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Critique of Patients Rights in Germany

Patientgesetze in Europa: Hier klicken für Vergrösserung19. August 2003: this Internet publication is a "Hearing": Please give comments to: walter.keim@gmail.com. Have I forgotten somebody on the list further down?

Patients rights are a reflection on human rights1 and can be found all over Europe and the developed countries of the world. To use the right of self determination (Article 2 (2) Basic Law: Right to life and physical integrity 2) also towards doctors, the health system and to contribute to realize patients rights, the following rights would be beneficial:
1. Right to access all documentation, without having to prove a special interest.
2. Right to get information on rights and how to complain.
3. Right to complain to an independent body without costs.
4. Right to a fair answer in reasonable time.
5. Correction of mistakes in patient documentation.

The Charter of the Fundamental Rights of the European Union3 includes Freedom of Information in Article 423. the right to get to know documentation in Article 41 (2)3, right to complain in Article 433 (Ombudsman) and the right to a fair answer in reasonable time in Article 41 (1)3 . On the basis of the Fundamental Rights of the EU Active Citizenship Network4 has defined these rights for patients in the European Charter of Patients Rights5 and monitors the development in Europe. The EU has 1979 proclaimed Patients Rights for Hospital Patients6 and the WHO published 1994 general Patients Rights7.

Article 10 of the Convention of Human Rights and Biomedicine8 secures the right to access to any documentation about own health. Access is also secured  by Article 18 of the Comment 34 to Article 19 (2) International Covenant on Civil and Political Rights, Article 12 (b) (iv) General Comment 14 International Covenant on Economic, Social and Cultural Rights.

The realization of these rights by laws is shown for European countries: http://wkeim.bplaced.net/patients.htm1 and Norway: http://wkeim.bplaced.net/no_laws.htm9

Why not in Germany?

I criticize and accuse:

Questions:

Will the prosecutor of the chamber of doctors in the state Baden-Württemberg be independent enough to support patients rights79?

I proposed to the state parliament i Baden-Württemberg to improve the health system:

  • Law to protect patients rights and lawyer clients rights because the law provisions are difficult to find and not good enough.
  • Abolish Chambers of doctors see Imperial Law Gazette (Reichsgesetzblatt, RGBl. I S. 1433, 13. December 1935), Lawyers bar see Imperial Law Gazette (13. December 1935, Reichsgesetzblatt,  RGBl I, 1470) and panel doctor cooperation ("kassenärztlichen Vereinigungen") see Imperial Law Gazette (Reichsgesetzblatt, RGBl. 567, 8. August 1933), as public institutions ("state in state"), because there is no reasonable reason to empower the lobbyists of doctors and lawyers with public power.
  • Abolish Act on Legal Counselling (Rechtsberatungsgesetz ) of 13 December 1935 [RGBl. I 1478, BGBl. III 3 Nr. 303-12] to re-establish freedom in this field, which is common to the European area of freedom and existed in Germany before the dictator Adolf Hitler came to power.
  • Establish scientific research institutions to look at damages to victims of medical and lawyer activity, because there is no knowledge about this up to now.
  • Will self help groups be backed up in the public and be heard by the parliament? E. g. the "Allgemeiner Patienten-Verband e.V.": http://www.patienten-verband.de/ 61, the Bundesarbeitsgemeinschaft der Notgemeinschaften Medizingeschädigter e.V.82  (Petition PDF-Format.) and victims of mistakes of doctors: http://www.geburtsschaden.de/ 83 und http://www.aerzte-pfusch.de/ 84.

    Will the WHO, promoting the "European partnership for patients rights and citizens’ empowerment 85" , support patients rights? Unfortunately this programme seems to lack activity since 199986.

    The Charter of Fundamental Rights of the EU gives Freedom of Information in Article 42, access to documents in Article 41 (2), the right to complain in Article 43 (Ombudsman) and the right to answers within reasonable time in Article 41 (1). The "European Codex of god Administration" defines latest two months to get an answer (Article 17). As EU-Citizen I would like to ask: How long will the EU Commission and the European Parliament (Courrier du Citoyen) look at that my human right of freedom of information and other fundamental rights of the EU Charter and the European Charter of Patients Rights91 are violated. In other countries in Europe this is respected. I become a second class citizen travelling to Germany.

