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The Right of Anthroposophic Medicine / Chapter Eight: Legal Framework: European and German Law and Their Interaction
The Right of Anthroposophic Medicine / Chapter Eight: Legal Framework: European and German Law and Their Interaction
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Chapter
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1–24
Titelei/Inhaltsverzeichnis
1–24
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25–28
Chapter One: Introduction
25–28
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I. Preliminary
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II. Course of this Study
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1. Self-perception of anthroposophic medicine
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2. The legal framework
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3. The hybrid position of this study
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29–34
Chapter Two: The Self-Perception of Anthroposophic Medicine
29–34
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I. Fundamentals
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II. Specific Understanding of Illness
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1. Specific Mode of Observation
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2. Anthroposophy’s Medical Standards
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3. Structure of the Elements of the Human Being
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a) The Four Elements of the Human Being
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b) The physical Body
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c) The etheric Body
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d) Astral Body
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e) I-Organization
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4. Summary
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35–62
Chapter Three: Methodology
35–62
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I. Methodological Dispute
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1. Proof of Effectiveness
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a) Evidence-based medicine
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b) Experience-based medicine
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c) No legal checks on the general methodological debate
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d) G-BA [German Federal Joint Committee] guidelines
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aa) Normative power
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bb) The G-BA’s procedural rules
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(1) Function of the VerfO-G-BA
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(2) Evidence-based Medicine
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(3) Evaluation Rules
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cc) Consequences
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e) Exceptions
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aa) Starting-point
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bb) The approach of the Supreme Social Insurance Tribunal (BSG)
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cc) The substantive prerequisites for presuming a flaw in the system
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dd) Formal prerequisites
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(1) Unlawful failure by the G-BA to act
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(2) Unappealable court decisions
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ee) Structure of a flaw in the system
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(1) Acceptance requirement
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(2) The response requirement
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(3) Relation between acceptance and response
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(4) Restriction to outpatient care
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2. Has the question of method been solved?
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a) Two levels
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b) Medical level
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c) Legal level
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aa) The G-BA rules of procedure [VerfO-G-BA]
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bb) System deficiencies
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cc) BVerfG 115, 25
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(1) General
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(2) Special prerequisites
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II. Conclusions
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1. Orthodox medicine
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a) General rules
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aa) Explicit refusal of recognition
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bb) Non-decision or faulty decision
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b) The special rules
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2. Anthroposophic Medicine
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a) General rules
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b) Special provisions
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63–70
Chapter Four: Anthroposophic medicine as a specific therapeutic approach and its relation to orthodox medicine
63–70
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I. Anthroposophic medicine as a specific therapeutic approach
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1. Treatment methods in the narrower sense
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2. Medical Services
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3. The Concept of the Specific Therapeutic Approach
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a) Concept
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b) Elements of the Concept
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aa) Comprehensive concept
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bb) Departure from orthodox medicine
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cc) Qualitative weighting
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c) Differentiations
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II. Anthroposophic medicine and orthodox medicine
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1. Orthodox medicine
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2. Anthroposophic Medicine as Complementary Medicine
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a) Steiner/Wegman
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b) Significance
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aa) Self-perception of anthroposophic medicine
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bb) Legal significance
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c) Conclusions
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71–82
Chapter Five: Legal Framework: Human Rights
71–82
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I. Preliminary
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II. Human Rights
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1. Concepts
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2. Legal Sources for Human Rights
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a) The Universal Declaration of Human Rights
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b) The Later Declarations and Conventions
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c) The European Convention on Human Rights (ECHR)
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aa) Genesis
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bb) Function
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cc) Content
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dd) Legal protection
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d) Ranking
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83–96
Chapter Six: Legal Framework: European Community Law
83–96
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I. European Fundamental-Rights Protection
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1. General
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2. ECHR
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a) Human dignity
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b) Right to life
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c) Basic irrelevance of the ECHR in healthcare
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3. The ECJ and the EU Fundamental Rights Charter
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a) Human dignity
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b) Right to life
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c) The right to integrity
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d) Health protection
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e) Consequences
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II. Other European Law
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1. Primary Community Law
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a) Free movement of goods
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b) Freedom of establishment and freedom to provide services (Arts. 49, 56, 57 TFEU)
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c) Antitrust law
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d) Results
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2. Secondary Community Law
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a) Object
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b) Principles
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c) The law of regulations and directives
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3. Conclusions
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97–106
Chapter Seven: Legal Framework: German Law
97–106
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I. Preliminary
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II. Constitutional Law
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1. General framework conditions
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2. Specific framework conditions
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a) Insured persons
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aa) The right to inviolability of the person (Art. 2(2), first sentence, Basic Law)
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bb) Free development of the personality and the social-state principle (Art. 2(1), taken together with Article 20(3), of the Basic Law)
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cc) Protection of patient autonomy
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b) Providers of services
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aa) Occupational freedom (Art. 12(1) GG)
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(1) General
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(2) Therapeutic freedom
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(3) Protective function
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bb) Scientific Freedom (Art. 5(3) of the Basic Law)
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c) Health insurance
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107–114
Ordinary Law (on this see preliminary remark to Section 137 above)
107–114
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1. The patient or insured person’s entitlements to benefit and to reimbursement of costs
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a) Bipolar Insurance System
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b) Entitlements to Benefit and to Reimbursement of Costs
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2. Providers of Services in the Specific Therapeutic Approaches
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a) Services in the specific therapeutic approaches
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aa) SGB V
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bb) AMG
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cc) Other
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b) Recognized Specific Therapeutic Approaches
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115–128
Chapter Eight: Legal Framework: European and German Law and Their Interaction
115–128
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I. Effect of European Law on German Law
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1. Starting point: Multilevel system
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2. The European Convention and Court of Human Rights
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a) Legal principles of the European Convention of Human Rights
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b) Case law of the European Court of Human Rights
