I. Health-protective measures to combat the pandemic: a conceptual framework
COVID-19 is not the first global sanitary crisis. Other viruses are currently causing severe losses, such as tuberculosis, SARS and HIV. However, the institutional implications of the COVID-19 crisis have been more significant.Footnote 1 The crisis management of COVID-19 should not be seen as a single and unitary phenomenon. There have been various stages of the crisis dependent upon the evolution of scientific knowledge and governmental capabilities to operate in times of pandemic.
How does the current crisis differ from other current and past health and sanitary crises? What challenges does it pose and how are institutions responding? What is the role of courts in this crisis? More particularly, how do courts deal with uncertainty as a major determinant in both regulatory and administrative decision-making? This article offers some tentative answers from the perspectives of national courts exercising judicial review over governmental restrictive measures.
Within variations across legal traditions, protecting health is a constitutional duty of governments. Failure to protect health is a violation of a constitutional right. Governments have positive obligations to regulate and intervene to combat the pandemic. Positive obligations include both reactive and preventive measures. Symmetrically to these duties, there are rights to preventive measures, rights to access medical treatments, rights to access vaccination and rights to compensation for limitations due to by restrictive measures. Failure to act and inappropriate risk management by governments both can lead to health under-protection.
Prevention of the spread of a pandemic often includes the possibility that other fundamental rights will be limited or even temporarily suspended to protect health. The determinants of governmental measures and the different strategies adopted have been scrutinised by courts. Footnote 2 In this article, we examine governmental action and inaction and, within action, the adoption of both restrictive and laxer measures. Although intergovernmental and supranational institutions, such as the European Union (EU), play a role in the fight against the pandemic and the crisis stemming from it, this article does not examine the possible impact of such institutions’ actions (or inaction) upon fundamental rights.Footnote 3
How do governments decide to act or abstain from acting and how should they select the best and most effective measures to counter the pandemic? These decisions have to be made in conditions of uncertainty. Uncertainty relates to a lack of knowledge about the evolution of COVID-19 and about its effects. Uncertainty creates fear, and fear produces distrust. Uncertainty has characterised both administrative and judicial decision-making. The precautionary principle has usually informed decision-making under uncertainty. Executives,who have to decide under conditions of uncertainty, take contingency-based decisions that can be modified depending on the effects they produce or do not produce.Footnote 4 The role of the courts is to ensure that emergency measures last for as long they are necessary and effective.Footnote 5 This aspect not only implies that decisions are usually temporary and that a sequence of decisions with temporal limitations has to be scrutinised by courts; it also means that variables related to closures or openings of schools, firms or churches may be conditional on the level of contagion spread and on the effects of the governmental measure.Footnote 6 The short timeframe and contingent nature of administrative decisions require an innovative approach to judicial review. Judicial review has to be continuous, taking into account the evolution of administrative action and the interdependence of measures over time.
Governments are not the only actors involved in prevention and healthcare. Private – individual and collective – actors bear responsibility for the legal implications as well. The precautionary principle applies to both governments and private actors.
1. The methodological framework
This article is based on a dataset composed of 950 summaries of judicial decisions collected in 47 countries across every continent.Footnote 7 This dataset will be partly integrated into a database set up with the World Health Organization (WHO). The dataset is not meant to be comprehensive. Out of 950 judgments, 575 have been selected for publication in the database. Within that sample, 104 have been examined in this article.
The dataset will continue to increase over time with the selection of judgments related to COVID-19-related governmental measures.
The objective of this analysis is to evaluate the roles played by courts in monitoring and reviewing governmental measures with special reference to fundamental rights in the context of scientific uncertainty. It is not a comprehensive comparative analysis of the COVID-19 judgments issued by courts across the globe.
The selection of the judgments examined in this article has been made on the basis of the diversity of legal orders and on the content of the decisions. Priority has been given to the judgments that quashed the governmental decisions because they were in violation of constitutionally protected rights. The aim of the selection of the judgments considered in the article was to show the significance of courts in assessing the measures and the alignment or misalignment with national governments. The metric of significance is both quantitative and qualitative. A low number of judgments is more revealing of lower relevance than of compliance with the rule of law and fundamental rights. Qualitative significance is harder to measure, but clearly judgments quashing or modifying the measures suggest an active monitoring role of the courts and greater significance.
The analysis suggests that the role of courts has been significant in some areas, especially in democratic regimes where independent courts can oversee governmental measures. Courts have been less significant in countries where the independence of courts is not fully protected from the interference of political power. The analysis also suggests that, where governmental responsiveness to the sanitary crisis has been particularly critical, courts have tried to steer administrative action through judicial review and, depending on the applicable procedural rules, to mandate the adoption of specific actions and measures.
