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Volumn 35, Issue 3, 2008, Pages 364-388

Health, social movements, and rights-based litigation in South Africa

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EID: 49449095809     PISSN: 0263323X     EISSN: 14676478     Source Type: Journal    
DOI: 10.1111/j.1467-6478.2008.00443.x     Document Type: Review
Times cited : (27)

References (31)
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    • 822. Constitution of the Republic of South Africa Act 108 of 1996. Roughly half of South Africans live in extreme poverty and lack access to basic social services, including health services. The extent and distribution of poverty, as well as its racial and gender dimensions, are starkly reflected in community health status. As a result, South Africa's infant, under-5, and maternal mortality rates have been described as unacceptably high. See M. MacFarlane, 'Health and Welfare' in South Africa Survey 2004/2005, ed. J. Kane-Berman (2006) 335, at 338; G.C.Z. Mhone, 'The Socio-economic Context and Aspects of Social Security Policy in South Africa' in Introduction to Social Security, ed. M.P. Olivier et al. (2004) 1-11; S. Nadasen, Public Health Law in South Africa: An Introduction (2000) 21. On the scale and impact of the South African HIV epidemic, see
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    • at 716-17; A. Hassim, M. Heywood, and J. Berger, Health & Democracy (2007) 26-7; N. Nattrass, The Moral Economy of AIDS in South Africa (2004) 13-16. The South African health system is severely inequitable, with an excellent but very expensive private health system operating alongside a severely strained public system, which caters for most of the population. On the need for transformation of the health system, see Hassim, Heywood and Berger, id., pp. 17, 25-6, 164-66; MacFarlane, op. cit., n. 4, pp. 363, 378;
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    • M. Pieterse The Legitimizing/Insulating Effect of Socio-economic Rights 2007) 22 Canadian J. of Law and Society 1
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    • Adjudicating Constitutional Priorities in a Transnational Context: A Comment on Soobramoney' s Legacy and Grootboom's Promise
    • and., at 258-60. Those listed in s. 38 are: '(a) anyone acting in their own interest; (b) anyone acting on behalf of another person who cannot act in their own name; (c) anyone acting as a member of, or in the interest of, a group or class of persons; (d) anyone acting in the public interest; and (e) an association acting in the interests of its members'. Section 36(1) further lists the following factors to be taken into account in this assessment: '(a) the nature of the right; (b) the importance of the purpose of the limitation; (c) the nature and extent of the limitation; (d) the relation between the limitation and the purpose; and (e) less restrictive means to achieve the purpose'. Van Biljon v. Minister of Correctional Services 1997 (4) SA 441 (C). Soobramoney v. Minister of Health, KwaZulu Natal 1998 (1) SA 745 (CC), specifically paras. 25, 29-31, 36. Pharmaceutical Manufacturers' Association v. President of the RSA TPD 4183/98.
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    • Debunking Conglomo-talk: A Case Study of the Amicus Curiae as an Instrument for Advocacy, Investigation and Mobilisation
    • at 147. For detailed assessment of the TAC's involvement in the matter, see id., pp. 133-62. On the arguments advanced in and the outcome of the PMA case, see, further
    • M. Heywood Debunking Conglomo-talk: A Case Study of the Amicus Curiae as an Instrument for Advocacy, Investigation and Mobilisation 2001) 5 Law, Democracy and Development 133
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    • So Much to Do, so Little Done: The Right of Access to Anti-retroviral Drugs Post-Grootboom
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    • and. Government of the RSA v. Grootboom 2001 (1) SA 46 (CC), at paras. 32, 95. id., paras. 39-44, 46, 66, 68, 82. See Nattrass, op. cit., n. 5, pp. 66-7. For a more detailed discussion of the conception, implementation, and impact of the pilot programme, see Heywood, op. cit., n. 10, pp. 285-90. While it nowhere explicitly relied on dissident science to back its claims in this regard, these concerns were in line with the government's broader, dissident-infused, scepticism towards anti-retroviral medication (id., pp. 296, 308). On the method and extent of this mobilization, see id., pp. 300-1, 309-11. The High Court judgment is reported as TAC v. Minister of Health 2002 (4) BCLR 356 (T). The Community Law Centre at the University of the Western Cape and IDASA. See UNCESCR, General Comment 14, The Right to the Highest Attainable Standard of Health UN Doc. E/C. 12/2000/4 (2000) paras. 43-4. For more detailed exposition of the 'minimum core approach', see
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    • South Africa's Evolving Jurisprudence on Socio-economic Rights: An Effective Tool in Challenging Poverty?
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    • Coming to Terms with Judicial Enforcement of Socio-economic Rights
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    • Contempt or Compliance? the TAC Case after the Constitutional Court Judgment
    • Forman, op. cit., n. 5, p. 719; Pieterse, op. cit., n. 37, p. 488; Singh, op. cit., n. 6, p. 524. The abandoned PMA -litigation also held significant indirect tangible benefit for consumers, as it led to a significant reduction in price of ARV drugs. See Heywood, op. cit., n. 25, p. 157. For assessment, see Pieterse, op. cit., n. 53, pp. 129-30. Hassim and Berger, op. cit., n. 58. On the need for more robust remedies in socio-economic rights cases and related institutional issues, see Liebenberg, op. cit., n. 59, pp. 33-4;
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