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105 judgments found.


Asociación Civil para la Defensa en Ámbito Federal e Internacional de Derechos v. Instituto Nacional de Servicios Sociales para Jubilados y Pensionados

Country: Argentina
Year: 2015
Court: Supreme Court of Justice [Corte Suprema de Justicia de la Nación Argentina]
Citation: CSJ 000721/2007(43-A)/CS1
Health Topics: Aging, Child and adolescent health, Disabilities, Health care and health services, Health systems and financing
Human Rights: Right to development, Right to health, Right to life, Right to social security
Facts:

The plaintiff, a Civil Association for the Defense of Rights in the Federal and International Level [Asociación Civil para la Defensa en el Ámbito Federal e Internacional de Derechos – Asociación DE.FE.IN.DER.], filed a guarantee of protection of individual constitutional rights (amparo protection) against the National Institution for Social Security Services for Retiree [Instituto Nacional …Read more

Tags: Access to treatment, Aging, Children, Disabled, Health insurance, Health regulation, Mental illness, Minor, Poor, Right to Health, Right to Life, Right to social security, Social security
Download Judgment: Spanish

Defensoría Pública Oficial v. Provincia de Córdoba et al.

Country: Argentina
Year: 2015
Court: Supreme Court of Justice [Corte Suprema de Justicia de la Nación Argentina]
Citation: FCB 017844/2014/CS1
Health Topics: Health care and health services, Health systems and financing
Human Rights: Right to health, Right to life
Facts:

The plaintiff filed a guarantee of protection of individual constitutional rights (amparo protection) against the Province of Córdoba and the State with Federal court and another guarantee of protection of individual constitutional rights (amparo protection) against the Province of Córdoba with Local Court so that respondents provide comprehensive coverage to the affiliates of the Federal Program …Read more

Tags: Access to health care, Access to medicines, Access to treatment, Health regulation, Social security
Download Judgment: Spanish

P., A. v. Comisión Nacional Asesora para la Integración de las Personas Discapacitadas

Country: Argentina
Year: 2015
Court: Supreme Court of Justice [Corte Suprema de Justicia de la Nación Argentina]
Citation: P. 289. L RHE
Health Topics: Disabilities, Health care and health services, Health systems and financing, Hospitals, Mental health
Human Rights: Right to health, Right to life, Right to social security
Facts:

The plaintiff filed a guarantee of protection of individual constitutional rights (amparo protection) against the National Commission for the Integration of Disabled People [Comisión Nacional Asesora para la Integración de las Personas Discapacitadas] for them to provide the comprehensive coverage of the medical services the plaintiff needed due to her disability. The National Commission argued that …Read more

Tags: Access to health care, Access to medicines, Access to treatment, Disabilities, Health funding, Health regulation, Mental illness, Poor, Social security
Download Judgment: Spanish

D., M. A. s/ declaración de incapacidad

Country: Argentina
Year: 2015
Court: Supreme Court of Justice [Corte Suprema de Justicia de la Nación Argentina]
Citation: D 376 XLIX. REX
Health Topics: Chronic and noncommunicable diseases, Disabilities, Health care and health services, Health systems and financing, Hospitals, Informed consent
Human Rights: Right to bodily integrity, Right to health, Right to life, Right to privacy
Facts:

The plaintiffs, the legal guardians of their brother, filed a complaint so that the Court order the withdrawal of enteral tube feeding and hydration of their brother that artificially keep him with life. The patient in October 23 of 1994 suffered a car accident that left him in a permanent vegetative state. His representatives based …Read more

Tags: Health regulation, Informed choice, Patient choice, Persistent Vegetative State, Public hospitals, Right to Privacy
Download Judgment: Spanish

L.E.H. et al. v. O.S.E.P.

