Analýza rozsudku Haas proti Švajčiarsku: Európsky súd pre ľudské práva a povinnosť štátu zabezpečiť dôstojnú smrť | Medicínske právo
              

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Analýza rozsudku Haas proti Švajčiarsku: Európsky súd pre ľudské práva a povinnosť štátu zabezpečiť dôstojnú smrť


 | 22.11.2011 | komentárov: 281

Európsky súd pre ľudské práva je toho názoru, že jedinec má právo sám rozhodnúť o možnostiach ukončenia svojho života. To ale pre štát ešte neznamená, že mu musí zabezpečiť dôstojnú smrť. Naopak, štát má zabrániť rizikám možného zneužitia a prijať opatrenia zabezpečujúce, že rozhodnutie ukončiť svoj život korešponduje s vôľou osoby.

Obrazok  Francúzsky senát (Komisia pre sociálne veci) schválil 18.januára 2011 návrh zákona o podpore smrti lekárskymi prostriedkami, čo opätovne vyvolalo diskusie na tému revízie zákona o bioetike a eutanázii (kontroverzný článok bol odsunutý na prvé čítanie na 25.januára po intervencii predsedu vlády). Následne Európsky súd pre ľudské práva v rozsudku z 20. januára 2011 (Haas proti Švajčiarsko, rozsudok č. 31322/07) určil povahu záväzkov štátu v tejto oblasti.

Žiadateľ p. Haas  (pozn. ed.) trpel vážnou psychickou poruchou. Domnieval sa, že kvôli svojej chorobe nemôže ďalej žiť dôstojným životom a sťažoval sa na podmienky stanovené pre získanie pentobarbitálu sodného. Ten  je možné získať len na lekársky predpis po komplexnom psychiatrickom vyšetrení.  Preto sa p. Haas odvolal na čl. 8 Dohovoru o ochrane ľudských práv a slobôd tj. na právo na rešpektovanie súkromného a rodinného života.

Na zdôvodnenie toho, prečo nedošlo k porušeniu právnych predpisov, Európsky súd použil argument, ktorý sa používa pri  konflikte záujmov vyplývajúcich zo  základných ľudských práv  (1. Úvaha súdu a vymedzenie interpretačných pravidiel). Súd odhaľuje problém zabezpečenia prevencie zneužitia slabších osôb,  pričom ide o jedinú určitú povinnosť štátu (2. Dôležitosť rôznosti záujmov a prevencia pred zneužitím.

1. Úvaha súdu a vymedzenie interpretačných pravidiel

1.1. Vymedzenie problematiky

Ako zdôrazňuje Európsky súd nasledujúc stanovisko švajčiarskeho federálneho súdu, problematika tohto prípadu sa líši od tej, ktorá tvorila predmet rozsudku s názvom Pretty (Pretty proti Spojenému kráľovstvu, č. 2346/02, § 67, ESĽP 2002-III). Tento prípad sa nezaoberá otázkou slobody zomrieť či prípadnou beztrestnosťou osoby, ktorá ponúka asistenciu  osobe, ktorá má v úmysle spáchať samovraždu.  Naopak, tento prípad sa sústredí  na zistenie, či má štát v súlade s článkom 8 povinnosť zabezpečiť žiadateľovi bezbolestnú smrť , bez rizika prípadného neúspechu. Navyše, v tomto prípade sa sťažovateľ nenachádzal v konečnom štádiu nevyliečiteľnej degeneratívnej choroby, ktorá by mu bránila v spáchaní samovraždy.

Rovnako si súd položil otázku, či vôbec existuje pozitívny záväzok  štátu  prijať nevyhnutné opatrenia zabezpečujúce, že daná osoba má možnosť spáchať samovraždu dôstojným spôsobom. V tomto prípade sa nespochybňuje  „právo jednotlivca rozhodnúť o spôsobe a momente ukončenia vlastného života, ak je toto rozhodnutie v súlade s jeho vlastnou slobodnou vôľou a následne podľa toho koná“, ide o právo,  „ktoré možno považovať za jeden z aspektov práva na rešpektovanie súkromného života v zmysle článku 8 Dohovoru.“ (§50).

1.2. Interpretačné pravidlá

Sporná otázka bola vymedzená a jej následne riešenie vyplýva z použitia už dobre vyvinutej metodológie. Keďže je v hre viacero dôležitých a rôznorodých záujmov, súd pripomína, že do úvahy musíme vziať viaceré interpretačné pravidlá.

Prvým interpretačným pravidlom je priestor na voľnú úvahu, ktorou disponuje štát a ktorý sa mení v závislosti od charakteru problematiky či otázok a od dôležitosti záujmov,  ktoré sú v hre. (Pretty, už vyššie spomenutý§70). Druhým interpretačným pravidlom je pravidlo, podľa ktorého je „ Dohovor  potrebné čítať ako celok“ (Verein gegen Tierfabriken Schweiz (VgT) proti Švajčiarsku, č. 2 [GC], č. 32772/02, § 83, ESĽP 2009-.). Tretím pravidlom  je, že Dohovor a jeho protokoly je potrebné vykladať vo svetle súčasných podmienok, za súčasného stavu. (Vo proti Francúzsku[GC], č. 53924/00, § 82, ESĽP 2004-VIII). Z druhého interpretačného pravidla Súd dedukuje, že „v rámci posudzovania možného porušenia článku 8 Dohovoru je vhodné odkazovať na článok 2 Dohovoru, ktorý požaduje od štátnych orgánov chrániť slabšie osoby, a to aj proti ich vlastnému konaniu, ktorým ohrozujú svoj život. (Keenan proti Spojenému Kráľovstvu, č. 27229/95, § 91, ESĽP 2001-III). Podľa súdu „ toto posledné ustanovenie núti vnútroštátne orgány zabrániť osobe ukončiť život v prípade, ak svoje rozhodnutie neurobila slobodne a vedome".

