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The hunger strike in prison: bioethical and medico-legal insights arising from a recent opinion of the Italian national bioethics committee

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Abstract

This contribution addresses some bioethical and medico-legal issues of the opinion formulated by the Italian National Bioethics Committee (CNB) in response to the dilemma between the State’s duty to protect the life and health of the prisoner entrusted to its care and the prisoner’s right to exercise his freedom of expression. The prisoner hunger strike is a form of protest frequently encountered in prison and it is a form of communication but also a language used by the prisoner in order to provoke changes in the prison condition. There are no rules in the prison regulations, nor in the laws governing the legal status of prisoners, that allow the conscious will of the capable and informed subject to be opposed and forced nutrition to be carried out. However, this can in no manner make therapeutic abandonment legitimate: the medical doctor should promote every action to support the patient. In the recent opinion formulated by the CNB it was remarked how self-determination is a central concept in human rights and refers to an individual’s ability to make autonomous and free decisions about his or her life and body.

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This research received no specific grant from any funding agency in the public, commercial, or not-for-profit sectors.

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FDM and RS conceived the key points of the manuscript. FDM draft the manuscript. VT verified the method and encouraged to investigate specific elements. RDV and MC verified the structure of the manuscript and updated the bibliography. RS supervised the innovative aspects of this work. All authors contributed to the final manuscript.

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Correspondence to Roberto Scendoni.

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The authors declare that they have no competing interests.

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De Micco, F., Tambone, V., De Vito, R. et al. The hunger strike in prison: bioethical and medico-legal insights arising from a recent opinion of the Italian national bioethics committee. Med Health Care and Philos (2024). https://doi.org/10.1007/s11019-024-10215-w

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  • DOI: https://doi.org/10.1007/s11019-024-10215-w

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