    I refer to the "European Parliament resolution on the situation as regards fundamental rights in the European Union (2000) (2000/2231(INI))" document A5-0223/2001. Point 3 "(n)otes that it is the particular responsibility of the European Parliament (by virtue of the role conferred on it under the new Article 7(1) of the Treaty of Nice) and of its appropriate committee to ensure (in cooperation with the national parliaments and the parliaments of the candidate countries) that both the EU institutions and the Member States uphold the rights set out in the various Chapters of the Charter" Will the petition http://wkeim.bplaced.net/petition_eu.htm be answered positive?

    Will the European Convent solve these problems93 and give the Fundamental Rights of the Charter of the EU also for EU member states? According to Com 2002/0247 the "Union must build up an EU-wide area of freedom, security and justice" with a "guarantee for the principles of democracy and respect for human rights". How long will EU tolerate member states not respecting human rights 95?

    Walter Keim

    E-mail: walter.keim@gmail.com
    Support freedom of information: http://wkeim.bplaced.net/foi.htm, http://wkeim.bplaced.net/petition_un.htm,
    http://wkeim.bplaced.net/v-klage_en.htm
    Support patients rights: http://wkeim.bplaced.net/patients.htm#e-mail

    Drafts, version: 0.0, Newest version.


    Enclosure:

    1. Patients Rights in Europe: http://wkeim.bplaced.net/patients.htm
    2. Basic Law Germany: http://www.iuscomp.org/gla/statutes/GG.htm
    3. Charter der Grundrechte der Europäischen Union: http://www.sidiblume.de/info-rom/europa/2000c364_01.htm
    4. Active Citizenship Network: http://www.activecitizenship.net/
    5. European Charter of Patients Rights: http://wkeim.bplaced.net/files/european_charter.htm
    6. EU 1979: Charta der Patientenrechte für Krankenhauspatienten: http://www.hope.be/07publi/publoth/Hospchart.htm
    7. WHO hat 1994 allgemeine Patientenrechte proklamiert: http://www1.umn.edu/humanrts/instree/patientrights.html
    8. Article 10 des Übereinkommens über Menschenrechte und Biomedizin: http://book.coe.fr/conv/de/ets/164-de.htm#A-10
    9. Patients Rigths in Norway: http://wkeim.bplaced.net/no_laws.htm.
    10. Verweigerung der Einsicht in Arztunterlagen: http://wkeim.bplaced.net/files/000606dg.htm
    11. Ein Jahr lang keine Antwortet: http://wkeim.bplaced.net/files/000719ab.htm
    12. Bezirksärztekammer Nordwürttemberg 23.10.2000: http://wkeim.bplaced.net/files/001023bzak.pdf
    13. 19.7.2000: Klage an Bezirksärztekammer: http://wkeim.bplaced.net/files/000719ab.htm
    14. 8.4.2001: An Bezirksärztekammer: http://wkeim.bplaced.net/files/010408bzak.htm
    15. KV Abrechnungsbetrug: http://www.spiegel.de/spiegel/0,1518,228591,00.html
    16. Der Spiegel 52/2002: Kartell der Abzocker: http://wkeim.bplaced.net/files/kartell_der_abzocker.pdf
    17. Ärztlichen Berufsordnung § 2 (4): http://www.bnf.de/originalia/mbo.html#BI2
    18. Bundesärztekammer 2.10.2000: http://wkeim.bplaced.net/001002bak.htm#bak
    19. Verbandsinterne Aufsicht der Bezirksärztekammer: http://wkeim.bplaced.net/001002bak.htm#010624
    20. Landesärztekammer 12.06.01: http://wkeim.bplaced.net/files/010612abw.pdf
    21. Klage an Sozialministerium: http://wkeim.bplaced.net/010509sb.htm
    22. Selbstbestimmungsrecht verletzt und geschummelt: http://wkeim.bplaced.net/files/000719dg.htm
    23. An Sozialministerium: http://wkeim.bplaced.net/files/petition3_sbw.htm
    24. Sozialministerium 26.10.01: http://wkeim.bplaced.net/011026sb.htm
    25. Sozialministerium 16.10.01: http://wkeim.bplaced.net/files/011016sm.pdf
    26. Innenministerium 16.08.00: http://wkeim.bplaced.net/files/000816im.pdf
    27. An Innenministerium 19.07.00: http://wkeim.bplaced.net/000719ib.htm
    28. An Innenministerium 04.10.00: http://wkeim.bplaced.net/001004ib.htm
    29. An Innenministerium: http://wkeim.bplaced.net/files/petition3_ibw.htm
    30. An Innenministerium 20.07.00: http://wkeim.bplaced.net/000720ib.htm
    31. Innenministerium 15.05.01: http://wkeim.bplaced.net/010515ib.txt
    32. http://www.lebertransplantation.de/pdf/Patientenrecht.pdf
    33. Patientenrechte heute: http://www.patientenunterstuetzung.de/Grundsaetzliches/patientenrechte_in_deutschland.htm
    34. Petition: http://wkeim.bplaced.net/petition2.htm#petition
    35. AOK 2.4.2002: http://wkeim.bplaced.net/files/000402aok.pdf
    36. Verfassungsbeschwerde: http://wkeim.bplaced.net/v-klage.htm#hintergrund
    37. Charta der Grundrechts der EU: http://www.sidiblume.de/info-rom/europa/2000c364_01.htm#art41
    38. http://www.patientenrechte.de/mvpatientenrechte.html
    39. Antwort auf Petition: http://wkeim.bplaced.net/petition3.htm#antwort
    40. Sozialministerium Baden-Württemberg: http://wkeim.bplaced.net/files/020607sbw.pdf
    41. http://wkeim.bplaced.net/files/petition3_p2.pdf
    42. Petition Informationsfreiheit: http://wkeim.bplaced.net/petition_bw.htm#antwort
    43. http://www.heise.de/tp/deutsch/special/frei/12314/1.html
    44. http://www.ombudsman.europa.eu/code/pdf/de/code2005_de.pdf
    45. Europarat: http://wkeim.bplaced.net/020106coe.htm
    46. An Bundesaussenminister: http://wkeim.bplaced.net/files/011223fischer.htm
    47. An Bundesinnenministerium: http://wkeim.bplaced.net/files/020214bmi.htm
    48. http://www.forumjustizgeschichte.de/Zur_Veruntreuun.97.0.html
    49. http://www.tacheles.wtal.de/aktuelles/hammel/rechtsberatungsgesetz2.asp
    50. Law on Legal Advice 1935 (Rechtsberatungsgesetz): http://wkeim.bplaced.net/files/de_legal_advice_law_overview.htm
    51. http://www.tacheles.wtal.de/aktuelles/hammel/rechtsberatungsgesetz2.asp
    52. Bundesgesundheitsministerium 20.08.00: http://wkeim.bplaced.net/files/000820bmg.pdf
    53. Press is hindered by the Law on Legal Advice 1935 (Rechtsberatungsgesetz): http://www.gabnet.com/jus/rberg1.htm
    54. Verfassungsbeschwerde Dr. Kramer: http://www.tacheles-sozialhilfe.de/harry/view.asp?ID=110
    55. Verfassungsbeschwerde Zusatz: http://www.tacheles-sozialhilfe.de/harry/view.asp?ID=111
    56. http://www.forumjustizgeschichte.de/Die_Entstehung.82.0.html
    57. http://www.kvberlin.de/STFrameset165/index.html?/Homepage/publikation/archiv/kvbla0702/kvb0702u.html
    58. http://wkeim.bplaced.net/files/heesch.htm
    59. http://www.kvberlin.de/STFrameset165/index.html?/Homepage/publikation/pk2002/pk061102.html
    60. Umgang der Justiz mit NS-Vergangenheit: http://wkeim.bplaced.net/files/Umgang_der_Justiz_mit_ihrer_NS-Vergangenheit.htm#80
    61. Patientenvereinigung: http://www.patienten-verband.de/
    62. Constitutional Complaints Freedom of Information: 5 May 2002 http://wkeim.bplaced.net/v-klage.htm and 18. August 2005 http://wkeim.bplaced.net/files/verfassungsbeschwerde-en.htm
    63. Verfassungsbeschwerde: http://wkeim.bplaced.net/v-klage.htm#patienten
    64. Bundesverfassungsgericht: http://wkeim.bplaced.net/files/020621bvg.pdf
    65. Berufsverbote: http://www.berufsverbote.de/docs/hh-dammann.html
    66. Bundesverfassungsgericht:http://wkeim.bplaced.net/files/030310bvg.htm
    67. Bundesverfassungsgericht: http://dejure.org/gesetze/rechtsprechung/Hollerlanderschliessung.html
    68. http://www.justizskandale.de/1/schoeler_bverfg.html
    69. Petition Patientenrechte: http://wkeim.bplaced.net/petition4.htm
    70. Landtag Baden-Württemberg: Antwort auf Petition: http://wkeim.bplaced.net/petition4.htm#antwort
    71. Petition: http://wkeim.bplaced.net/petition4.htm#menschenrechte
    72. Petition: http://wkeim.bplaced.net/petition4_bgm.htm
    73. Bundesministerium der Gesundheit: http://wkeim.bplaced.net/files/030314bgm.pdf
    74. Bundesministerium der Gesundheit: http://wkeim.bplaced.net/files/030428bgm.htm
    75. http://www.vz-nrw.de/SES79823442/doc1293A
    76. Sachverständigenrates 2000/2001: http://www.svr-gesundheit.de/gutacht/sogu00/kurzf00.pdf
    77. World Health Report 2000: http://www.who.int/whr/2001/archives/2000/en/index.htm
    78. WHO Health ranking: http://www.photius.com/rankings/healthranks.html
    79. Kammeranwalt: http://wkeim.bplaced.net/020322ab.htm
    80. Landtag Baden-Württemberg: Petition 13-1413: http://wkeim.bplaced.net/files/L-BW-Petition_13-1413.htm
    81. Gebührenordnung: http://wkeim.bplaced.net/files/Gebuehrenordnung.htm
    82. Notgemeinschaft Medizingeschädigter e.V: http://www.bag-notgemeinschaften.de/Petition/petition.html
    83. http://www.geburtsschaden.de/
    84. http://www.aerzte-pfusch.de/
    85. Europäischer Partnerschaftsverbund für Patientenrechte und die Befähigung der Bürger zum selbstbestimmten Handeln: http://bmj.com/cgi/content/full/318/7193/1234/b
    86. Patients Rights in Europe: http://wkeim.bplaced.net/patienten.htm#WHO_1997
    87. http://wkeim.bplaced.net/020418eu.htm
    88. http://wkeim.bplaced.net/330166.htm
    89. Petition to EU Parliament: http://wkeim.bplaced.net/petition_eu.htm
    90. Courrier du Citoyen 23. February 2002: http://wkeim.bplaced.net/020823eu.htm
    91. European Charter of Patients Rights: http://www.activecitizenship.net/content/blogcategory/32/77/
    92. Lage der Grundrechte in der Europäischen Union (2000) (2000/2231(INI)): A5-0223/2001
    93. Petition 25. April 2002: http://wkeim.bplaced.net/020427eu.htm
    94. Bundesverfassungsgericht (BVerfG) 1 BvR 1130/98 vom 16.9.1998: http://www.bverfg.de/entscheidungen/text/rk19980916_1bvr113098
    95. Violations of Human Rights in Germany: http://wkeim.bplaced.net/files/de_human_rights.htm
    96. Complaint to chamber of doctors in the state Baden-Württemberg: http://wkeim.bplaced.net/files/0502ab.htm
    97. Public Prosecutor Gernot Blessing: http://wkeim.bplaced.net/files/blessing-en.htm
    98. The doctors court denied access to files to cover up for the doctors chamber: http://wkeim.bplaced.net/files/0511labw-en.htm

