Patients' rights

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A patient's bill of rights is a list of guarantees for those receiving medical care. It may take the form of a law or a non-binding declaration. Typically a patient's bill of rights guarantees patients information, fair treatment, and autonomy over medical decisions, among other rights.

United Kingdom[edit]

In the UK, the Patient's Charter was introduced and revised in the 1990s. It was replaced by the NHS Constitution for England.

United States[edit]

In the United States there have been a number of attempts to enshrine a patient's bill of rights in law, including a bill rejected by Congress in 2001.

Bill of 2001[edit]

A rally for the patients' bill of rights proposed in 2001, with Bill Clinton, Joe Hoeffel, Ron Klink, Ed Rendell, and Chaka Fattah.

The United States Congress considered a bill designed to safeguard patients' rights in 2001. The "Bipartisan Patient Protection Act" (S.1052), sponsored by Senators Edward Kennedy and John McCain, contained new rules for what health maintenance organizations had to cover and granted new rights for patients to sue in state or federal courts, if they are denied needed care.[1]

The House of Representatives and Senate passed differing versions of the proposed law. Although both bills would have provided patients key rights, such as prompt access to emergency care and medical specialists, only the Senate-passed measure would provide patients with adequate means to enforce their rights. The Senate's proposal would have conferred a broad array of rights on patients. It would have ensured that patients with health care plans had the right to:

  • have their medical decisions made by a doctor;
  • see a medical specialist;
  • go to the closest emergency room;

The bill was passed by the US Senate by a vote of 59–36 in 2001,[2] it was then amended by the House of Representatives and returned to the Senate. However, it ultimately failed.

Industry resistance[edit]

Wendell Potter, former senior executive[3] at Cigna turned whistleblower, has written that the insurance industry has worked to kill "any reform that might interfere with insurers' ability to increase profits" by engaging in extensive and well-funded, anti-reform campaigns. The industry, however, "goes to great lengths to keep its involvement in these campaigns hidden from public view," including the use of "front groups." Indeed, in a successful 1998 effort to kill the Patient Bill of Rights then,

"the insurers formed a front group

called the Health Benefits Coalition to kill efforts to pass a Patients Bill of Rights. While it was billed as a broad-based business coalition that was led by the National Federation of Independent Business and included the U.S. Chamber of Commerce, the Health Benefits Coalition in reality got the lion’s share of its funding and guidance from the big insurance companies and their trade associations. Like most front groups, the Health Benefits Coalition was set up and run out of one of Washington’s biggest P.R. firms. The P.R. firm

provided all the staff work for the Coalition. The tactics worked. Industry allies in Congress made sure the Patients’ Bill of Rights would not become law."[4]

AAPS proposal[edit]

Some have cited differences between positive rights and personal freedoms. Asserting that medical care "must be rendered under conditions that are acceptable to both patient and physician," the Association of American Physicians and Surgeons (AAPS) adopted a list of patient freedoms in 1990, which was modified and adopted as a 'Patients' Bill of Rights' in 1995[5]:

The text of the AAPS Patients' Bill of Rights reads:

"All patients should be guaranteed the following freedoms:

  • To seek consultation with the physician(s) of their choice;
  • To contract with their physician(s) on mutually agreeable terms;
  • To be treated confidentially, with access to their records limited to those involved in their care or designated by the patient;
  • To use their own resources to purchase the care of their choice;
  • To refuse medical treatment even if it is recommended by their physician(s);
  • To be informed about their medical condition, the risks and benefits of treatment and appropriate alternatives;
  • To refuse third-party interference in their medical care, and to be confident that their actions in seeking or declining medical care will not result in third-party-imposed penalties for patients or physicians;
  • To receive full disclosure of their insurance plan in plain language, including:
  1. CONTRACTS: A copy of the contract between the physician and health care plan, and between the patient or employer and the plan;
  2. INCENTIVES: Whether participating physicians are offered financial incentives to reduce treatment or ration care;
  3. COST: The full cost of the plan, including copayments, coinsurance, and deductibles;
  4. COVERAGE: Benefits covered and excluded, including availability and location of 24-hour emergency care;
  5. QUALIFICATIONS: A roster and qualifications of participating physicians;
  6. APPROVAL PROCEDURES: Authorization procedures for services, whether doctors need approval of a committee or any other individual, and who decides what is medically necessary;
  7. REFERRALS: Procedures for consulting a specialist, and who must authorize the referral;
  8. APPEALS: Grievance procedures for claim or treatment denials;
  9. GAG RULE: Whether physicians are subject to a gag rule, preventing criticism of the plan."

See also[edit]


  1. ^ Dubno, Dan (June 18, 2001). "Bipartisan Patients' Bill Of Rights Act". CBS. Missing or empty |url= (help); |access-date= requires |url= (help)
  2. ^ "Senate Vote #220 in 2001. S. 1052 (107th): Bipartisan Patient Protection Act". GovTrack. Retrieved 3 September 2016.
  3. ^ "How Insurance Companies Hurt Policyholders - ABC News". 2009-06-24. Retrieved 2012-08-01.
  4. ^ Potter, Wendell (2009-09-15). "How corporate P.R. works to kill healthcare reform". Retrieved 2012-08-01.
  5. ^ "Patients' Bill of Rights". Retrieved 2018-12-03.

External links[edit]