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Theories of justice and an HIV/AIDS health care policy for South Africa : a comparative analysisHorn, Lynette (Lynette Margaret) 03 1900 (has links)
Thesis (MPhil)--University of Stellenbosch, 2003. / ENGLISH ABSTRACT: On The io" of May 1994 Nelson Mandela was inaugurated as the first democratically
elected black president of South Africa. The occasion was regarded, both nationally and
internationally, as a triumph for humanity and perfused with a widespread optimism for the
future of South Africa. Mandela proclaimed in his inaugural speech that "Never, never and
never again shall it be that this beautiful land will experience oppression of one by
another .... The sun shall never set on so glorious an achievement." However, now, less
than 10 years later the rapidly accelerating and devastating HIV/AIDS epidemic is again
'obscuring the sun'. Those people affected so negatively by the racial, economic and
gender injustices of the apartheid past, seem again to be suffering a possible injustice,
because of a health and welfare system that is struggling to meet the needs of the HIV
affected population.
The purpose of this dissertation is to examine the concept of distributive justice in South
Africa, within the context of this devastating epidemic. I begin by discussing the Bill of
Rights in the South African Constitution. I argue that an acceptable framework for a theory
of justice for health care in South Africa, must be worked out against the background of
this egalitarian Bill of Rights. I then consider the extent of the HIV epidemic, the effect it is
having on the people of South Africa and the consequent implications for health care
needs.
It is within this context that I examine and compare three theories of distributive justice,
namely utilitarianism, John Rawls' theory of "Justice as Fairness" and a libertarian concept
of justice, as proposed by Robert Nozick. Utilitarianism is a consequentialist theory that
focuses on producing the 'greatest happiness for the greatest number'. I argue that many
health policy decisions in South Africa are in fact guided by this principle. However
utilitarianism has both strengths and weaknesses which are critically examined. Within the
framework of health care policy making, utilitarian justice dictates that rights are derivative
and that the welfare of the majority usually takes precedence over the pressing needs of a
minority. This issue in particular is discussed. Rawls' theory of "Justice as fairness" is critically discussed next. This theory has been
adapted to health care by Norman Daniels, who argues that the Rawlsian principle of "fair
equality of opportunity" is a suitable founding principle for health care institutions.
Apartheid entrenched a system of 'inequality of opportunity'. Consequently, a theory that
focuses on equality of opportunity, has many advantages within the South African context.
I examine this theory in detail and provide justification for my assertion that it could be
usefully adapted to South African healthcare and the HIV/AIDS epidemic.
Finally, I discuss a Libertarian (Nozickian) theory of justice and examine both the strengths
and weaknesses of this theory. I attempt to demonstrate why a libertarian system, with it
vigorous commitment to moral and economic individualism and belief that one is only
entitled to that share of healthcare that can be paid for, would be unjust, if rigorously
applied within the post-apartheid South African context. I conclude my dissertation by reiterating
my assertion that "Justice as Fair Equality of Opportunity" could be used as a just
foundation for a theory of justice for health care in current day, HIV/AIDS affected South
Africa. / AFRIKAANSE OPSOMMING: Teorieë van geregtigheid en 'n gesondheidsbeleid vir die VIGS epidemie in Suid
Afrika: 'n vergelykende ontleding.
Op die 10de Mei 1994 is Nelson Mandela ingehuldig as die eerste demokraties verkose
swart president van Suid- Afrika. Die geleentheid is in beide Suid-Afrika en in die buiteland
beskou as 'n oorwinning vir humaniteit. Optimisme oor Suid-Afrika se toekoms was oral
tasbaar. Mandela het in sy inhuldigingstoespraak verkondig dat dit nooit weer sal gebeur
dat hierdie pragtige land sal lyonder die onderdrukking van een oor die ander nie. Hy het
gesê dat die son nooit salondergaan op so 'n wonderlike prestasie nie. Nou, minder as
tien jaar later, is die verwoestende VIGS epidemie besig om weer die 'son te laat
ondergaan'. Dieselffde mense wat alreeds onder apartheid se rasisme en ekonomiese en
geslagsongeregtighede gely het, blyk nou weer verontreg te word; hierde keer omdat die
gesondheids- en welsynsisteem sukkel om in die behoeftes van die VIGS-geaffekteerde
populasie te voorsien.
Die doel van hierdie verhandeling is om die konsep van distributiewe geregtigheid in die
konteks van die dreigende VIGS epidemie te bespreek. Ek begin met 'n bespreking van
die Verklaring van Regte soos vervat in die Suid-Afrikaanse Grondwet. Ek voer aan dat
enige aanvaarbare teorie oor geregtigheid in die Suid-Afrikaanse gesondheidsisteem
gegrond moet word op hierdie egalitêre Verklaring van Regte. Tweedens kyk ek na die
omvang van die VIGS epidemie, die effek wat dit op die HIV-positiewe populasie en hulle
familielede het, en die gevolglike implikasies vir gesondheidsbehoeftes.