We have identified some themes that have been central in the judicial analysis. We have looked for the distinction between emergency and ordinary times and suggest, in the light of the case law, that the emergency has modified, often implicitly, how principles have been applied by courts. However, we have not found a radical difference between countries that have declared states of emergency and states that have operated with ordinary instruments without a formal declaration of a state of emergency.
The themes selected encompass the balance between conflicting constitutionally protected rights, the scientific evidence-based decisions of governments and the principle of proportionality. These are often interconnected, and courts have linked the balance of rights and responsibilities with the principle of proportionality and, to a more limited extent, to that of solidarity and fairness.
II. Restrictive measures to combat the pandemic: the principles
Prevention of a contagion’s spread entails several types of governmental and community action. Governmental actions may prescribe restrictions and may provide incentives to adopt precautionary measures and conduct. They have to comply with rule of law principles.Footnote 8
Ex ante prevention occurs before a pandemic breaks out. In itinere prevention occurs when a pandemic is in place and the contagion must be limited and circumscribed. Prevention of contagion depends on both individual and collective behaviour. Individual choices to comply or not to comply bear consequences not only on those who make those choices, but also on the community. Hence, the selection of protective measures has to factor the high level of interdependence of compliance and lack of compliance with the measures. If the rate of non-compliance is high or even significant, it may undermine the positive consequences stemming from compliance. The efforts of those who comply may become valueless if the rate of non-compliance is high.
Restrictive measures may have two objectives: protecting individual health and preventing contagion, resulting in protecting collective health and freedom. The prevention of contagion protects the collective interest to reduce the spread of pandemic. Public health protection can be the justification for limiting freedoms and fundamental rights.
The precautionary principle is one of the normative foundations of the COVID-19 protective measures. Footnote 9 It requires competent authorities to adopt measures even though science has not fully clarified the extent and nature of the underlying risks, whose possible impact on human health is apparent. It does not suggest that restrictive measures should not be based on scientific evidence. On the contrary, it implies that a comprehensive assessment of the risk to health should be conducted based on the most reliable scientific data available and the most recent results of international research.Footnote 10 Yet, when the latter are inconclusive or insufficient and it proves to be impossible to determine with certainty the existence or extent of the alleged risk but the likelihood of real harm to public health persists should the risk materialise, the precautionary principle may justify the adoption of restrictive measures.Footnote 11
When determining the duration, the scope and the intensity of the measure, the precautionary principle is usually applied in combination with the principle of proportionality. Footnote 12 The precautionary principle has also been applied to evaluate governmental inaction.Footnote 13
The precautionary principle influences governmental measures restricting both individual and collective freedoms and vaccination but in different ways.Footnote 14 The features of the precautionary principle in times of pandemic differ from those in ordinary times, being different in terms of the type and level of uncertainty and the magnitude and pace of the risks at stake. This refers to hypothetical risks whose probability and magnitude are ex ante unknown.
Both the content of positive obligations and the structure of balancing change in favour of health protection, and the limitation of other rights may be permitted to the extent necessary to promote collective health protection.Footnote 15
The precautionary principle affects the balance between conflicting rights and the choice of the appropriate measure to reduce the risks and mitigate their consequences should they materialise. Footnote 16 It contributes to the definition of both risk assessment and risk management. The former concerns the “if” of the governmental measure, while the latter focuses on the “how”. Uncertainty can refer to both, but the judicial scrutiny may vary when examining the “if” question and the consequences of action and inaction.
It is important to underline that the precautionary principle is applied in a framework of scientific uncertainty and limited knowledge.Footnote 17 Both the scientists involved in policymaking and governments have taken measures in the context of uncertainty about both the characteristics of the virus and the expected effectiveness of the protective measures. Governments have operated under a trial-and-error framework and, in some instances, have gone back on choices made earlier on. Footnote 18 Judicial review has applied the precautionary principle in light of the evolution of scientific knowledge.
