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74. The Special Rapporteur recommends that States ratify the Optional
Protocols to the International Covenant on Economic, Social and Cultural
Rights and to the Convention on the Rights of the Child on a communications
procedure, thereby recognizing the competence of the respective committees to
consider individual communications with a view to ensuring the availability of
an international adjudicatory mechanism for individuals whose right to health
has been violated. The Special Rapporteur further recommends that States
recognize the competence of the Committee on Economic, Social and Cultural
Rights to receive and consider inter-State communications.
75. With regard to the State’s progressively realizable obligations under the
right to health, the Special Rapporteur recommends that:
(a) The term “available resources” be clarified to guide States and assist
adjudicators in determining whether the amount of available resources
proffered by States is accurate;
(b) Available resources include the maximum amount of resources that
can be allocated to a specific health goal without compromising other essential
services;
(c) The amount of resources available to States be subject to scrutiny
through a review of States’ budgets and efforts to mobilize additional resources;
(d) To facilitate a full and fair review, States should make public,
including to adjudicators, information regarding the calculation of their
available resources, budgetary allocations and efforts to increase the available
resources in an open and transparent manner;
(e) States’ available resources be determined to be efficiently allocated
by focusing on the reasonableness of the policymaking, with special attention
paid to the effect on vulnerable groups, and the transparency and participatory
nature of such process;
(f) States deliver benefits promised under health-care programmes with
regard to health facilities, goods and services. Failure to deliver, or the
diversion of funds, may be considered a violation of States’ right-to-health
obligations.
76. The Special Rapporteur recommends the adoption of an international
treaty that will:
(a) Confer specific, binding human rights obligations, including the right
to health, on transnational corporations;
(b)
Prevent investors from encroaching on States’ policymaking space;
(c) Provide for an accessible and effective adjudicatory forum where
States and individuals can hold transnational corporations accountable for
violations of the right to health.
77. The Special Rapporteur also recommends that, until an international
treaty is formulated, States adopt a declaration on human rights obligations of
transnational corporations.
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