Wednesday, April 29, 2020

Damages for Corona from China

President D. Trump has announced that they are investigating and will claim damages from China on intentionally hiding and withholding information about Corona Virus and this amount will be very high.
China is a sovereign country and enjoys sovereign immunity and therefore is it possible to sue China or Chinese individuals in USA and if the damages are awarded then how it can be recovered.
Missouri state Attorney General has already filed a case against Chinese Govt, communist party and institutions for damages. Mississippi has followed Missouri in filing a case. American lawyer Larry Clayman & his advocacy group freedom watch along with Texas company Buzz Photo have filed a case for $20trillion, which is higher than the GDP of China. A Las Vegas firm has filed a class action suit on behalf of small businesses and one more suit has been filed by Berman Law group which seeks compensation and damages.
Missouri state Attorney General thinks that China can be sued.Two bills has been introduced by American senators and congressman that would strip China and other countries of their sovereign power if they intentionally made representations and for hiding information and facts about corona virus. Harry Jackson society a conservative think tank published a report suggesting that the G-7 nations could sue China for 6.3 trillion dollars. Germany, Italy and other countries are thinking in this direction.
Missouri AG claims that the there are two exceptions in the Foreign Sovereign Immunity Act of 1976 which permit filing of the case and claim damages. The second argument in favor of the case is the "Effect Doctrine". It is a doctrine developed mainly by American Courts in Anti-Trust cases asserting jurisdiction over acts of foreign national committed abroad but have effects in American Market lace.
The second difficulty will arise if the damages are awarded then how America can claim these damages. The embassy and its assets are protected by the Geneva Convention and hence can not touched but what it an do is to freeze and attach the Chinese investments by companies, individuals and even by Chinese Govt in USA. If other countries follow the example of USA then it can pose a serious threat to the Chinese economy. China knows that and probably its recent increased military and other activity in south China sea are an effort to divert attention.

Wednesday, April 22, 2020

Environmental Effects of Lockdown



This lock down has only been for a month and the side effects of improvement in our environment are already visible.  I am not referring to the loss of GDP, Economy, hardship by the citizens, hospitalization bill, loss of jobs, etc, which are very much relevant and important if the country has to survive once we come out of this pandemic outbreak. But I am referring to the smaller side effects concerning changes in our environment due to this lock down. The effects have clearly shown as to what we have lost in our pursuit of progress and GDP and unless we wake up now and take effective measures we will leave our children a place probably not fit ot live. What we are facing now is what our previous generation and we did to harm our environment and what we are doing now will affect the next generation to come.
Air. Within a month of lock down the AIR quality has improved drastically. From Jullundur we can now see Dhauldhar ranges at least 250 Km away clearly when before the lock down we could not even see these ranges from Pathankot which is just 100 Km away. In the night we can see stars in the metros and the air has become breathable again. There is no smell of exhaust gases or diesel fumes, no black smoke coming out of the chimneys of factories.
Noise. Noise pollution is down to a level not known before. You can sleep peacefully at night. The constant noise created by vehicles, horns blaring and the noise of the machinery of factories is missing, no loud speakers and no political or other gatherings. You are no longer required to shout to be heard but even a whisper can be heard at a distance. The chatter of the birds is heard in the morning and evening which was missing so far as the noise had driven all the birds out of cities and now they are back. Measurements taken in cities and Industrial areas show that the noise pollution has reduced by as much as 70%.
Water. Water pollution has improved considerably to the extent that the water of Ganges has become drinkable once again in just one month at Haridwar. Yamuna water pollution has decreased by 30% within a year. Drains are going dry with no foul smell coming from them. But there is flip side also. Too much use of the bleaching agent Sodium Hypochloride as a disinfectant in roads, offices, buildings may cause ground water to become polluted due to this indiscriminate use and may result in increase skin diseases, irritation of skin and eyes, etc, but this effect will become visible only after sometime as climatic changes are gradual and exhibit symptoms after a considerable lapse of time.

