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Laws-in-Medicine and Laws-as-Medicine: A Critical Analysis of Judicial Overreach in Medical Negligence Cases

Shri Gopal Kabra, Vivekanshu Verma

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Indian Journal of Legal Medicine 4(1):p 29-39, Jan-June 2025. | DOI: N.A

How Cite This Article:

Kabra SG, Verma V. Laws-in-Medicine and Laws-as-Medicine: A Critical Analysis of Judicial Overreach in Medical Negligence Cases. Indian Journal of Legal Medicine. 2025;4(1):29-39.

Timeline

Received : February 21, 2025         Accepted : April 23, 2025          Published : June 20, 2025

Abstract

ABSTRACT Background: The debate between “laws-in-medicine” and “laws-as-medicine” is crucial in understanding the intersection of legal and medical professions, particularly in cases of medical negligence. While medical professionals focus on bedside medicine, judicial offcers are tasked with applying the law. The distinctionbetween these two concepts is essential to ensure that both professions operate within their respective jurisdictions without overstepping boundaries. Aim: To define, differentiate, and elaborate on the concepts of “laws-in-medicine”and “laws-as-medicine” and to explore their implications in the context of medical negligence cases. Objectives: •To clarify the definitions and differences between “laws-in-medicine” and “awsas-medicine.” • To examine the role of judges in medical negligence cases and whether they overstep their jurisdiction by making medical judgments. • To discuss the implications of judicial immunity and statutory immunity for medical professionals. • To explore the mechanisms for addressing judicial overreach and ensuring equitable application of the law. Material: The analysis is based on a detailed discussion of the concepts of “lawsin-medicine” and “laws-as-medicine,” supported by examples from medical negligence cases. The discussion also considers the legal frameworks governing medical practice, such as the Indian Medical Council Act, the Indian Penal Code, and the Code of Criminal Procedure. Result: 1. Laws-in-Medicine refers to legal principles governing medical practice, including medical jurisprudence, ethical conduct, and professional responsibilities. 2. Laws-as-Medicine views legal principles as tools for promoting public health and well-being, emphasizing preventive measures. 3. Judges should focus on determining whether medical practitioners adhered to legal and ethical standards, rather than prescribing specific medical treatments. 4. Judicial immunity protects judges from personal liability for their decisions, but overreach into medical judgment may undermine statutory immunity for medical professionals. 5. The appellate process is the primary mechanism for correcting judicial errors, rather than prosecuting judges for incorrect decisions. Conclusion: The distinction between “laws-in-medicine” and “laws-as-medicine” is vital in maintaining the integrity of both the legal and medical professions. The lawmakers must respect the boundaries of their expertise and rely on medical experts to provide context in medical negligence cases. Ensuring equitable application of the law requires balancing judicial immunity with the statutory protections afforded to medical professionals.


References

  • 1.   Charaka Samhita. Sharma PV, editor. Ancient Indian Text on Medicine. 1st ed. Varanasi: Chaukhambha Orientalia; 1981.
  • 2.   Sushruta. Sushruta Samhita: An Ancient Indian Text on Surgery. Translated by A. Sharma. New Delhi: Indian Medical Publishers; 2000.
  • 3.   The Indian Medical Council Act, 1956. Act No. 102 of 1956. Gazette of India (Extraordinary), 1956; Part II, Sect.
  • 4.   Indian Penal Code, 1860. (India).
  • 5.   Bharatiya Nyaya Sanhita, 2023. Act No. 45 of 2023. New Delhi: Parliament of India; 2023.
  • 6.   The Code of Criminal Procedure, 1973 (India). Act No. 2 of 1974.
  • 7.   India. The Bharatiya Nagarik Suraksha Sanhita, 2023. Act No. 46 of 2023. Ministry of Home Affairs; 2023.
  • 8.   Faden RR, Beauchamp TL. A History and Theory of Informed Consent. Oxford University Press; 1986.
  • 9.   Gostin LO. Public Health Law: Power, Duty, Restraint. University of California Press; 2000.
  • 10.   Brennan TA, Leape LL, Laird NM, Hebert L, Localio AR, Lawthers AG, et al. Incidence of Adverse Events and Negligence in Hospitalized Patients: Results of the Harvard Medical Practice Study. N Engl J Med. 1991;324(6):370-6.
  • 11.   Studdert DM, Mello MM, Brennan TA. Medical Malpractice. N Engl J Med. 2006;350(3):283-92.
  • 12.   Jena AB, Seabury S, Lakdawalla D, Chandra A. Malpractice Risk According to Physician Specialty. N Engl J Med. 2011;365(7):629-36.
  • 13.   Kannan K. Medicine and Law. Oxford University Press; 2014.

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Funding

This research received no funding.

Author Contributions

All authors contributed significantly to the work and approve its publication.

Ethics Declaration

we hereby state that there is no ethical issue involved in the above study.

Acknowledgements

Information not provide.

Conflicts of Interest

The authors report no conflicts of interest in this work.


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Cite this article

Kabra SG, Verma V. Laws-in-Medicine and Laws-as-Medicine: A Critical Analysis of Judicial Overreach in Medical Negligence Cases. Indian Journal of Legal Medicine. 2025;4(1):29-39.


Licence:

Attribution-Non-commercial 4.0 International (CC BY-NC 4.0)

This license enables reusers to distribute, remix, adapt, and build upon the material in any medium or format for noncommercial purposes only, and only so long as attribution is given to the creator.


Received Accepted Published
February 21, 2025 April 23, 2025 June 20, 2025

DOI: N.A

Keywords

Laws-in-MedicineLaws-as-MedicineMedical NegligenceJudicial OverreachStatutory ImmunityJudicial ImmunityPublic HealthMedical Jurisprudence

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Received February 21, 2025
Accepted April 23, 2025
Published June 20, 2025

licence


Attribution-Non-commercial 4.0 International (CC BY-NC 4.0)

This license enables reusers to distribute, remix, adapt, and build upon the material in any medium or format for noncommercial purposes only, and only so long as attribution is given to the creator.


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