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c) The German legislature
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d) No binding of the European Court of Human Rights
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2. European Law and the ECJ
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a) Primacy in application and interpretation in conformity with European law
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b) Relationship between the ECJ and the Federal Constitutional Court
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II. Effect of German Law on European Law
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1. Interactions
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a) TEU
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b) The German Basic Law
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aa) The theory of interaction
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bb) Constitutional determination of the substance through living circumstances and the ordinary law: example: Art. 6(1) of the Basic Law (Marriage and Family)
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c) Osmotic ranking
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2. European fundamental-rights protection and German constitutional law
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a) Requirements in European law
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b) Implementation mechanisms for the German catalogue of fundamental rights
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3. Potential influence of the German fundamental-rights catalogue
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a) Objective
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b) The service-provider level
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aa) Freedom of establishment and freedom to provide services
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bb) Therapeutic freedom
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c) The Patient
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aa) National health systems
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bb) Patient autonomy
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129–134
Chapter Nine: Legal Applicability in Anthoposophic Medicine: Medical Service Providers
129–134
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I. Preliminary
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II. Recognized Physician
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1. Terminology
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2. International Certification Regulation
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3. Specializations/Additional Designations
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a) Internal recognition (Section 40)
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b) The MBO
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III. Medical Services
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IV. Guidelines
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a) Concept of guideline
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b) Significance
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135–154
Chapter Ten: Legal Applicability in Anthroposophic Medicine: Medical Therapies
135–154
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I. Preliminary
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1. The concept of a medical therapy
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2. Important areas of application
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II. Therapeutic eurythmy
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1. Definition and demarcation
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2. Service providers
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a) Medical prescription
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b) Therapeutic eurythmist
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aa) Standards
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bb) Curriculum
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2. Extent and content of training
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cc) National training and testing provisions
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c) Legal forms of professional certification
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aa) Eurythmy as a pedagogical measure
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bb) Hygienic Eurythmy
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cc) Therapeutic eurythmy as a therapeutic measure
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3. Provision of Service
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a) Approach
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b) Statutory healthcare
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aa) Outpatient sector
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(1) List of medical therapies
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(4) Therapeutic eurythmy as standard
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bb) Inpatient treatment
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c) Private health insurance
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III. Anthroposophic Art Therapy
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1. Fields of Operation
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a) Description
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b) Mode of operation
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aa) Anthroposophic Art Therapy (BVAKT)® ‑ painting sector
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bb) Anthroposophic Art Therapy (BVAKT)®, music sector
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cc) Anthroposophic Art Therapy (BVAKT)® ‑ sculpture sector
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dd) Anthroposophc Art Therapy (BVAKT)® ‑ speech-therapy sector
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2. Service Providers
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a) Occupational designation
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b) Guideline
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IV. Rhythmic Massage
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V. Reimbursement of Costs for Therapies of Anthroposophic Medicine
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1. Consequences of the Securvita Decision
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2. Integration agreements
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155–172
Chapter Eleven: Legal Applicability in Anthroposophic Medicine: Provision of Medicinal Products
155–172
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I. Object of Discussion
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II. Simplified Registration of Anthroposophic Medicinal Products at European/national level
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1. Initial Position
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a) European law
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b) German Law
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aa) Homeopathic medicinal products
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bb) Traditional herbal medicinal products
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2. The Significance of the Community Code
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a) Rules of interpretation
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b) The Community Code as a regulation on definitive harmonization?
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3. Legal and Factual Position of Anthroposophic Medicinal Products in the EU and in Germany
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a) EU
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aa) Legal and factual position
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bb) Political activities
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(1) Commission report
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(2) European Pharmacopoeia
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(3) Initiatives at EU level
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cc) Outside of Europe
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b) Germany
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4. Reimbursement by nationally regulated insurance systems
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5. Considerations of Legal Policy
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a) Argument from tradition
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b) Approaches in Community Law
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c) National Law
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III. Inadmissible Restrictions on Anthroposophic Medicinal Products by the Community Code
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1. Legal Provisions
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2. The Rule on Parenteral Medicinal Products in Art. 14(1) of the Community Code
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a) Simplified Registration
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b) Conclusions
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c) Legal Questions
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aa) Proportionality principle
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bb) Non-proportionate regulations
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cc) Legal consequences
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173–206
Chapter Twelve: Declaration of Rights of Anthroposophic Medicine
173–206
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I. Introduction
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II. Declaration of Rights of Anthroposophic Medicine
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Preamble
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Commentary
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Comments on the Authentic Interpretation
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Commentary
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Article 1
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Comments on the Authentic Interpretation
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Commentary
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Article 2
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Comments on the Authentic Interpretation
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Commentary
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Article 3
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Comments on the authentic interpretation
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Commentary
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Article 4
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Comments on the authentic interpretation
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Commentary
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Article 5
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Comments on the Authentic Interpretation
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Commentary
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Article 6
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Comments on the Authentic Interpretation
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Commentary
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Article 7
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Comments on the Authentic Interpretation
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Commentary
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Article 8
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Comments on the Authentic Interpretation
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Commentary
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Article 9
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Comments on the Authentic Interpretation
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Commentary
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Article 10
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Comments on the Authentic Interpretation
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Commentary
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Article 11
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Comments on the Authentic Interpretation
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Commentary
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Article 12
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Comments on the Authentic Interpretation
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The Right of Anthroposophic Medicine , page 115 - 128
Chapter Eight: Legal Framework: European and German Law and Their Interaction
Autoren
Rüdiger Zuck
DOI
doi.org/10.5771/9783845243788-115
ISBN print: 978-3-8329-7902-7
ISBN online: 978-3-8452-4378-8
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