    Support the Rights of Patients by E-Mail to the Federal Government in Germany

    Many countries in the EU have laws securing the Rights of Patients. Germany is one of the countries in the EU without such a law. In order to keep up with the international development a law on patients' rights should also be adopted in Germany.

    Support a German Patients' Rights Law, by the following E-Mail to the German Government (click here):
    I support the call to the German Government for securing the rights of patients by law.

    I suggest to implement the European Charter of Patients Rights http://wkeim.bplaced.net/files/european_charter.htm and the "Recommendation Rec (2000) 5 of the Council of Europe on the development of structures for citizen and patient participation in the decision-making process affecting health care": http://www.social.coe.int/en/qoflife/recomm/R(00)5.htm .
    (You may change the text according to your needs).

    Support the Rights of Patients by E-Mail to the European Commission with a copy to the European Parliament.

    Many countries in the EU have laws or charters securing the Rights of Patients. But minimum standards are lacking.  In order to give all citizens in Europe a minimum of patients rights and to keep up with the international development patients rights should be strengthened in EU member states.


    Support Patients rights, by the following E-Mail to the European Commission (click here):
    I support the call to the European Commission for securing the rights of patients.
    As a guideline I suggest to use European Charter of Patients Rights http://wkeim.bplaced.net/files/european_charter.htm and the "Recommendation Rec (2000) 5 of the Council of Europe on the development of structures for citizen and patient participation in the decision-making process affecting health care": http://www.social.coe.int/en/qoflife/recomm/R(00)5.htm .
    (You may change the text according to your needs).

    Visitor No. since 11. November 2003

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