Nakoniec, po porovnaní právnych predpisov rôznych krajín ponecháva malý priestor pre kompromis o právach jednotlivca vybrať si, kedy a akým spôsobom chce ukončiť svoj život.  Súd konštatuje,  že priestor pre voľnú úvahu štátov je tu veľmi výrazný.

2. Dôležitosť rôznosti záujmov a prevencia pred zneužitím

2.1. Ochrana slabších osôb (mladiství, staršie osoby, osoby trpiace fyzickými či mentálnymi chorobami)

Súd uznáva “vôľu sťažovateľa spáchať samovraždu spôsobom istým, dôstojným, bezbolestným a bez nadmerného utrpenia” (§56). Zároveň je ale toho názoru,  „že postup orgánov pri vybavení žiadosti o lekársky predpis má za svoj legitímny cieľ ochranu každej osoby, ktorá príjme urýchlené rozhodnutie. Má zabrániť aj tomu, aby nerozvážny pacient získal smrtiacu dávku pentobarbitálu sodného.“

Z toho vyplýva, že štát je oprávnený vykonať zásahy z titulu prevencie pred rizikami zneužitia,  a to najmä za účelom ochrany zraniteľnejších, slabších skupín osôb. Takto to bolo aj v prípade rozsudku Pretty (porovnaj cit.§74 : „ primárnou úlohou štátu je zvážiť riziká zneužitia a jeho pravdepodobných následkov, ak došlo k uvoľneniu všeobecného zákazu asistovanej “samovraždy” alebo k vytvoreniu výnimiek. Existujú zrejmé riziká zneužitia, aj napriek tvrdeniam opierajúcim sa o dostupné záruky a ochranné procedúry.“)

2.2. Posilnený cieľ pre štáty s tzv. „liberálnou“ legislatívou

Súd sa s oveľa väčším záujmom zaoberá otázkou nutnej opatrnosti v krajinách, kde je legislatíva vo vzťahu k asistovanej samovražde liberálna : “Ak štát príjme liberálny prístup …opatrenia smerujúce k prevencii proti zneužitiu sú povinné”( §57).  Z tohto dôvodu  “sa domnieva, že obmedzenie prístupu k pentobarbitálu sodnému  slúži na ochranu zdravia, verejnej bezpečnosti a prevenciu kriminality. V tomto ohľade zdieľa názor federálneho súdu, podľa ktorého právo na život garantované čl.2 Dohovoru vyžaduje, aby štáty zabezpečili taký postup, ktorý zaistí, že rozhodnutie o ukončení života korešponduje so slobodnou vôľou osoby. Súd sa domnieva, že požiadavka na lekársky predpis vydaný na základe kompletnej psychiatrickej expertízy,  je práve tým prostriedkom, ktorý túto požiadavku spĺňa. Toto riešenie je tiež v súlade s Dohovorom o psychotropných látkach a dohovormi, ktoré boli prijaté v niektorých členských štátoch Rady Európy.” (§58)

Je teda zrejmé, že nielenže nie je systém aplikovaný vo Švajčiarsku v rozpore s Európskym dohovorom o ľudských právach, ale  dokonca  ochraňuje jeho základné princípy.
Pokiaľ ide o argument navrhovateľa, podľa ktorého nemôže  nájsť lekára, ktorý by vykonal  odbornú expertízu požadovanú Federálnym súdom, Európsky súd o tom nie je presvedčený. Domnieva sa, že táto situácia je spojená s jeho predchádzajúcim odmietnutím každej hlbšej štúdie možnosti samovraždy.
Na záver, pokiaľ ide o priestor pre voľnú úvahu, ktorou disponujú vnútroštátne orgány, Európsky súd  je presvedčený, že « ak by sa aj pripustilo, že štáty majú povinnosť prijať pozitívne opatrenia na zabezpečenie dôstojnej samovraždy, švajčiarske orgány by v tomto prípade túto povinnosť neporušili. »

Toto rozhodnutie púta pozornosť tým, že podporuje štáty v ich možnosti voľného uváženia a to obzvlášť v prípade, keď táto úvaha vedie k obmedzeniam prístupu k niektorým prostriedkom schopným ukončiť život človeka s cieľom zabrániť ich zneužitiu. Vážnosť tohto rozhodnutia spočíva nielen v súhlase európskeho súdu s postojom zákonodarcu a vnútroštátneho sudcu, ale aj v jeho jednomyseľnom prijatí  tohto rozhodnutia.


Autor: Christian Byk- úradník, generálny tajomník Medzinárodného združenia pre právo, etiku a vedu
Zdrojový text:  Byk, Ch: Európsky súd pre ľudské práva a povinnosť štátu zabezpečiť dôstojnú smrť in Medicína & Právo, r. 2011, č. 109, Júl -August 2011, s. 174-176
/Byk, Ch.: La Cour européenne des droits de l’homme et l’obligation de l’État à assurer une mort digne, Médecine & Droit (15 March 2011)/
Obrázok : droitfondamental.eu
Preklad : Erika Vadászová
Editoval : Zuzana Zoláková

Originál rozhodnutia dostpný vo francúzštine tu




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