Dit is binne hierdie konteks dat ek drie teorieë van distributiewe geregtigheid ondersoek en
vergelyk; naamlik utilitarisme, John Rawls se teorie van "Justice as Fairness", en 'n
libertynse konsep van geregtigheid soos voorgestel deur Robert Nozick. Utilitarisme is 'n
konsekwensialistise teorie wat beteken dat die regte daad die een is wat in enige situasie
die grootste geluk vir die meeste persone sal meebring. Ek voer aan dat baie van die
beleidsrigtings wat 'n gesondheidsorg in Suid-Afrika gevolg is, deur hierdie teorie
beïnvloed is. Utilitarisme het uiteraard sterk en swak punte en beide kante word krities
ondersoek. In 'n gesondheidsorg konteks beteken utilitarisme dat regte altyd afgelei is en
dat die welsyn van die meerderheid gewoonlik belangriker is as die van 'n minderheid,
selfs wanneer die probleme van die minderheid ernstig en dringend is. Rawls se teorie van geregtigheid word vervolgens krities bespreek. Hierdie teorie is deur
Norman Daniels aangepas vir gesondheidsorg. Hy stel voor dat Rawls se beginsel van
'regverdige gelykheid van geleentheid' baie effektief aangepas kan word vir
gesondheidsorginstellings. Apartheid het 'n sisteem van ongelyke geleentheids verskans;
gevolglik hou 'n teorie wat gelykheid van geleentheid verseker baie voordele vir die Suid-
Afrikanse situasie in. Ek bespreek hierdie teorie in detail en poog om my standpunt dat die
teorie besonder geskik is vir Suid-Afrikaanse gesondheidsisteem - veral in die konteks
van die VIGS epidemie - te regverdig.
Laastens bespreek ek die libertynse teorie van geregtigheid soos voorgestel deur Robert
Nozick. Ek probeer aantoon waarom hierdie teorie, wat gebaseer is op morele en
ekonomiese individualisme en gevolglik aanvoer dat mense geregtig is op gesondheidsorg
alleenlik as hulle daarvoor kan betaal, onregverdig is in die Suid-Afrikaanse post-apartheid
konteks. Ek sluit hierdie. verhandeling af deur weer te argumenteerdat Rawls se teorie en
die beginsel van 'geregtigheid as gelyke geleentheide' uiters geskik is as 'n grondslag vir
gesondheidsorg in Suid-Afrika vandag.
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Svoboda umělecké tvorby a svoboda projevu v kontextu evropské ochrany lidských práv / Freedom of artistic work and freedom of expression within the context of the European protection of human rightsSýkorová, Eliška January 2014 (has links)
The purpose of the thesis is to analyze the concept of the freedom of artistic creation and expression in the European Union law, in particular its recognition in primary law, above all in the Charter of Fundamental Rights of the European Union (Charter), and in the case law of the Court of Justice of the European Union (CJEU). Considering that interpretation of human rights and fundamental freedoms in the EU law is greatly based on constitutional traditions of EU member states and on the approach to these rights established within the Council of Europe, this thesis also deals with the conception of the freedom of artistic expression in constitutions of EU member states and in the European Convention for the Protection of Human Rights and Fundamental Freedoms (ECHR), as interpreted by the European Court of Human Rights (ECtHR). While relevant case law of the CJEU is only fragmentary, it refers systematically to the extensive case law of the ECtHR, which provides comprehensive theory of the freedom of artistic expression in Europe and provides for studying the evolution of the conception in time. The core method of research used in this thesis is the analysis of different sources of primary and secondary EU law, national law and case law; the thesis refers namely to the case law of the CJEU and...
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The constitutionality of vicarious liability in the context of the South African labour law : a comparative studyVan Eeden, Albert Jacob 03 July 2014 (has links)
If the expectancy that someone was to act according to what we deem to be his or her “duty” was that straightforward, there would be no need to address the issues of liability of the employee for the wrongful acts of the employer. The recent - and some say alarming - trend in South Africa to hold employers (particularly the government) liable for wrongful, culpable acts committed by their employees, gives rise to difficulties and any inquiry into the possible vicarious liability of the employer should necessarily always start by asking whether there was in fact a wrongful, culpable act committed by the employee. If not, there can neither be direct liability of the employee nor vicarious liability by the employer. Where the employee did indeed commit a delict, the relationship between the wrongdoer and his or her employer at the time of the wrongdoing becomes important. It is then often, in determining whether the employee was acting in the scope of his or her employment that normative issues come to the fore. Over the years South African courts have devised tests to determine whether an employee was in fact acting in the scope of his employment. / Jurisprudence / LL. M.