Country: Argentina
Year: 2015
Court: Supreme Court of Justice [Corte Suprema de Justicia de la Nación Argentina]
Citation: CSJ 003732/2014/RH001
Health Topics: Health care and health services, Health systems and financing, Sexual and reproductive health
Human Rights: Right to family life, Right to health, Right to life
Facts:

The plaintiffs filed a guarantee of protection of individual constitutional rights (amparo protection) with the First Instance Court of the Province of Mendoza to condemn the Health Insurance of Public Personnel [Obra Social de Empleados Públicos – O.S.E.P] to provide comprehensive coverage of the assisted reproductive treatment by intracytoplasmic sperm injection (ICSI) with pre-implantation genetic diagnostic …Read more

Tags: Access to health care, Access to treatment, Assisted reproductive technology, Health regulation, Right to Health, righto to life
Download Judgment: Spanish

Comunidad Indígena Toba La Primavera – Navogoh v. Provincia de Formosa

Country: Argentina
Year: 2015
Court: Supreme Court of Justice [Corte Suprema de Justicia de la Nación Argentina]
Citation: C. 528. XLVII.
Human Rights: Right to a clean environment, Right to privacy
Facts:

The plaintiff, the leader of the Toba indigenous community – Félix Díaz –  filed a suit with the Supreme Court of Justice (by original jurisdiction) against the province of Formosa for breaching a precautionary measure and to order the cessation of the construction of an Hospital. The precautionary measure prohibited the Province of Formosa to build …Read more

Tags: Indigenous groups, Right to Privacy, Right to self-determination
Download Judgment: Spanish

Porta, Pedro Juán v. Provincia de Buenos Aires

Country: Argentina
Year: 2015
Court: Supreme Court of Justice [Corte Suprema de Justicia de la Nación Argentina]
Citation: P. 891 XXXIX
Health Topics: Medicines, Public safety
Human Rights: Right to property
Facts:

The plaintiff brought the case to the Supreme Court of Justice by original jurisdiction to initiate a declarative action (an preventive action to request the cessation of a state of uncertainty that cause a harm and there is no legal alternative way to end that situation) against the Province of Buenos Aires to declare the …Read more

Tags: Health regulation, Medicines, Public safety
Download Judgment: Spanish

G., M. D. C. v. ACA Salud Cooperativa de Prestación de Servicios Médicos

Country: Argentina
Year: 2015
Court: Supreme Court of Justice [Corte Suprema de Justicia de la Nación Argentina]
Citation: CSJ 2597/2015/CS1
Health Topics: Health care and health services, Health systems and financing
Human Rights: Right to health, Right to life
Facts:

The plaintiff filed a suit against ACA Salud Cooperativa de Prestaciones de Servicios Médico Asistenciales Limitada to provide a therapeutic companion and comprehensive coverage for the treatment that she carried out in the Anorexia and Bulimia Prevention Association [Asociación de Lucha contra la Bulimia y la Anorexia – ALUBA]. The Provincial First Instance Court of Necochea …Read more

Tags: Access to health care, Access to treatment, Eating disorder, Health insurance, Health regulation
Download Judgment: Spanish

Nobleza Piccardo S.A.I.C v. Municipalidad de Río Cuarto

Country: Argentina
Year: 2015
Court: Supreme Court of Justice [Corte Suprema de Justicia de la Nación Argentina]
Citation: N. XLIX. 75
Health Topics: Tobacco
Human Rights: Right to property
Facts:

The plaintiff was compelled by resolution 27 211 of the Directorate General of Resources of the Municipality of Río Cuarto [Dirección General de Recursos] to pay a tax that affected its commercial, industrial and service activity. Nobleza Piccardo S.A.I.C appealed this resolution to the Administrative Court of the Municipality Río Cuarto [Tribunal Administrativo de la Municipalidad de Río Cuarto] which …Read more

Tags: Tobacco control, Tobacco regulation
Download Judgment: Spanish

Logística La Serenísima S.A. et al. v. Provincia de Mendoza

Country: Argentina
Year: 2015
Court: Supreme Court of Justice [Corte Suprema de Justicia de la Nación Argentina]
Citation: L 238 XLVI
Health Topics: Public safety, Water, sanitation and hygiene
Human Rights: Right to property, Right to work
Facts:

The plaintiffs, Logística La Serenísima S.A, Danone Argentina S.A., Mastellone Hermanos S.A. and Mastellone San Luis brought the case to the Supreme Court of Justice by original jurisdiction to initiate a declarative action (an preventive action to request the cessation of a state of uncertainty that cause a harm and there is no legal alternative way …Read more

Tags: Health regulation, Public safety, Right to Property, sanitation and hygiene
Download Judgment: Spanish