A second important principle, influencing both the adoption and the characteristics of the protective measures, is solidarity. As a value linked with fairness, this has contributed to guiding the global response to the pandemic, sometimes mirroring national or supranational constitutional traditions.Footnote 19 Solidarity is highly relevant when individual conduct is interdependent, as is the case in pandemics. Individual behaviour may affect others by spreading or reducing the risk of contagion. Footnote 20 With COVID-19 cases, the level of risk concerning the probability of becoming infected and the capacity to infect others may vary. This variation makes the impact of the restrictive measures more or less effective in relation to individuals, but its overall effectiveness is measured by the number of people complying with the measure. Solidarity may require that those who bear lower risks have to contribute more compared to those who bear higher risks. Their cost–benefit ratio may be lower, but the principle of solidarity imposes compliance even when the benefits might not outweigh the costs.
Solidarity is a constitutional principle that confers rights and imposes duties both on institutions and on private parties. Footnote 21 In the case of institutions, vertical solidarity is at stake; in the case of private parties, horizontal solidarity is relevant. Horizontal solidarity may be induced in different ways, including nudging or mandatory precautions, as recently endorsed by the European Court of Human Rights. Footnote 22 The scope of the duties imposed by protective measures based on solidarity and the limitations of freedoms affects the population with different levels of intensity. Even if the principle of solidarity is not explicitly recognised, courts have used equality and non-discrimination to evaluate the allocation of costs resulting from restrictive measures.
Duties and responsibilities related to restrictive measures have an impact on trust. Horizontal solidarity increases interpersonal trust, whereas vertical solidarity increases institutional trust. Footnote 23
Hence, the government’s obligation of adopting measures and citizens’ duty of complying with measures imposed by governments might be based on the principle of solidarity or that of fairness. Citizens’ freedoms are limited in order to ensure the protection of collective health and, in particular, the health of vulnerable individuals.
In the context of COVID-19, solidarity and fairness contribute to regulating the distributional consequences concerning the risks and costs of the pandemic and the restrictive measures to combat the spread of the virus. When the sources of the risks of contagion are different for those who are likely to suffer the most if the contagion spreads, the distribution of costs and benefits may have a varying impact on different social groups. In the case of COVID-19, solidarity may impose costs on the younger generations to benefit more senior people. However, the distribution of costs may also have varying impacts on different economic categories. Among entrepreneurs there are those who have suffered and those who have benefitted from the crisis. Among the former, significant differences have emerged based on the choices made by national governments to bear the costs of the restrictive measures.
Hence, protecting collective health is based on the combination between the precautionary principle and the solidarity principle. They concern both the “if” and the “how” of restrictive measures. Failure to comply with preventive measures represents, at the same time, a violation of the precautionary principle and of the solidarity principle. Governments’ failure to adopt preventive measures may result in a violation of the precautionary and solidarity principles.
The choice of governmental instrument is informed by the proportionality principle in light of the principles of precaution and solidarity. Hard law is usually mandatory and binding. Soft law is usually voluntary. As we shall see, the voluntary nature of the choice by the addressees of the measure does not imply a lack of consequences.
Governments have privileged hard rules to restrict freedoms and protect health. Mandatory hard rules combined with administrative and, to a limited extent, criminal sanctions have been subject to judicial scrutiny through the lenses of proportionality and/or deterrence.Footnote 24 Notable exceptions concern countries that have chosen a soft law approach and deployed recommendations not backed by sanctions. Footnote 25 The role of courts has been more limited in countries deploying soft law.
The choice between hard and soft instruments has been political rather than legal, but clearly legal principles have influenced the instruments and the type of sanctions to be used in the case of violation.
The precautionary principle is compatible with the use of hard and soft law, and it has to be applied in conformity with the principle of proportionality.
