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LCR4802 Assignment 1 (ANSWERS) Semester 1 2025 - DISTINCTION GUARANTEED

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LCR4802
Assignment 1 Semester 1 2025
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Due Date: 7 April 2025
QUESTION 1

Legislative Provisions Prohibiting the Refusal of Emergency Medical Treatment in
South Africa




The right to receive emergency medical treatment is a fundamental aspect of healthcare
ethics and legal responsibility in South Africa. Several legislative provisions prohibit the
refusal to render such treatment, reflecting the state’s obligation to uphold the
constitutional rights of all individuals. This essay examines the main legal instruments that
protect access to emergency care, including who is bound by these laws and how they are
interpreted within the healthcare context.




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QUESTION 1

Legislative Provisions Prohibiting the Refusal of Emergency Medical
Treatment in South Africa

The right to receive emergency medical treatment is a fundamental aspect of
healthcare ethics and legal responsibility in South Africa. Several legislative
provisions prohibit the refusal to render such treatment, reflecting the state’s
obligation to uphold the constitutional rights of all individuals. This essay examines
the main legal instruments that protect access to emergency care, including who is
bound by these laws and how they are interpreted within the healthcare context.

Section 27(3) of the Constitution of the Republic of South Africa, 1996, serves as the
foundational legal provision in this regard. It states clearly that “no one may be
refused emergency medical treatment.” This right is part of the broader socio-
economic rights enshrined in the Constitution and is intended to ensure that
individuals in life-threatening situations are not denied potentially life-saving care due
to their socio-economic status or inability to pay. The Constitutional Court, in
Soobramoney v Minister of Health, KwaZulu-Natal 1998 (1) SA 765 (CC), clarified
that this section applies only to immediate, life-threatening emergencies and not to
chronic conditions requiring prolonged treatment. Nevertheless, it provides an
essential legal shield against unjustified refusal of care at the most critical times.
Although the Constitution primarily binds the state, the horizontal application of rights
under the Constitution means that private healthcare institutions may also be held to
this standard depending on the context (Currie & De Waal, 2005:593).

Complementing the Constitution is section 5 of the National Health Act 61 of 2003,
which directly imposes a duty on all health care providers, workers, and
establishments to refrain from refusing emergency medical treatment. This provision
is broader in scope than the constitutional provision because it clearly includes both
public and private healthcare professionals and institutions. It reinforces the
constitutional right by translating it into a statutory obligation, making it enforceable
against individual practitioners and facilities. This statutory duty is significant
because it makes health professionals legally accountable for ensuring that no
patient is turned away in an emergency, regardless of payment status or other
administrative concerns.
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