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2022 Supreme(Guj) 1178

IN THE HIGH COURT OF GUJARAT AT AHMEDABAD
BIREN VAISHNAV, J.
Vidya Ramesh Chand Shah – Appellant
Versus
State Of Gujarat – Respondent
R/Special Civil Application No. 18056 of 2022 With R/Special Civil Application No. 14029 of 2022 With R/Special Civil Application No. 8602 of 2022
Decided on : 21-11-2022

Advocates:
Advocate Appeared:
MR GM JOSHI, assisted by MR IG JOSHI, MR VYOM SHAH, MR KUNAN B. NAIK, MR G H VIRK, MS MANISHA LAVKUMAR, assisted by Ms. S.S.PATHAK, ADVOCATE, MR ROHAN N. SHAH, MR VAIBHAV VYAS, MR RAJESH K KANANI

Headnote:(A) Constitution of India - Articles 14 and 21 - Transplantation of Human Organs Act, 1994 - Guidelines requiring domicile certificate for organ transplant registration deemed unconstitutional and ultra-vires - The court asserts that right to health is integral to the right to life, emphasizing the obligation of the state to ensure access to healthcare without discrimination. (Paras 45, 46, 47)

(B) Right to Health - The 'Right to Life' under Article 21 includes the right to health, mandating state responsibility to provide adequate medical facilities. (Paras 21, 37)

(C) Articles 2 and 25 of the Universal Declaration of Human Rights recognized as having binding authority in domestic jurisprudence, underscoring health as a fundamental right. (Paras 20-21)

Facts of the case:
Petitioners, suffering from critical health conditions, challenged the necessity of a domicile certificate imposed by state guidelines to qualify for organ transplants. A Canadian citizen was denied organ transplant registration due to her nationality, while the other petitioners faced restrictions based on residency status in Gujarat.

Findings of Court:
Guidelines imposing domicile requirements for registration as organ recipients upholds discriminatory practices and violate Articles 14 and 21 of the Constitution. The Court determined the state mandates for health services impair fundamental rights and the guidelines must align with constitutional guarantees.

Issues: Whether domicile requirements for organ transplant registration infringe upon the right to life and impede access to health services.

Ratio Decidendi: The court ruled that the domicile certificate requirement is unjustifiable, as it undermines the objective of ensuring equitable access to organ transplantation as mandated by the Transplantation of Human Organs Act, 1994.

Result: The guidelines requiring domicile for organ registration were annulled, and the state was directed to register petitioners for organ transplantation without such requirements.

Table of Content
1. facts of the petitioners' health conditions and domicile issues. (Para 2 , 3 , 4 , 5)
2. further background on petitioners' health and residency. (Para 7 , 9)
3. arguments regarding the illegality of domicile requirements. (Para 10 , 12)
4. court's preliminary findings on domicile impacts. (Para 14 , 15 , 16)
5. legal basis of organ transplantation rights. (Para 17 , 18 , 20 , 21)
6. constitutional perspectives on health rights. (Para 27 , 28 , 29 , 30 , 31)
7. right to health related jurisprudence. (Para 36 , 37 , 38 , 39)
8. final legal reasoning concluding the orders. (Para 42 , 43 , 44 , 45)
9. conclusion and directive to the state regarding guidelines. (Para 46 , 47)

JUDGMENT :

“The enjoyment of the highest attainable standard of health is one of the fundamental rights of every human being without distinction of race, religion, political belief, economic or social condition”.

It has been 75 years now that these words were adopted in the Constitution of the World Health Organization and this court, through these petitions, is called upon to decide the issue of applicability of ‘Right to Health’ in terms of the petitioners.

Special Civil Application No.14029 of 2022

1. The prayer in the petition is as under:

“6(a). This Hon’ble Court be pleased to issue a writ of mandamus or in the nature of mandamus or any other writ that it may deem fit, quashing and setting aside the communication dated 01.06.2022 and 04.06.2022 and direct the respondent authority no.5 to issue the domicile certificate upon the petitioner and enter her name in the domicile quota for transplantation of kidney as organ recipient and consider her case from the date of her application.

2. Facts in brief indicate that the petitioner is a Canadian citizen and an overseas citizen of India. Her place of birth is Mumbai and she has completed her higher education in Mumbai. The petitioner got married to one Prashant Ajmera and shifted her base from Mumbai to Ahmedabad on 27.04.1993. She resided with her husband in Ahmedabad till 1995. Thereafter, she moved to Montreal, Canada, where she resided with her husband and three children till the year 2009.

3. The petitioner moved back to Ahmedabad in the year 2009 with her husband. At the time of moving back from Canada, relevant fee as prescribed by the Indian Custom Authority under the head ‘transfer of residence’ was paid. The petitioner received her Overseas Citizen of India card (hereinafter referred to as ‘OCI’ for short) on 23.10.2009. Accordingly she also received her driving license and Aadhar card.

4. The petitioner was diagnosed with less than benchmark functioning of the kidney and is therefore required to undergo dialysis twice a week. She has been recommended a kidney transplant. To undergo such transplant, the petitioner has to be registered as a recipient under the Transplantation of Human Organs and Tissues Act, 1994 and the Regulations thereunder (hereinafter referred to as ‘the Act and the Rules’ for short).

5. The State Government also notified guidelines to monitor as well as regulate the process of donation and transportation of human organs vide notification dated 14.03.2019. The petitioner when approached a registered hospital under the Act for registration i.e. Shallby Hospital, Ahmedabad, her request was turned down orally on the ground that she would require a domicile certificate. A request made for such certificate has been rejected by the impugned communication by the police authorities on the ground that the petitioner is a Canadian national, not an Indian citizen and therefore not entitled to a domicile certificate.

Special Civil Application No.18056 of 2022

6. The prayer in the petition reads as under:

“6(a). This Hon’ble Court be pleased to issue a writ of mandamus or in the nature of mandamus or any other writ that it may deem fit, holding and declaring paragraph 13.1 and 13.10(C) of Gujarat Deceased Donor Organ and Tissue Transplantation Guideline (G-DOT GUIDELINES) as arbitrary, illega

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