1. Vaccination: from soft and voluntary to hard and mandatory?
The alternatives of mandatory and voluntary vaccination present specific issues. Vaccination differs from the other protective measures because it is a medical treatment and impinges on self-determination. The freedom of people to choose vaccination is usually protected to a greater extent, given the degree of interference with individual choices, than choices related to other measures concerning freedoms to move and to meet, and even freedom of expression. The right to self-determination is protected to a greater extent than for other restrictive measures. However, vaccination is aimed not only at protecting the individual from the virus, but also at reducing contagion.Footnote 26 The balance between the right to self-determination and the protection of the collective interest against the spread of contagion has been challenged before national courts. For example, the Brazilian Federal Supreme Court (Supremo Tribunal Federal) recognised that indirect measures may be implemented to promote vaccination (eg restrictions to the exercising of certain activities or to the frequency of visiting certain places), to the extent that such measures: (1) are based on scientific evidence and pertinent strategic analyses; (2) are accompanied by extensive information on the effectiveness, safety and contraindications of immunisers; (3) respect human dignity and the fundamental rights of people; (4) meet the criteria of reasonableness and proportionality; and (5) are to be distributed universally and free of charge. Footnote 27
The approach to vaccination against COVID-19 has been soft in the first period. Very rarely has vaccination been obligatory – in some cases, only for specific categories such as physicians, nurses and other operators in the domain of health. More recently, the space for mandatory vaccination has increased due to the development of variants.Footnote 28
Mandatory vaccination is applied for other diseases in order to avoid free-riding behaviour Footnote 29 ; in these cases, too, courts have been asked to assess whether choices made by governments, within their margin of appreciation, are not manifestly inappropriate for the objective pursued.Footnote 30 Where vaccination is voluntary, the impact of freedom of choice on the most vulnerable persons is of high concern. In this regard, courts have been asked to authorise nursing homes to vaccinate elderly persons who, lacking capacity, did not consent to vaccination or whose legal representatives opposed it. Footnote 31 In the light of the interests of vulnerable groups, the governmental choice to introduce mandatory vaccination may result from acknowledging the limits of an approach exclusively based on persuasion.Footnote 32
Often individual choices may have multiple effects. Individual vaccination is a measure that at the same time protects individuals and the community from the spread of contagion. However, the effects might differ. The level of individual protection might be higher than the effect of contagion reduction. Similarly, the effects of restrictions may impact on certain groups (eg young people) more than on others. This is particularly relevant when restrictions distinguish between the vaccinated and non-vaccinated, in fact impacting more greatly on the latter, through limited access to certain activities. Such limitations shift onto individuals part of the social costs generated by their own self-determination. As has already been shown in some Israeli judgments, the role of courts will be pivotal in striking a balance between self-determination, public health and personal and economic freedoms: a challenging exercise, especially when these freedoms impact on essential needs or fundamental rights.Footnote 33 That vaccines reduce contagion is clear. What remains unsettled is the extent and duration of immunity. The control of immunity and the definition of a vaccination scheme that can ensure continuous immunity are of a paramount importance. The consequences of the choice to vaccinate can impact on the exercise of fundamental freedoms and the principle of individual responsibility connected to self-determination.
III. Balancing fundamental rights in times of crises
Balancing different and potentially conflicting rights reflects a European perspective. Different balancing techniques are used in non-European jurisdictions, equally aimed at the assessment of reasonableness, proportionality and equality underlying the exercise of public powers in relation with conflicting interests.Footnote 34 In some legal systems, such as in China, balancing rights is not the methodology adopted. The duty of the population is the focus. Footnote 35
Hence, we have identified two different approaches: the right-based approach used in Europe and North and South America and the duty-based approach deployed, for example, in China.Footnote 36
The restrictive measure can be legislative or administrative. Constitutional rules often require that, when constitutional rights are at stake, legislation is required, but legal systems vary and allow administrative authorities to limit rights within constitutional boundaries.
The content of a restrictive measure is the outcome of balancing different rights or duties. The constitutional nature of the rights limited by the restrictive measure bears consequences on the balancing techniques. Footnote 37 Within the balancing of constitutional rights, differences between economic and non-economic fundamental rights are considered by the courts. Balancing health and education or freedom of expression differs from balancing health and property or economic activity.
Does the pandemic affect the features of balancing constitutionally protected rights? Yes, it does. The level of precaution required by a state of emergency shifts the balance towards health protection: restrictions of rights and freedoms that would not be justified in ordinary times can be justified by the pandemic. Footnote 38
The pandemic has posed challenging questions related to balancing of conflicting rights in times of emergency.
Protection of health concerns the prevention of the contagion and the management of the pandemic. How far can governments go in limiting or suspending other fundamental rights when adopting COVID-19-related measures?
A first relevant variable is whether the measure is adopted under a state of emergency law (eg among others, France) or whether the balancing occurs within the framework of ordinary laws (such as in Indonesia). In the former case, a state of emergency may be either based on constitutional norms (such as in Spain, Footnote 39 Portugal Footnote 40 and France, Footnote 41 to name a few) or, lacking a constitutional regime, on ordinary legislation on civil protection (such as in Italy Footnote 42 ). Depending on the legal basis of the state of emergency declaration or on the lack of such a declaration, a different form of judicial oversight is carried out. Footnote 43 Even when they do not have a constitutional basis, state of emergency laws may enable different forms of balancing of constitutional rights from those taking place according to ordinary laws.Footnote 44 The legal basis of restrictive measures has to be found in the state of emergency legislation, if approved. Footnote 45
An explicit state of emergency declaration may have two sets of consequences: an institutional and a substantive one.