All these side effect in the improvement in our environment only goes to show as to what we have lost over the period of time in our pursuit of progress and economy. Of course progress is required and our economy has to progress but what is required is to balance the environmental degradation against the progress. WE need to understand as how much the nature can recycle and anything beyond it will slowly degrade the environment. Once this pandemic is over and we start our daily life as usual we need to sit and seriously thing about our environment and harm to nature we are causing. It would be better to declare an environmental emergency, as some countries in Europe have done, and to put into place effective measures/controls/awareness/regulations, etc, to stop this environmental degradation further and try to keep it to the present  level if we cannot improve it.

Monday, April 20, 2020

Is a Brain Dead Person Really Dead

     
Is a brain dead person dead? The answer is both yes and no and depends upon under which Act you are looking and what actions your legal heirs/family members take once you are declared brain dead. How is it possible that the answer is both yes and no? The dilemma lies in the way the death is defined in the two acts, that is Registration of Birth and Death Act 1969 and the Transplantation of Human Organs Act 1994 and this puts the medical fraternity in dilemma and here again they are faced by devil’s choice, unless the legal heirs/family members help them out.
Death is defined in the Registration of Birth and Death (RBDA) Act 1969 as “The permanent disappearance of all evidence of life after live birth has taken place”. The mention of the word all, evidence of life excludes brain death. Therefore even if the doctors issue a death certificate stating brain death as a cause, which normally they will not do, then the death cannot be registered as death under this act. Hence no death certificate can be issued, implying that even though the person is dead and cremated but he is still alive legally.
Brain dead has only been defined in the Transplantation of Human Organs (THO) act 1994 only in connection with human organ donation and has led to the certification being mostly viewed as a procedure. If the legal heirs refuse to donate the organs, this applies even though you may have donated the organs legally as without their permission the donation is not valid unless you have made a living will or what is called Advance Declaration by the Supreme Court. The procedure for the execution of this advance declaration is very lengthy and cumbersome with the judicial magistrate first class being the custodian and executor of the living will and only after recommendation of a medical board as given in the Supreme Court judgement. The act also is not clear as to what will happen if family refuses to donate organs and in that eventuality the doctors will also refuse to switch off the ventilator and support systems fearing legal implications and the cost of treatment will keep rising till death takes place and may lead to a huge bill. Death in THO act is defined as “Permanent disappearance of all evidence of life by reason of brain stem death or in a cardio pulmonary sense at any time after live birth has taken place”. Here brain stem death is defined to mean death and this act will apply only if the legal heirs/family members agree to donate the organs.
Medical fraternity is of the opinion that it is futile intervention once diagnosis of brain dead is made. But it is challenging for a doctor and the family to decide whether to continue life support or not. This is what we often refer to as the devil’s choice, the doctors fearing legal implication and the family worried about the rising cost per day and the bad mouthing by the relatives and friends and social humiliation. The gap between brain death and cardiac death may be days. There is a 10 step procedure to be followed for certifications if the THO act becomes applicable and only if family agrees to donate organs. Conditions are laid down as to when and how the brain death can be declared and the process is to be repeated after an interval of six hours.
Therefore what is needed is that the  procedure needs to be specified under the RBDA 1966 to include brain death as a cause of death along with the procedure to constitute a medical board which will examine the case and conduct tests which can be repeated after 6 hours or as specified and the board will have the power to declare the person brain dead even though the family members have not agreed for organ donation but are unwilling to continue with the life support system due to any reason whatsoever.