Mollanco, Marta Ofelia et al. v. Unión Personal

Country: Argentina
Year: 2014
Court: Supreme Court of Justice [Corte Suprema de Justicia de la Nación Argentina]
Citation: M. 1196. XLVII
Health Topics: Aging, Health care and health services, Health systems and financing, Hospitals, Medicines
Human Rights: Right to health, Right to life, Right to social security
Facts:

The plaintiff filed a guarantee of protection of individual constitutional rights (amparo protection) against the Health Insurance “Unión Personal” to reestablish her as an retired affiliate of the health insurance based on article 10.h of Law 23.660. She had been a beneficiary during 20 years for being the spouse of the main affiliate. When her …Read more

Tags: Access to health care, Access to medicines, Access to treatment, Aging, Elderly, Health insurance, Health regulation, Right to social security, Social security
Download Judgment: Spanish

P. L., J. M. v. I.O.M.A

Country: Argentina
Year: 2014
Court: Supreme Court of Justice [Corte Suprema de Justicia de la Nación Argentina]
Citation: P. 876. XLVII. REX
Health Topics: Child and adolescent health, Health care and health services, Health systems and financing, Mental health
Human Rights: Right to development, Right to education, Right to health, Right to life, Right to participation, Right to work
Facts:

The plaintiff filed an appeal to the Supreme Court of Justice of the Province of Buenos Aires [Suprema Corte de la Provincia de Buenos Aires] against the health insurance of the Province of Buenos Aires [I.O.M.A] to obtain comprehensive coverage treatment in a special school [CEPP] for their disabled son that had Down’s syndrome, where he …Read more

Tags: Access to health care, Access to treatment, Health regulation, Mental disability, Mental illness
Download Judgment: Spanish

C., M. E. et al. v. Estado Nacional – INCUCAI

Country: Argentina
Year: 2014
Court: Supreme Court of Justice [Corte Suprema de Justicia de la Nación Argentina]
Citation: C. 526. XLVII.
Health Topics: Public safety
Human Rights: Right to health, Right to liberty and security of person, Right to life, Right to privacy, Right to property
Facts:

The plaintiff filed a guarantee of protection of individual constitutional rights (amparo protection) against the National State [INCUCAI] that challenged the INCUCAI resolution that prohibits the autologous use of the hematopoietic stem cell originated in placental blood and umbilical cord obtained from the birth of their children. The co-plaintiff, Matercell S.A., a private cell bank where the mother …Read more

Tags: Access to treatment, Health regulation, Maternal health, Patient choice
Download Judgment: Spanish

K., C. N. v. OSECAC

Country: Argentina
Year: 2014
Court: Supreme Court of Justice [Corte Suprema de Justicia de la Nación Argentina]
Citation: K. 12. XLIX.
Health Topics: Health care and health services, Health systems and financing, Sexual and reproductive health
Human Rights: Right to health, Right to life
Facts:

The plaintiff filed a guarantee of protection of individual constitutional rights protection (amparo protection) against the Health Insurance of Commerce and Civil Activities Employees (Obra Social de los Empleados de Comercio y Actividades Civiles – OSECAC) to condemn coverage of all expenditures that could arise from reproductive assisted therapy in the egg donation process. The First …Read more

Tags: Access to health care, Access to treatment, Assisted reproductive technology, Health funding, Health insurance, Health regulation
Download Judgment: Spanish

B., A. S. et al. v. DIBA

Country: Argentina
Year: 2014
Court: Supreme Court of Justice [Corte Suprema de Justicia de la Nación Argentina]
Citation: B. 280. XLIX.
Health Topics: Health care and health services, Health systems and financing, Sexual and reproductive health
Human Rights: Right to family life, Right to health, Right to life
Facts:

The plaintiff filed a guarantee of protection of individual constitutional rights (amparo protection) against the Social Security and Health Office of the Navy [DIBA – Dirección de Salud y Acción Social de la Armada] to condemn coverage for all expenditures that could arise from a reproductive assisted treatment in the PROAR Medical Institute, limiting the …Read more

Tags: Access to health care, Access to treatment, Assisted reproductive technology, sexual and reproductive rights
Download Judgment: Spanish

V., C. G. v. I. A. P. O. S.