From an institutional standpoint, the declarations of states of emergency have empowered governments with rule-making power, shifting the constitutional balance between legislative and executive powers. Footnote 46 Often a similar centralising effect has taken place in federal states where coordination among states, regions or provinces conferred additional power to the central government. Footnote 47 These shifts had a serious impact on the sources of the law system and the separation of power.
Did the explicit declarations of a state of emergency through legislation also have an impact on the substance of constitutional rights? In particular, did they allow for the striking of a different balance from that which governments could have struck without an explicit declaration? The case law suggests that the adoption of restrictive measures and the limitation of constitutional rights to protect health is considered lawful when the governmental rule-making power is grounded in a state of emergency. Footnote 48
When balancing is deployed, how is the structure of balancing defined, and does it differ from the balancing techniques usually deployed in ordinary times?
Health protection in times of pandemic is generally given priority, but the priority over economic interests is usually stronger than the priority over the protection of non-economic interests with constitutional relevance, such as education, freedom of movement and freedom of expression. The latter may even gain further relevance if one observes that certain freedoms (eg of movement) are instrumental to the enjoyment of other fundamental rights (eg to private and family life). Footnote 49
Closure of shops and restaurants is dealt with differently from closure of churches and schools. Certainly, the same protection for businesses must be granted to schools and churches.Footnote 50 As we shall see, an important dimension is related to indemnification.Footnote 51 When the limitation of the economic interest can be compensated via governmental indemnification, the balancing between health protection and economic activities might take such indemnification into account and prioritise rights that may not be indemnified over rights whose limitations may be indemnified. Footnote 52
A special case is the protection of jobs and labour regulations in relation to health protection.
The restrictive measure is usually complemented by exceptions that protect individual or collective rights. The exceptions identify those right-holders who are not bound by the restrictions (exemptions). For example, health reasons such as the necessity to undertake therapies are exceptions to the restriction of movement introduced by restrictive measures. The necessity to help relatives with disabilities may also be a ground for exception to restrictions to freedom of movement. Disability has been considered a ground for keeping schools open, given the difficulties for parents of disabled children to provide education at home.Footnote 53 Restrictions have been challenged on equality and non-discrimination grounds before courts.
Balancing may encompass general limitations with derogations and exclusions for categories of individuals or activities whose fundamental rights cannot be limited.
A second distinction concerns not the “if” but the content (“how”) of governmental measures. Once scientific evidence exists to justify the adoption of a precautionary measure restricting fundamental rights in order to protect health, how should the balancing between rights be struck? In other words, what is the relationship between the level of scientific knowledge and the balancing of fundamental rights?
It is useful to distinguish between substantive and procedural balancing. Whether rights are or should be balanced differently depending on the level of scientific knowledge and the degree of uncertainty is a difficult question. In theory, the answer is that the level of scientific knowledge should not affect balancing and uncertainty should impact on the balanced rights. This, in practice, is not the case. If the effect of a restrictive measure is not ex ante certain but it imposes certain costs on a part of the population, such as on economic activities, should that measure be taken? Governments have taken restrictive measures whose outcomes in terms of contagion reduction were uncertain, and courts have upheld them while making reference to the precautionary principle. Courts have been more demanding and less willing to uphold measures when more scientific knowledge has become available. They did not evaluate the merits but decided to quash or not to quash the measures on the basis of insufficient scientific grounds. Footnote 54 Hence, courts have asked for more accurate scientific bases of governmental restrictive measures as scientific knowledge related to the impacts of those measures became available. Thus, the degree of scientific knowledge has affected how balancing was structured and the decisions taken by the executives.
IV. Evidence-based measures and claims in a world of uncertainty
Governmental measures limiting fundamental rights must be grounded in solid scientific evidence. This is true both for restrictive and for laxer measures. Scientific knowledge develops incrementally. Footnote 55 Hence, the quality of evidence varies over time. In the case of COVID-19, the development of medical knowledge has been more rapid than for other similar pandemics and has been characterised by an unprecedented degree of sharing and coordination between national actors at the global level, as also acknowledged by courts. Footnote 56
Evidence as grounds of governmental measures concerns not only scientific knowledge about the pandemic, but also its consequences for society and the economy.