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A glorious and salutiferous Œconomy ...? : an ecclesiological enquiry into metropolitical authority and provincial polity in the Anglican CommunionRoss, Alexander John January 2018 (has links)
For at least the past two decades, international Anglicanism has been gripped by a crisis of identity: what is to be the dynamic between autonomy and interdependence? Where is authority to be located? How might the local relate to the international? How are the variously diverse national churches to be held together 'in communion'? These questions have prompted an explosion of interest in Anglican ecclesiology within both the church and academy, with particular emphasis exploring the nature of episcopacy, synodical government, liturgy and belief, and common principles of canon law. However, one aspect of Anglican ecclesiology which has received little attention is the place of provincial polity and metropolitical authority across the Communion. Yet, this is a critical area of concern for Anglican ecclesiology as it directly addresses questions of authority, interdependence and catholicity. However, since at least the twentieth century, provincial polity has largely been eclipsed by, and confused with, the emergence of a dominant 'national church' polity. This confusion has become so prevalent that the word 'province' itself is used interchangeably and imprecisely to mean both an ecclesial province in its strict sense and one of the 39 'member- churches' which formally constitute the Anglican Communion, with a handful of 'extra-provincial' exceptions. The purpose of this research project is to untangle this confusion and to give a thorough account of the development of provincial polity and metropolitical authority within the Communion, tracing the historical origins of the contemporary status quo. The scope of this task is not in any way intended to be a comprehensive history of the emergence of international Anglicanism, but rather to narrowly chart the development of this particular unit of ecclesial polity, the province, through this broader narrative. The historical work of Part One in itself represents an important new contribution to Anglican Studies; however, the project aims to go further in Parts Two and Three to identify from this context key questions concerning the problems facing contemporary Anglican polity as the basis for further theological and ecclesiological reflection. Part Two examines how provincial polity has given way to an assumption of the 'national church' as the building block of the Communion. To what extent is it consonant with Anglican tradition? How is it problematic? What tensions exist with a more traditional understanding of the province? How might all this relate to wider political understandings and critiques of the 'nation- state' in an increasingly globalised world? Along with the emergence of a 'national church' ecclesiology, so too has the role of the 'Primates' been magnified. Part Three charts this development, culminating in a critique of the recent 2016 Primates' Meeting. What is the nature of primacy within Anglicanism and how does it relate to metropolitical authority? What is the right balance of honour and authority as it relates to primacy? How do Anglican understandings of primacy correspond to those of the Roman and Orthodox Communions? Finally, Part Four attempts to give some concrete focus to the preceding discussion through the illustrative example of the Anglican Church of Australia, which is frequently cited as being analogous to the Communion in having a loose federal system and resolutely autonomous dioceses. The prevalence of this 'diocesanism' has recently been criticised by the Royal Commission into Institutional Responses to Child Sexual Abuse. However, there has been a recent revival of provincial action within the Province of Victoria in response to these issues which will be evaluated to discern what the Australian example might offer toward a theologically robust and credible ecclesiology for Anglicanism into the twenty-first century.
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The Constitution of the Republic of South Africa and social development: an exploratory study of the link between the Bill of Rights and social developmentWinter, Wilbur 11 1900 (has links)
Text in English with summaries in English and Afrikaans / Bibliography: leaves 89-108 / Democracy in South Africa came at a price. The apartheid era did not accommodate or
incorporate democratic and constitutional principles. The year 1996 saw a democratic
Constitution being adopted, having been certified by the Constitutional Court. The Bill of
Rights in the Constitution guarantees the rights and freedoms of all South Africans. The
apartheid era ensured that the rights which are enjoyed today were reserved for only a portion
of the South African population. This study emphasises the importance of the Constitution and
the role and responsibility of every citizen to defend it. In defending the Constitution, the rights
and freedoms of all South Africans are defended. The Bill of Rights promotes social
development for all South Africans, as opposed to disparate social development under the
divisive apartheid era. The Constitution is a powerful enabler for democracy and social
cohesion and unity. This study depended on secondary sources which are vital to keeping
historical facts alive and truthful. Desktop research is qualitative and, while less expensive,
produces acceptable results and findings. / Demokrasie in Suid-Afrika het met 'n prys gekom. Die apartheidsera het nie demokratiese en
grondwetlike beginsels geakkommodeer of opgeneem nie. In 1996 word 'n demokratiese
Grondwet aanvaar, wat deur die Grondwet Hof gesertifiseer was. Die Handves van Menseregte
in die Grondwet waarborg die regte en vryhede van alle Suid-Afrikaners. Die apartheidsera het
verseker dat die regte wat vandag geniet word, slegs vir 'n gedeelte van die Suid-Afrikaanse
bevolking gereserveer is. Hierdie studie beklemtoon die belangrikheid van die Grondwet en
die rol en verantwoordelikheid van elke burger om dit te verdedig. Deur die Grondwet te
verdedig word die regte en vryhede van alle Suid-Afrikaners verdedig. Die Handves van
Menseregte bevorder sosiale ontwikkeling vir alle Suid-Afrikaners, in teenstelling met
uiteenlopende sosiale ontwikkeling onder die verdelende apartheidsera. Die Grondwet is 'n
kragtige instaatsteller vir demokrasie, sosiale samehorigheid en eenheid. Hierdie studie was
afhanklik van sekondêre bronne wat noodsaaklik is om historiese feite lewendig en waaragtig
te hou. Desktop-navorsing (boek) is kwalitatief en hoewel dit goedkoper is, lewer dit
aanvaarbare resultate en bevindings op. / Development Studies / M.A. (Development Studies)
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