Clinical orthopaedics and related research, 478(10), 2218–2220. https://doi.org/10.1097/CORR.0000000000001473

Tingle J. (2020). Patient safety and litigation in the NHS post-COVID-19. British journal of nursing (Mark Allen Publishing), 29(7), 444–445. https://doi.org/10.12968/bjon.2020.29.7.444

Tomkins, C., Purshouse, C., Heywood, R., Miola, J., Cave, E., & Devaney, S. (2020). Should doctors tackling covid-19 be immune from negligence liability claims? BMJ (Clinical research ed.), 370, m2487. https://doi.org/10.1136/bmj.m2487

Tozzo, P., Politi, C., Gabbin, A., & Caenazzo, L. (2020). To take care of those on the front line against Covid-19: Is it possible to limit medical liability? Science & justice: journal of the Forensic Science Society, 60(4), 311–312. https://doi.org/10.1016/j.scijus.2020.05.001

Truog, R. D., Mitchell, C., & Daley, G. Q. (2020). The Toughest Triage - Allocating Ventilators in a Pandemic. The New England journal of medicine, 382(21), 1973–1975. https://doi.org/10.1056/NEJMp2005689

White, D. B., & Lo, B. (2020). A Framework for Rationing Ventilators and Critical Care Beds During the COVID-19 Pandemic. JAMA, 323(18), 1773–1774. https://doi.org/10.1001/jama.2020.5046

Valiani, S., Terrett, L., Gebhardt, C., Prokopchuk-Gauk, O., & Isinger, M. (2020). Development of a framework for critical care resource allocation for the COVID-19 pandemic in Saskatchewan. CMAJ: Canadian Medical Association journal = journal de l'Association medicale canadienne, 192(37), E1067–E1073. https://doi.org/10.1503/cmaj.200756

Joebges, S., & Biller-Andorno, N. (2020). Ethics guidelines on COVID-19 triage-an emerging international consensus. Critical care (London, England), 24(1), 201. https://doi.org/10.1186/s13054-020-02927-1

Strunk, W., Jr., & White, E. B. (1979). The elements of style (3rd ed.). New York: Macmillan.

Van der Geer, J., Hanraads, J. A. J., & Lupton, R. A. (2000). The art of writing a scientific article. Journal of Scientific Communications, 163, 51 - 59.

Published

2021-04-29

How to Cite

Rotila, V. (2021). Physicians Professional Immunity in the COVID-19 Pandemic: Problems and Solutions. Postmodern Openings, 12(1Sup1). Retrieved from https://lumenpublishing.com/journals/index.php/po/article/view/3856

Issue

Section

Research on Covid-19 Pandemic