Courts have required action or inaction to be evidence-based. Footnote 57 Usually, while risk assessment is carried out by scientific committees, risk management is carried out by governmental bodies. Differences might arise between scientists and policymakers. The final responsibility rests on the political body, but divergent routes must be explained. The need for scientific grounds does not necessarily impose strict scrutiny where reasonably sound evidence exists.Footnote 58
A measure is usually judicially scrutinised in relation to both its actual and potential future effectiveness. The combination of past and future effects of governmental measures differs. The concrete effects might occur after the measure has expired (eg the rate of contagion may decrease two or three weeks after the restrictive measure has been adopted).Footnote 59 The evaluation is made at the time of the judgment and might also include the impact of the measure. The judgment issued after the expiry may take into account not only the prospective but also the retrospective effects when evaluating the proportionality of the challenged measure. The short duration of the measure enables courts to engage in hindsight evaluation and to scrutinise the effects of the measure ex post, after it has expired.Footnote 60 The hindsight perspective might be particularly relevant when deciding compensatory claims rather than injunctive relief, where foresight plays a more important role.Footnote 61
Evidence of the risk to health plays a role when making the claim justiciable. Two alternatives can illustrate the content of the burden of proof: under one test a risk exists if it can be proven; under the alternative test a risk exists if it cannot be excluded. Usually, the first is deployed; only claims based on actual infringements and certain harms may be brought. Potential and uncertain harm cannot be the basis for valid claims. However, in a world of scientific uncertainty, such as that regarding COVID-19, even claims based on potential harms may be considered, especially if the harm, once it materialises, is irreparable.
The allocation of the burden of proof is usually on the claimant, but uncertainty may shift the burden. The burden of proof to provide evidence of scientific foundations in COVID-19 cases is upon the administration.Footnote 62 The claimant has to prove the existence of fundamental rights’ violations and the inadequacy or insufficiency of scientific evidence; the administration has to prove that the adopted measure was based on adequate and sufficient scientific evidence and that no violation of fundamental rights occurred.Footnote 63 There has been a path in the case law related to the scientific evidence to be provided as a valid ground for governmental choices. Initially, mere reference to scientific advice was sufficient to ground the legitimacy of the restrictive measure.Footnote 64 Subsequently, many courts have broadened the burden and required proof of more solid evidence.Footnote 65 Hence, the evolution of scientific uncertainty has determined the reallocation of the burden of proof and of its content.
The extent and intensity of the scope of judicial review reflect the evolution of scientific knowledge and the degree of uncertainty in decision-making. Footnote 66 Whether the state of scientific knowledge is limited or more consolidated, whether it is homogeneous or conflicting, it affects the grounds for governmental measures and, consequently, the scope of judicial review.Footnote 67
The issue of scientific evidence is not limited to the relationship between scientific expertise and governments; it also extends to the relationship between regulators and doctors. Whether physicians are allowed to prescribe drugs on an experimental basis and what kinds of liability they may incur are open issues. Litigation has occurred over the decisions made by drug regulators in relation to their therapies. Footnote 68 In this domain, litigation is also likely to occur in relation to vaccines and their effects.
V. Scientific evidence, balancing rights and governmental (in)action
A distinction related to the role of scientific evidence should be made between governmental action and inaction. What kind of scientific evidence must exist to oblige the adoption of a restrictive measure by governments? Does uncertainty justify governmental inaction more than action? Is the level of scientific knowledge that motivates governmental action higher than that which justifies inaction? In theory, the answer is no.Footnote 69 There should be no difference between the level of scientific knowledge and the alternative between action and inaction. In practice, courts have rarely reviewed inaction on the basis of scientific uncertainty, probably being moved by the inertia bias driven by scientific uncertainty.Footnote 70 From another perspective, however, it is worth mentioning that in several cases courts have also refrained from a strict evidence-based scrutiny on the full effectiveness of adopted measures when action was at stake and annulment or suspension was sought.Footnote 71 Although not expressly recalled, the principle of precaution might play a role in this latter regard.
A potential rough measure of the distinction between action and inaction is the ratio between the number of cases brought against governmental action and those brought against governmental inaction. The number of cases related to governmental measures (action) is much higher than that for failure to adopt them (inaction). Footnote 72 Legal hurdles concerning the enforceability of a right to enact a governmental measure versus the right to quash an existing one can obviously affect the relationship between the level of scientific knowledge and the action/inaction alternative. Footnote 73 Whereas in some jurisdictions the possibility of seeking administrative action through judicial injunction is either non-existent or limited to well-defined areas of law, other jurisdictions allow these claims and permit the judge to order the administration to act. Footnote 74 Therein courts have played an important role, especially where governments have been more reluctant to take action, such as in South America, Footnote 75 IndiaFootnote 76 and some African countries. Footnote 77 Similar patterns may be observed in other world regions, such as Oceania and Europe Footnote 78 . In some cases, the level of (dis)trust towards government has discouraged courts from ordering measures whose enactment could lead to a high risk of abuse or corruption. Footnote 79 Even more critical have been claims aimed at ordering governments to take a different action from that adopted. Footnote 80
In conclusion, taking a restrictive measure with a high level of uncertainty may be scrutinised differently from not taking an action with the same level of uncertainty. As a result, high levels of scientific uncertainty may more likely lead to governmental inaction than to action.
