CHASKALSON P
“The Constitution envisages the establishment of a welfare State at the federal level as well
as at the State level. In a welfare State the primary duty of the Government is to secure
the welfare of the people. Providing adequate medical facilities for the people is an
essential part of the obligations undertaken by the Government in a welfare State. The
Government discharges this obligation by running hospitals and health centres which
provide medical care to the person seeking to avail those facilities. Article 21 imposes an
obligation on the State to safeguard the right to life of every person. Preservation of
human life is thus of paramount importance. The Government hospitals run by the State
and the medical officers employed therein are duty bound to extend medical assistance for
preserving human life. Failure on the part of a Government hospital to provide timely
medical treatment to a person in need of such treatment results in violation of his right to
life guaranteed under Article 21.”9
These comments must be seen in the context of the facts of that case which are
materially different to those of the present case. It was a case in which constitutional
damages were claimed. The claimant had suffered serious head injuries and brain
haemorrhage as a result of having fallen off a train. He was taken to various hospitals
and turned away, either because the hospital did not have the necessary facilities for
treatment, or on the grounds that it did not have room to accommodate him. As a result
he had been obliged to secure the necessary treatment at a private hospital. It appeared
from the judgment that the claimant could in fact have been accommodated in more than
one of the hospitals which turned him away and that the persons responsible for that
decision had been guilty of misconduct. This is precisely the sort of case which would
fall within section 27(3). It is one in which emergency treatment was clearly necessary.
9
Id at 2429.
10