Saturday, April 18, 2020

Brain Dead

Is a brain dead person dead? The answer is both yes and no and depends upon under which Act you are looking and what actions your legal heirs/family members take once you are declared brain dead. How is it possible that the answer is both yes and no? The dilemma lies in the way the death is defined in the two acts, that is Registration of Birth and Death Act 1969 and the Transplantation of Human Organs Act 1994 and this puts the medical fraternity in dilemma and here again they are faced by devil’s choice, unless the legal heirs/family members help them out.
Death is defined in the Registration of Birth and Death (RBDA) Act 1969 as “The permanent disappearance of all evidence of life after live birth has taken place”. The mention of the word all, evidence of life excludes brain death. Therefore even if the doctors issue a death certificate stating brain death as a cause, which normally they will not do, then the death cannot be registered as death under this act. Hence no death certificate can be issued, implying that even though the person is dead and cremated but he is still alive legally.
Brain dead has only been defined in the Transplantation of Human Organs (THO) act 1994 only in connection with human organ donation and has led to the certification being mostly viewed as a procedure. If the legal heirs refuse to donate the organs, this applies even though you may have donated the organs legally as without their permission the donation is not valid unless you have made a living will or what is called Advance Declaration by the Supreme Court. The procedure for the execution of this advance declaration is very lengthy and cumbersome with the judicial magistrate first class being the custodian and executor of the living will and only after recommendation of a medical board as given in the Supreme Court judgement. The act also is not clear as to what will happen if family refuses to donate organs and in that eventuality the doctors will also refuse to switch off the ventilator and support systems fearing legal implications and the cost of treatment will keep rising till death takes place and may lead to a huge bill. Death in THO act is defined as “Permanent disappearance of all evidence of life by reason of brain stem death or in a cardio pulmonary sense at any time after live birth has taken place”. Here brain stem death is defined to mean death and this act will apply only if the legal heirs/family members agree to donate the organs.
Medical fraternity is of the opinion that it is futile intervention once diagnosis of brain dead is made. But it is challenging for a doctor and the family to decide whether to continue life support or not. This is what we often refer to as the devil’s choice, the doctors fearing legal implication and the family worried about the rising cost per day and the bad mouthing by the relatives and friends and social humiliation. The gap between brain death and cardiac death may be days. There is a 10 step procedure to be followed for certifications if the THO act becomes applicable and only if family agrees to donate organs. Conditions are laid down as to when and how the brain death can be declared and the process is to be repeated after an interval of six hours.
Therefore what is needed is that the  procedure needs to be specified under the RBDA 1966 to include brain death as a cause of death along with the procedure to constitute a medical board which will examine the case and conduct tests which can be repeated after 6 hours or as specified and the board will have the power to declare the person brain dead even though the family members have not agreed for organ donation but are unwilling to continue with the life support system due to any reason whatsoever.

Friday, April 17, 2020

Death V/S Brain Death



As per official medial data in India every 20 second a person suffers brain stroke and if medical help is not provided within 4 hrs then it may result in brain death and because of this delay every 2 minutes a person dies.
Registration of Birth and Death Act (RBDA) 1969 defines death as "The permanent disappearance of all evidence of life at any time after live birth has taken place." While the Transplantation of Human Organs (THO) Act 1994 defines death as "Permanent disappearance of all evidence of life, by reason of brain stem death or in a cardio-pulmonary sense at any time after live birth has taken place." Therefore a person who is brain dead under RBDA Act cannot be declared dead unless his organs are donated under THO Act.
It is this difference in definition which creates certain important issues as doctors will refuse to remove the life support ventilator system in case of a brain dead person unless the family agrees to organ donation and the THO Act comes in play. If family refuses to donate the organs then the doctors have no choice but to continue with the life support system thus creating extra financial burden, mental agony and the  extra burden on the already scares ventilator assisted beds in ICU of hospitals as the gap between a brain death and the cardiac death may be days.
Of course the decision whether to donate organs or not depends on the patient if he has written an advance deceleration or living will or on the family of the patient. Irrespective of whether you have donated your organs in a legal manner or not your legal heirs/family will be asked whether they wish/your organs to be donated or not, unless an advance declaration or living will is produced.