VI. The principle of proportionality in conditions of uncertainty
The balancing between rights is often carried out on the basis of the principle of proportionality or some functional equivalents. Footnote 81 Both the principle of precaution and the principle of solidarity have to be applied in light of proportionality. Footnote 82 The principle of proportionality has been a cornerstone of judicial review across legal systems embedded in very different legal traditions. Footnote 83
Proportionality concerns the choice between action and inaction, and, once action is chosen, proportionality applies to the measure’s choice. Proportionality permits the evaluation of the restrictive measure on the basis of its necessity, adequacy and suitability for the purpose. Although a more specific comparative legal analysis would be necessary to highlight the different approaches taken by courts within different legal families, comparable criteria are applied by courts when the principle of proportionality is not mentioned. Footnote 84
The test of proportionality usually requires three steps: the necessity, the adequacy and the strict proportionality of the restrictive measure. These three dimensions have been adapted to the specificity of the pandemic and to the uncertainty characterising the decision-making relating to the pandemic.
Necessity is usually featured as the lack of alternative less intrusive measures. In the case of the pandemic, there exists a correlation between the state of emergency and the necessity to adopt preventive measures. Footnote 85 The necessity requirement is partially covered by the general legislation that has declared the state of emergency, but an analysis concerning the necessity of the specific measure requires investigating the objectives of the measure in light of the emergency.Footnote 86 Hence, the metric of necessity in relation to the proportionality principle concerning COVID-19 restrictive measures should be different from the ordinary metric due to the magnitude of the health alert, the need to provide a quick response and the high level of uncertainty.Footnote 87
From the perspective of some legal traditions, the necessity requirement also refers to the choice of the measure, comparing alternative options that can achieve the same or similar outcomes. Footnote 88 The administration is usually bound to show that alternative measures were identified and that the choice fell to the least restrictive measures. However, during the emergency, courts have usually not asked for the identification of alternative measures and have been satisfied by the requirements of mere necessity and adequacy. Footnote 89 In some cases, courts have looked at alternative means to exercise rights and freedoms limited by the contested measure in order to ascertain its proportionality or reasonableness. Footnote 90
Adequacy requires a functional correlation between the restriction and its expected effects: whether that measure is likely to produce the expected effects. Alternatively, the test evaluates the correlation between the instrument (the measure) and its expected objectives (including outputs and outcomes). But what are the expected effects of a COVID-19 restrictive measure? What is the metric for measuring the relevant effects? With high scientific uncertainty, the adequacy metric differs from the evaluation based on the customary probabilistic evaluation of administrative measures that is usually deployed.
What specifically should adequacy require us to consider? The reduction of contagion rather than saved lives should be the metric deployed to evaluate the proportionality of a measure. Footnote 91 However, clearly the correlation between the rate of contagion measured in terms of the effective reproduction number (Rt) and the number of deaths must be taken into account. Whereas scientific analysis makes predictions regarding the impact of measures in relation to the contagion, very rarely so far has such an analysis become the subject of judicial review.
Three aspects of proportionality may be further highlighted.
(1) Proportionality may affect both the nature and the content of governmental measures. Footnote 92 Proportionality may influence the choice between hard and soft law. Soft law should be chosen if a soft law instrument can achieve the objectives as effectively as hard law. Hard law should be chosen only when it is clear that it is a better instrument or the only one capable of achieving the objective. The pandemic has had an impact on these considerations, leading some countries to explore the role of soft law to a greater extent than before.Footnote 93 Once it became clear that the soft measure could not achieve the desired objective, then governments moved on to hard measures.
