In Case of Pindo Mulla v. Spain, (ECHR, Sept. 17, 2024), the European Court of Human Rights held that Article 8 of the European Convention on Human Rights was violated by Spanish courts when they authorized a blood transfusion for a critically ill woman who, because of her beliefs as a Jehovah's Witness, had refused all blood transfusions. The court said in part:
181. The Court fully appreciates that the actions taken in relation to the applicant on the day in question by the staff of both hospitals were motivated by the overriding concern to ensure the effective treatment of a patient who was under their care, in keeping with the most fundamental norm of the medical profession. It does not question their assessments regarding the severity of the applicant’s condition at the time, the urgency of the need to treat her, the medical options available in the circumstances, or that the applicant’s life was saved that day.
182. However, the authorisation by the duty judge to proceed with whatever treatment was considered necessary resulted from a decision-making process that was affected by the omission of essential information about the documenting of the applicant’s wishes, which had been recorded in various forms and at various times in writing. Since neither the applicant nor anyone connected with her was aware of the decision taken by the duty judge, it was not possible, even in theory, to make good that omission. Neither this issue, nor the issue of her capacity to take a decision, were addressed in an adequate manner in the subsequent proceedings. In light of this, it cannot be said that the domestic system adequately responded to the applicant’s complaint that her wishes had been wrongly overruled....
183. In the Court’s view, the shortcomings identified above ... indicate that the interference complained of was the result of a decision-making process which, as it operated in this case, did not afford sufficient respect for the applicant’s autonomy as protected by Article 8, which autonomy she wished to exercise in order to observe an important teaching of her religion.
Eight of the 17 judges dissented as to the damages awarded by the majority. Courthouse News Service reports on the decision.
