CHASKALSON P
The occurrence was sudden, the patient had no opportunity of making arrangements in
advance for the treatment that was required, and there was urgency in securing the
treatment in order to stabilise his condition. The treatment was available but denied.
[19]
In our Constitution the right to medical treatment does not have to be inferred
from the nature of the state established by the Constitution or from the right to life which
it guarantees. It is dealt with directly in section 27. If section 27(3) were to be
construed in accordance with the appellant’s contention it would make it substantially
more difficult for the state to fulfill its primary obligations under sections 27(1) and (2)
to provide health care services to “everyone” within its available resources. It would
also have the consequence of prioritising the treatment of terminal illnesses over other
forms of medical care and would reduce the resources available to the state for purposes
such as preventative health care and medical treatment for persons suffering from
illnesses or bodily infirmities which are not life threatening. In my view much clearer
language than that used in section 27(3) would be required to justify such a conclusion.
[20]
Section 27(3) itself is couched in negative terms – it is a right not to be refused
emergency treatment. The purpose of the right seems to be to ensure that treatment be
given in an emergency, and is not frustrated by reason of bureaucratic requirements or
other formalities. A person who suffers a sudden catastrophe which calls for immediate
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