Health - Bill of Health

The United States Capitol building at sunset at night in Washington DC, USA

The End of Public Health? It’s Not Dead Yet

February 27, 2023February 24, 2023 The Petrie-Flom Center Staff Leave a comment

By Nicole Huberfeld

Once again, health law has become a vehicle for constitutional change, with courts hollowing federal and state public health authority while also generating new challenges. In part, this pattern is occurring because the New Roberts Court — the post-Ruth Bader Ginsburg composition of U.S. Supreme Court justices — is led by jurists who rely on “clear statement rules.” This statutory interpretation canon demands Congress draft textually unambiguous laws and contains a presumption against broadly-worded statutes that are meant to be adaptable over time. In effect, Congress should leave nothing to the imagination of those responsible for implementing federal laws, i.e., executive agencies and state officials, so everything a statute covers must be specified, with no room for legislative history or other non-textual sources.

Group of students wearing protective medical masks and talking, standing in lecture hall at the university.

Public Health Law’s Future Begins in the Classroom

February 24, 2023February 21, 2023 The Petrie-Flom Center Staff Leave a comment

By Taleed El-Sabawi

The use of emergency public health powers by state and local governments during the first months of the COVID-19 pandemic led to intense public criticism followed by legislative attempts (include some successes) to strip state executives of this authority. This has led some to ask: is this the end of public health law? What does the future hold?

For public health law to survive, it needs a good defense. It needs passionate advocates. It needs a growing constituency that understands its utility and its importance in protecting the health of the population. But, let’s face it. I would wager a guess that the vast majority of law students, law professors, and law school administrators do not even know what public health law is.

Lawyer working with agreement in office. man signing hand writing pen attorney concept.

Strategic Maneuvers in Response to COVID-19 Denialist Laws and Policies

February 23, 2023February 23, 2023 The Petrie-Flom Center Staff Leave a comment

By James G. Hodge, Jr.

Over the course of the COVID-19 pandemic, now entering its fourth year in 2023, legislators, executives, and judges at every level of government have sought measures to derail efficacious public health interventions. Despite clear risks of excess morbidity and mortality, these law- and policy-makers, often in more conservative jurisdictions, intentionally chose to push laws, guidance, and decisions prioritizing rapid “returns to normalcy” over the health and lives of Americans.

Casual observers of these collective trends may see the end of public health powers and services as we know them in the United States. And that’s where they are wrong.

New York NY USA-August 17, 2021 Businesses in Chelsea in New York display signs requiring proof of vaccination prior to entering.

Employers and the Future of Public Health

February 22, 2023February 21, 2023 The Petrie-Flom Center Staff Leave a comment

By Sharona Hoffman

As state and federal public health authority erodes, employers may increasingly find themselves playing a central role in promoting public health. For example, during the COVID-19 pandemic, many employers either incentivized or required employees and customers to be vaccinated and/or masked even in the absence of federal and state mandates. In the future, they may frequently take the lead in implementing public health measures.

How the Supreme Court’s Judicial Activism Compromises Public Health

February 21, 2023February 17, 2023 The Petrie-Flom Center Staff Leave a comment

By John Culhane

The United States Supreme Court poses a serious threat to public health, but not because the majority of the justices are necessarily opposed to laws and policies designed to protect and further public health and safety. The problem, rather, is the justices’ commitment to other projects that they deem more central to their anti-administration and pro-religion ideology. Nowhere has this commitment been more apparent than during the ongoing COVID pandemic, but the court’s activism isn’t limited to that serious public health problem.

Hospitals That Ditch Masks Risk Exposure

February 20, 2023February 20, 2023 The Petrie-Flom Center Staff Leave a comment

By Nina Kohn and Irina D. Manta

This month, New York became the latest to join the growing list of states that have ended their requirements for routine masking in hospitals and other healthcare settings.

In response, at least one of the state’s largest hospital systems is throwing off the mask despite the continued high level of virus transmission in New York City and most of the rest of the state. NYU’s Langone hospital system decided that — outside of the Emergency Room — patients would generally only be required to mask “if they have fever and cough” (query what percentage of individuals with recent COVID-19 infections did not have this specific combo of symptoms — spoiler: it’s probably high). Similarly, the hospital announced that masking by direct care staff was optional in most situations, with masks required mainly during certain procedures, in particular patient rooms, or — more cryptically — when “there is concern for exposure to infectious aerosols.”

Ending routine masking in hospital settings is a dangerous move. It puts patients and staff at risk for infection, and its potential long-term effects. It also exposes hospitals to the risk of liability.

Atlanta, Georgia - January 28, 2022: US Centers for Disease Control and Prevention (CDC).

Unmasking Public Health

February 17, 2023February 16, 2023 The Petrie-Flom Center Staff Leave a comment

By Jane Moriarty

One of the U.S. Centers for Disease Control and Prevention’s stated “essential public health services” is to “create, champion, and implement policies, plans, and laws that impact health.”

Yet, as the U.S. slogs through its third COVID winter, one thing is clear: personal responsibility and autonomy are at the heart of public health messaging. As CDC director Dr. Rochelle Walensky famously said, “your health is in your hands.”

In other words, CDC and other public health bodies now highlight personal responsibility and autonomy, and minimize the institutional ability to champion policies and laws that would improve the health and safety of the citizenry.

Given the comparatively poor results that the U.S. has had compared to other similarly-situated countries that focus more on the common good, it is time for our public health entities to reinvigorate their role as a force of legal and moral suasion to protect the public’s health.

The moral value of protecting the health of the public should be at the forefront of their messaging. Personal responsibility and autonomy are no match for the reality of commodified and unavailable health care, internet disinformation, health vulnerabilities, age-related vulnerabilities, the lack of paid sick leave, poverty, and the plight of the institutionalized.

Overhauling our Federal Courts to Preserve and Advance Public Health

February 16, 2023February 16, 2023 The Petrie-Flom Center Staff Leave a comment

By Sarah Wetter and Lawrence O. Gostin

In the Federalist No. 78, Alexander Hamilton called judicial independence “the best expedient which can be devised in any government to secure a steady, upright, and impartial administration of the laws.” Judicial independence is also critical for public health. Over the last century, courts have affirmed broad public health powers and established modern health-related rights. Yet in a significant departure from history, today’s federal courts have been far from impartial, issuing ideology-driven decisions that will resound for decades to come, with harmful public health consequences.

Multiethnic women in colorful casual clothes discussing in the group meeting.

Rebuilding Trust in Public Health and Public Health Law

February 15, 2023February 13, 2023 The Petrie-Flom Center Staff Leave a comment

By Leslie E. Wolf

With our recent (and continuing) experience of the devastating COVID-19 global pandemic, one might think that our collective appreciation for public health efforts and the people advancing those efforts would be high. Instead, public health officials have been vilified and attacked, and public health laws have been weakened, leaving us vulnerable to the next public health emergency.

So, how do we move forward? An essential first step is to refocus on the “public” in public health. Public health efforts and public health law depend on community support.

person walking away from a surgical mask lying on the ground.

Personal Crusades for Public Health

February 14, 2023February 13, 2023 Katherine Macfarlane Leave a comment

By Katherine Macfarlane

Public health in the U.S. has collapsed. In its place, we are left with an insufficient, impoverished alternative: personal crusades. This essay describes the cost of casting aside what is best for the public’s health in favor of individual choice, especially to those who are high-risk for serious illness or death from COVID-19. It explores how they must negotiate public health measures on their own.

Tag: Health