Country: Argentina
Year: 2014
Court: Supreme Court of Justice [Corte Suprema de Justicia de la Nación Argentina]
Citation: V. 118. XLIX.
Health Topics: Health care and health services, Health systems and financing, Sexual and reproductive health
Human Rights: Right to family life, Right to health, Right to life, Right to social security
Facts:

The plaintiff filed a guarantee of protection of individual constitutional rights (amparo protection) against the IAPOS (Instituto Autárquico Provincial de Obras Sociales) to provide coverage for all expenditures that could arise from a reproductive assisted treatment and to cover the amounts paid for such treatment. The First Instance Civil and Commercial Court granted the amparo protection. …Read more

Tags: Access to health care, Access to medicines, Access to treatment, Assisted reproductive technology, Health regulation, Health spending, Pregnancy
Download Judgment: Spanish

O. S. Pers. de la Construcción v. Estado Nacional – Ministerio de Salud

Country: Argentina
Year: 2014
Court: Supreme Court of Justice [Corte Suprema de Justicia de la Nación Argentina]
Citation: CSJ 44/2010(46-0) /CS1
Health Topics: Health care and health services, Health systems and financing, Hospitals, Occupational health, Public safety
Human Rights: Right to health, Right to life, Right to social security
Facts:

The plaintiff, the Health Insurance of the Construction Workers [Obra Social del Personal de la Construcción – OSPECON], filed suit against the National State, Ministry of Health and Social Action and Superintendent of Health Services to liquidate and transfer the corresponding funds from the Fondo Solidario de Distribución [Solidary Distribution Fund] created in law 23.661 to …Read more

Tags: Access to health care, Budget, Health funding, Health regulation, Health spending, Social security, Unemployment
Download Judgment: Spanish

Amarain Limbozzi, Ignacio et al. v. INCUCAI

Country: Argentina
Year: 2014
Court: Supreme Court of Justice [Corte Suprema de Justicia de la Nación Argentina]
Citation: A. 1261. XLVII.
Health Topics: Child and adolescent health, Health systems and financing
Human Rights: Right to health, Right to life
Facts:

The plaintiffs filed a guarantee of protection of individual constitutional rights (amparo protection) against the INCUCAI [Instituto Nacional Central Único Coordinador de Ablación e Implante] that challenged the INCUCAI resolution that prohibits the autologous use of the hematopoietic stem cell originated in placental blood and umbilical cord obtained in the birth of their children. The Federal …Read more

Tags: Health regulation, Health systems and financing, Right to Effective Remedy, Right to Health, Right to Life, Stem Cells
Download Judgment: Spanish

R., S. E. v. Provincia Servicios de Salud S.A.

Country: Argentina
Year: 2014
Court: Supreme Court of Justice [Corte Suprema de Justicia de la Nación Argentina]
Citation: R. 9. XLIX
Health Topics: Aging, Disabilities, Health care and health services, Health systems and financing, Hospitals, Medicines
Human Rights: Right to health, Right to life
Facts:

The plaintiff, a woman that suffered a hemorrhagic stroke that left her in a coma since 1999, filed a suit against the Provincia Servicios de Salud S.A for breach of contract. The plaintiff signed a contract with the respondent called “Plan Verde” [Green Plan]that stated that in case of hospitalization and surgery hospitalization, the insurance …Read more

Tags: Access to health care, Access to treatment, Disabilities, Disabled, Health care professionals, Health funding, Mental disability, Social security
Download Judgment: Spanish

Mr. X v. Argentina

Country: Argentina
Year: 2014
Court: Committee on the Rights of Persons with Disabilities
Citation: Communication No. 8/2012
Health Topics: Chronic and noncommunicable diseases, Disabilities, Health care and health services, Prisons
Human Rights: Right to liberty and security of person
Facts:

This case involves a claimant that repeatedly requested house arrest due to disability, but was denied house arrest and held in a prison he claims lacks the infrastructure necessary to maintain his right to health and dignity. Claimant was being held in pretrial detention at a prison complex. With authorization of the court, he underwent …Read more

Tags: Access to health care, Access to treatment, Disabled, Emergency care, Examination, Imprisonment, Inhuman treatment, Neurological diseases, Physically challenged, Prison conditions
Download Judgment: English

Confederación Indígena del Neuquén v. Provincia del Neuquén

Country: Argentina
Year: 2013
Court: Supreme Court of Justice [Corte Suprema de Justicia de la Nación Argentina]
Citation: C. 1324. XLVII.
Human Rights: Freedom of association, Right to participation, Rights to the benefits of culture
Facts:

The plaintiff brought the case to the Superior Court of Province of Neuquén to declare the unconstitutionality of the executive provincial decree 1184/2002 that regulates the National Law of Indigenous Policy 23 302 [Ley Nacional de Política indígena 23.302] because it violated Articles of the National Constitution, International Laws, Federal Legislation  and Provincial Constitution (Articles 7, …Read more

Tags: Indigenous groups, Right to self-determination
Download Judgment: Spanish

Fernández, Damiana v. PROFE Salud et al.

