1. Maria Cleofe Gettie C. Sandoval, JD Ateneo School of Medicine and Public Health July 28, 2010 1

2. Subject Objectives:  Understand the policy framework including the regulatory and legal bodies and political environment governing the practice of medicine in the Philippines.  Define the elements comprising the practice of medicine  Know the different rights, duties, liabilities and responsibilities when physician-patient relationship exists 2

3.  Comprehend the substantive and procedural laws that affect the practice of medicine  Identify the doctrines relevant to medical negligence and the corresponding penalties that doctors may be liable of.  Analyze laws and policies that affect the health providers 3

4.  Analyze and recommend relevant policies in the different areas of the practice of medicine  Share views on existing laws and policies with classmates  Appreciate the value of knowing policies, laws, regulations affecting health and the practice of medicine 4

5. Sources of class discussion: Medical Laws and Jurisprudence (main textbook) By Atty. Peter P. Ng, MD,PhD, FPAP Dr. Philipp U. Po, MOH, DPCOM 2006 ed Supreme Court decisions Relevant laws 5

6. Grading:  written exams: midterm and finals  class participation: recitation and group participation  paper/s  attendance 6

7. Share a personal encounter/experience you may have had the legal system (courts, enforcers, lawyers) What do you know about the Philippine political system (eg. form of government, structure of government, powers/ functions, composition) 7

8. Medical Jurisprudence legal aspect of medical practice  Legal fundamentals  Licensure and regulatory laws  Practice of medicine  Physician-patient relationship  Medical negligence  Remedial law aspects in the practice of medicine  Other related topics 8

9. Understanding the policy and legal environment of the practice of medicine 9

11. Branches of government: Legislative- legislative power shall be vested in the Congress of the Philippines which shall consist of a Senate and a House of Representatives 11

12. Powers: - authority to make, alter, repeal laws - Act as sole judge of all contests relating to the elections, returns and qualifications of the members of Congress - Be members of the Commission on Appointments - Conduct legislative investigations - Approve annual appropriations of government - Declare the existence of a state of war - Pass tax laws - Control expenditure of public funds 12

13. Executive – executive power shall be vested in the President 13

14. Powers: - act as head of state, commander-in-chief - Exercise appointing power - Control all executive departments, bureaus, offices - Ensure faithful execution of laws - Grant executive clemency - Enter into contracts or guarantee foreign loans - exercise foreign relations powers - Address opening of regular session of Congress 14

15. Judiciary – judicial power shall be vested in one Supreme Court and in such lower courts as may be established by law 15

16. Powers: - determine actual controversies arising between adverse litigants duly instituted in courts of proper jurisdiction 16

17. Separation of Powers and Checks and Balance: Executive to Legislature: - veto power - prepares proposed budget for the General Appropriations Act Executive to Judiciary: - can grant executive clemency - appoints members of the Supreme Court 17

18. Judiciary to Executive and Legislative - declare laws unconstitutional Legislative to Executive: - override veto power by 2/3 vote - reject appointments thru Commission on Appointments - revoke proclamation of martial law or suspension of writ of habeas corpus 18

19. Policy - A plan, course of action as of a government, political party, or business, intended to influence and determine decisions, actions, and other matters - Purposive course of action 19

20. Health Policy  a statement of a decision regarding a goal in health care and a plan for achieving that goal.  In developing policies, identify the policy area, issue, question, responses 20

21. Policy Instruments - Financing (subsidies, donations, fees) - governance (information, training) - Regulation (licensing, accreditation) - Service delivery (provision, coverage in scope and scale) 21

22. Policy issuances may be: 1. laws  Legislation – passed by Congress  Jurisprudence- cases decided by courts 2. Administrative orders – rules and regulations issued by the administrative agencies 3. Statements/briefs 22

23. Constitutional provisions on health: Sec 15, Article II. The State shall protect and promote the right to health of the people and instill health consciousness among them 23

24. Sec. 11, Art XIII. The State shall adopt an integrated and comprehensive approach to health development which shall endeavor to make essential goods, health and other social services available to all the people at affordable cost. There shall be priority for the needs of the underprivileged sick, elderly, disabled, women and children. The State shall endeavor to provide free medical care to paupers. 24

25. Assignment (for August 4) Chapters 1-4,6 Generics Act of 1988 (Republic Act 6675) Tobacco Regulation Act of 2003 (Republic Act 9211) Universally Accessible Cheaper and Quality Medicines Act of 2008 (Republic Act 9052) Case of Del Rosario vs. Bengzon, GR 88265, December 21, 1989 (180 SCRA 521) 25