In a society that values individual liberty and freedom, law can only be justified in restricting the liberty of individuals under four principles. 1) Harm Principle 2) Paternalism 3) Legal Moralism 4) Offense Principle
The effects of the Medical and Health Care Services Act appear to be a double edged sword when understood in the perspective of Mill’s harm principle. On the one hand, it does not limit autonomy in the manner that it does not make interpreters more ‘financially accessible’ for deaf individuals. On the contrary, the decision to not compensate individuals who use interpreters may discourage individuals who want or need to use it, but is limited in their ability to use it due to financial barriers. However, the method in which the decision was made to not compensate interpreters in the Medical Services Plan illustrates how Miller’s harm principle comes into play.
Mill’s harm principle states that limitation on individual liberty is justified when the limitation is to prevent harm to individuals. Harm is defined as broadly as any act that will harm others. Underlying this principle is that law is there to protect members of the society, and that limits on liberty is justified in order to protect all members of society.
However, the decision of who decides what type of legal rule to enact for the purpose of ‘protection against harm’ is controlled by a specific group. Also known as “the tyranny of the majority,” Mill’s principle illustrates the limitation is created by the majority who defines what type of harm requires limitation on individual liberty.
In Eldridge, the controlling figure is the Commissioner, who decides what type of medical services will be compensated in the Medical Services Plan. The Commissioner in essence, decides what types of services are “necessary” for individual, while other services can be limited (not compensated). The limitation on the other services are justified since the funds are allocated to prevent the harm to individuals who require the “necessary” services but cannot receive it due to financial constraints. In other words, the Plan validates that the harm of not having “necessary” services require protection through legislation, while the harm done to deaf individuals are not sufficient to warrant legislation providing financial assistance.
The tyranny of the majority illustrates the problematic nature of the principle; the assessment of which type of harm deserves protecting against, and the type of harm that do not, are measured by what the majority considers important – the majority require the “necessary” services, while only a minority require interpreters.
In the Mill’s framework, the Plan is justified, since legislation has chosen to protect individuals against the harm of not having the necessary services. Neglecting the possible harm to the deaf individuals was a choice made by the majority, and is justified since inevitably, not all harm can be protected against, but legislation has chosen which type of harm they must guard against. Viewed as such, the deaf individuals are at a disadvantage and perhaps a s.15 violation, but, as noted in the court, an under-inclusive plan does not necessarily equate to discrimination. Such illustrates how the conscious choice to persuade toward one object that neglects another object can have a negative effect on minority groups.
Mill’s harm principle is premised upon a prohibition on positive actions, while the Plaintiffs are arguing that the legislation’s lack of action is a violation. Viewed as such, the legislation does not violate Mill’s harm principle since there is no prohibition of a positive action that limits the liberty of the Plaintiffs.
On the contrary, in the lens of paternalism, the Plan will not be justified. Paternalism is centered on the notion that limitation on the liberty of the individual is justified to prevent harm to the individual whose liberty is being restricted. Medical Services Plan limits the liberty of deaf individuals by not mitigating the financial barriers they face in obtaining an interpreter when requiring medical treatment. However, such limitation is not justified. The limitation itself creates harm to the deaf individuals, through the failure to mitigate the communication difficulties that deaf individuals face when they seek medical treatment. This result is contrary to paternalism, since the Plan indirectly limits the medical services being compensated to deaf individuals, while failing to protect the harm deaf individuals suffer from the medical system as a result of their disability.