Country: Argentina
Year: 2013
Court: Supreme Court of Justice [Corte Suprema de Justicia de la Nación Argentina]
Citation: C. 677. XLVIII.
Health Topics: Disabilities, Health care and health services, Health systems and financing
Human Rights: Right to health, Right to life
Facts:

The plaintiff filed a guarantee of protection of individual constitutional rights (amparo protection) to the First Instance Labor Court of La Plata [Tribunal del Trabajo n 3 del Departamento Judicial de La Plata] against the responsible of the Federal Program of Health [PROFE Salud] to provide health coverage. The First Instance Labor Court of La Plata …Read more

Tags: Access to health care, Access to treatment, Health funding, Health insurance, Health regulation, Public hospitals
Download Judgment: Spanish

Gómez, Carmen Diana v. Programa Federal de Salud

Country: Argentina
Year: 2013
Court: Supreme Court of Justice [Corte Suprema de Justicia de la Nación Argentina]
Citation: C. 713. XLVIII.
Health Topics: Child and adolescent health, Disabilities, Health care and health services, Health systems and financing
Human Rights: Right to health, Right to life
Facts:

The plaintiff filed a guarantee of protection of individual constitutional rights (amparo protection) with Federal First Instance Court of La Plata [Juzgado Federal Instancia n° 2 de La Plata] against the responsible of the Federal Program of Health [PROFE Salud] to provide health coverage for her underage son who suffered from sensorineural deafness. The Federal …Read more

Tags: Access to health care, Access to treatment, Health funding, Health insurance, Health regulation
Download Judgment: Spanish

M., M. R. v. PROFE Ministerio de Salud

Country: Argentina
Year: 2013
Court: Supreme Court of Justice [Corte Suprema de Justicia de la Nación Argentina]
Citation: C. 576. XLIX.
Health Topics: Chronic and noncommunicable diseases, Disabilities, Health care and health services, Health systems and financing, Hospitals, Medicines
Human Rights: Right to health, Right to life
Facts:

The plaintiff brought the case with First Instance Civil and Commercial Court of San Martín [Juzgado de Primera Instancia en lo Civil y Comercial N°7 de San Martín] against the provincial executive organ of the Federal Program of Health [PROFE Salud] to provide coverage and prescribed medicines she needed for her strict treatment for her systemic …Read more

Tags: Access to health care, Access to medicines, Access to treatment, Chronic and noncommunicable diseases, Health expenditures, Health funding, Health insurance, Health regulation, Lupus
Download Judgment: Spanish

T., J. C. v. Ministerio de Salud

Country: Argentina
Year: 2013
Court: Supreme Court of Justice [Corte Suprema de Justicia de la Nación Argentina]
Citation: C. 881. XLVIII.
Health Topics: Chronic and noncommunicable diseases, Health care and health services, Health systems and financing, Medicines
Human Rights: Right to health, Right to life
Facts:

The plaintiff filed a precautionary measure with First Instance Family Court of La Matanza [Juzgado de Familia N° 7 de La Matanza] against the Ministry of Health of the province of Buenos Aires for it to provide health care and radiation treatment for her disease. The provincial court held that it lacked competence to solve …Read more

Tags: Access to health care, Access to medicines, Access to treatment, Cancer, Chronic and noncommunicable diseases, Health insurance, Health regulation, Radiation
Download Judgment: Spanish

González, Raúl Osvaldo v. Programa Incluir Salud (PROFE) – Ministerio de Salud de la Provincia de Buenos Aires

Country: Argentina
Year: 2013
Court: Supreme Court of Justice [Corte Suprema de Justicia de la Nación Argentina]
Citation: C. 53 .XLIX.
Health Topics: Chronic and noncommunicable diseases, Health care and health services, Health systems and financing, Hospitals
Human Rights: Right to health, Right to life
Facts:

The plaintiff filed a guarantee of protection of individual constitutional rights (amparo protection) against the Ministry of Health of Buenos Aires for it to provide a cardioverter defibrillator and cardiac resynchronisation that was prescribed for his disease (dilated cardiomyopathy), and at the same time filed for a precautionary measure so the cardioverter defibrillator and cardiac …Read more

Tags: Access to health care, Access to treatment, Chronic and noncommunicable diseases, Dilated Cardiomyopathy, Health insurance, Health regulation, Heart disease, Social security
Download Judgment: Spanish

F., A. L. s/ Medida Autosatisfactiva

Country: Argentina
Year: 2012
Court: Supreme Court of Justice [Corte Suprema de Justicia de la Nación Argentina]
Citation: Expte. Nº 21.912-F-2010
Health Topics: Child and adolescent health, Hospitals, Sexual and reproductive health, Violence
Human Rights: Right to bodily integrity, Right to family life, Right to health
Facts:

A fifteen-year old teenager became pregnant as a result of being sexually abused by her stepfather. In the eight week of pregnancy, through her legal representative, she asked the judiciary to order doctors of a public hospital to perform her abortion. She based her claim on article 86. 2 of the National Criminal Code (the “Criminal …Read more

Tags: Abortion, Access to health care, Assault, Children, Domestic abuse, Domestic violence, Health care professionals, Health care workers, Judicial bypass, Public hospital, Rape, Sexual abuse, Sexual assault, Sexual violence, Termination of pregnancy, Therapeutic abortion
Download Judgment: Spanish

González, Fabiana Lucia v. PROFE Salud

Country: Argentina
Year: 2012
Court: Supreme Court of Justice [Corte Suprema de Justicia de la Nación Argentina]
Citation: C. 25. XLVIII
Health Topics: Chronic and noncommunicable diseases, Health systems and financing, Hospitals
Human Rights: Right to health, Right to life
Facts:

The plaintiff filed a guarantee of protection of individual constitutional rights (amparo protection) to the First Instance Family Court [Juzgado de Familia N°1 de Olavarría] against the Federal Program of Health [PROFE Salud]  to provide the medication prescribed by her physician to treat her chronic kidney failure. The local court held it was not competent …Read more

Tags: Access to health care, Access to treatment, Chronic and noncommunicable diseases, Health care workers
Download Judgment: Spanish

Gatica, María Emilia v. Instituto Nacional de Servicios Sociales para Jubilados y Pensionados [PAMI]

Country: Argentina
Year: 2012
Court: Supreme Court of Justice [Corte Suprema de Justicia de la Nación Argentina]
Citation: G. 588. XLVI.
Health Topics: Aging, Disabilities, Health care and health services, Health systems and financing, Hospitals, Medicines, Poverty
Human Rights: Right to health, Right to life
Facts:

The plaintiff filed a guarantee of protection of individual constitutional rights (amparo protection) against the National Institute of Social Services for Retiree [Instituto Nacional de Servicios Sociales para Jubilados y Pensionados – PAMI] in the First Instance Court which admitted the suit and ordered the respondent to pay monthly for the coverage of an domiciliary …Read more

Tags: Aged persons, Aging, Disabled, Health care, Health systems and financing, Poor, public health
Download Judgment: Spanish

Pro Familia Asociación Civil v. Gobierno Ciudad Autónoma de Buenos Aires et al.

Country: Argentina
Year: 2012
Court: Supreme Court of Justice [Corte Suprema de Justicia de la Nación Argentina]
Citation: C. 783. XLVIII.
Health Topics: Hospitals, Sexual and reproductive health
Human Rights: Right to bodily integrity, Right to family life, Right to liberty and security of person, Right to privacy
Facts:

The plaintiff filed a suit to the First Instance Contentious Administrative and Tributary Court of the City Buenos Aires [Juzgado N° 14 Contencioso Administrativo y Tributario de la Ciudad Autónoma de Buenos Aires] against the City of Buenos Aires [Ciudad Autónoma de Buenos Aires] to obliged them to declare the nullity of the Resolution N° 1174 MSGC-07 …Read more

Tags: Abortion, access to abortion, Legal Abortion, Patient choice, Right to Privacy, sexual and reproductive rights
Download Judgment: Spanish