CHASKALSON P
medical attention, such as the injured person in Paschim Banga Khet Mazdoor Samity
v State of West Bengal, should not be refused ambulance or other emergency services
which are available and should not be turned away from a hospital which is able to
provide the necessary treatment. 10 What the section requires is that remedial treatment
that is necessary and available be given immediately to avert that harm.
[21]
The applicant suffers from chronic renal failure. To be kept alive by dialysis he
would require such treatment two to three times a week. This is not an emergency
which calls for immediate remedial treatment. It is an ongoing state of affairs resulting
from a deterioration of the applicant’s renal function which is incurable. In my view
section 27(3) does not apply to these facts.
[22]
The appellant’s demand to receive dialysis treatment at a state hospital must be
determined in accordance with the provisions of sections 27(1) and (2) and not section
27(3). These sections entitle everyone to have access to health care services provided
by the state “within its available resources”.
[23]
In the Court a quo Combrinck J held that “[i]n this case the respondent has
10
We have only recently emerged from a system of government in which the provision of health services
depended on race. On occasions seriously injured persons were refused access to ambulance services
or admission to the nearest or best equipped hospital on racial grounds.
12