Global access to treatment: achievements and challenges

As mentioned in the previous issue, this section of the Review addresses issues related to improving access to adequate and affordable care, treatment, and support everywhere. It replaces the section previously called "Patents and Prices." In this issue, we feature a review of achievements and challenges in recent years in opening global access to HIV/AIDS treatments. The article - one of a series commissioned to mark the tenth anniversary of the Canadian HIV/AIDS Legal Network, discussing past developments and future directions in areas of policy and law related to HIV/AIDS - describes the developments that recast the debate about access to treatment from one focused on patent entitlements to one focused on the right to health and treatment. It analyzes the role of national and international activism, strategically constructed alliances, and principled leadership in achieving this change. And it discusses continuing obstacles to equitable access to HIV/AIDS treatments for the world's population.     

Climate mitigation policies and actions: access and allocation issues

International Environmental Agreements: Politics, Law and Economics - As part of the Special Issue on Access and Allocation, this paper explores how reducing greenhouse gas (GHG) emissions...     

WHO initiatives to increase access to treatment in developing countries

In mid-2002, the World Health Organization (WHO) estimated that some six million people with HIV/AIDS in developing countries are currently in need of life-sustaining antiretroviral (ARV) therapy, but that only 230,000 have access to these medicines, half of whom live in one country, Brazil. The WHO believes that, with a concerted international effort to expand access to HIV treatment and care, three million people could have access to ARVs by the end of 2005. A number of recent initiatives provide some useful tools toward reaching this goal.     

Canadian students join struggle for access to treatment

Canadian students have joined the struggle for global access to treatment. This article describes initiatives at McGill University and the University of Toronto.     

Territorial justice and access to knowledge: the distribution of high-level legal skills in the regions of England and Wales

This paper conducts a mapping for the regions of England and Wales of legal specialisms which are explained in terms of spatial forces of gravitation. There are geographic barriers to access to justice arising out of the ‘friction of distance’. There is a filter effect which varies, depending on the type of legal problem which correlates with distance in respect of some categories of legal work which, in turn, raises considerations of territorial justice. Whether the role of law in this respect is thought of as a matter of access to justice or of access to competitive advantage raises important issues as to the effectiveness of the current organisation of the legal profession. Significant questions arise as to the capacity of solicitor firms within the regions of England and Wales to support the development of regional knowledge-based economic strategies. In turn, this has implications for the reform of the court structure in England and Wales and also various policy considerations in respect of nurturing the development of high level legal skills within the regions.     

Legal aspects of withholding treatment from handicapped newborns: substantive issues

The controversy over nontreatment of handicapped newborns arises in a context of criminal and civil law, against which the current controversy has unfolded. This article examines the legal setting and background under traditional criminal and civil law concepts of nontreatment of handicapped newborns. It focuses on substantive principles of law, showing that nontreatment would be legally permitted when treatment could not be reasonably said to be in the interest of the patient involved, and that nontreatment could be considered criminal where treatment would serve patient interests. It then relates this analysis to procedural issues and the federal Baby Doe legislation and regulations that have recently emerged.