Proportionality affects the spatial and temporal scope of the restrictive measure. A generalised ban is disproportionate if the target population is limited to a town and the entire region or state is affected. The measure should target the specific administrative entity if the problem is circumscribed. Zoning using different colours has been an answer to the necessity of grading and tailoring these effects, particularly the limitations of fundamental rights. The scope of judicial review over such spatial impacts has been different across countries. Footnote 94
(2) Proportionality depends on the nature and content of the balanced rights.Footnote 95 The principle of proportionality may require a cost–benefit analysis between the risks of the contagion and the costs of the limitations caused by the restrictive measure.Footnote 96 Developing such a metric in emergency situations could be quite challenging, but courts have made interesting attempts, primarily based on qualitative more than quantitative comparative analyses. Footnote 97 The benefits are the consequences related to the reduction in the contagion’s risks and the effectiveness of the restrictive measure in this regard. Footnote 98 Costs include those imposed on the different groups targeted by the restrictive measures; their assessment should take compensation or mitigation into account.Footnote 99 Proportionality has to weigh up any measure that limits fundamental freedoms to protect collective health. The intensity of the measure should be linked to the principle of solidarity.
(3) Proportionality is connected to the state of scientific knowledge and the level of uncertainty.Footnote 100 Some case law suggests that the proportionality evaluation of a restrictive measure should be influenced by the state of scientific knowledge. Footnote 101 What varies is not the intensity of proportionality but the quality of the analysis. As has been highlighted, both necessity and adequacy are influenced by uncertainty.
Scientific knowledge allows for predictions regarding the effects of measures.Footnote 102 Limited knowledge prevents accurate predictions. Broad and deep knowledge allows us to make better predictions on the causal relationship between the measure and its effects. How should different degrees of scientific knowledge influence the proportionality analysis? Such knowledge affects necessity and adequacy; scrutiny should be stricter when the available knowledge increases and the administration can decide on the basis of scientific evidence. Footnote 103
Two preliminary conclusions can thus be drawn. Firstly, proportionality depends on the nature of the balancing and the content of the balanced rights. Secondly, proportionality should incorporate in the cost–benefit analysis the loss and the possibility of obtaining some kind of compensation or mitigation of the loss resulting from the limitation of constitutional rights. Whether or not a loss can be compensated will be a factor that determines the proportionality of the restrictive measure. When compensation is not available, mitigation should be a factor in the proportionality analysis.
VII. Linking uncertainty and trust in compliance monitoring
Monitoring is necessary for governments to decide whether and what measures should be adopted. Once protective governmental measures have been adopted, compliance has to be monitored to evaluate their effectiveness. The measures are designed with a high level of uncertainty, partly determined by a lack of knowledge on how the addressees will react. Uncertainty may determine distrust and increase non-compliance. A common denominator when examining compliance monitoring with COVID-19-related measures is trust. The necessity of involving the population makes trust an essential component of monitoring and a determinant of instrument choice. The primary goal of compliance is not to punish the violation of the measures but to persuade the addressees to comply.Footnote 104
The pandemic has stimulated the use of innovative compliance instruments and the involvement of private actors.
Monitoring compliance with restrictive measures has triggered a variety of responses, leading to a mix between legal and technological responses and, within the former, a combination of hard and soft law. The use of contact tracing has been scrutinised by courts for violation of the right to privacy and data protection.Footnote 105 In some countries, such as Israel, technology was used to monitor compliance with restrictive measures.Footnote 106 In other countries, the use of technology to monitor contacts and detect contagion was voluntary (eg Italy). In Israel, the Supreme Court has declared contract tracing unconstitutional, stating that it can be used only in very limited contexts determined by the Supreme Court. Footnote 107
Complementary monitoring strategies for governmental precautionary measures include: (1) the combination between hard and soft law compliance monitoring; (2) the use of community or societal monitoring in addition to state official monitoring; and (3) the combination between legal and technological instruments. Choices have varied across governments, and the roles of social norms and community responsiveness have determined changes of strategy over time.
Compliance by businesses and other organisations to ensure respect of the precautionary measures and compliance by individuals may require different technologies and the observance of different proportionality thresholds. The conventional administrative instruments for monitoring compliance have proven to be inadequate to say the least. The necessity for inducing compliance has pushed governments towards nudging and steering rather than sanctioning and punishing.Footnote 108 Behavioural sciences can contribute to identifying the reasons underlying non-compliance and the best responses. The analysis of the responses contributes to our understanding of whether the effects of the measure might drive change or persistence in non-compliance.
Monitoring concerns people’s behaviour. It is aimed at limiting the spread of contagion and encouraging compliance with precautionary measures.Footnote 109 The former is related to contact tracing and vaccination, while the latter concerns compliance with precautionary measures by businesses, employers, schools, churches and municipalities. Clearly, both hard and soft law measures require compliance monitoring, but the instruments and effects differ depending on whether hard or soft law is at stake. An example is represented by vaccine passports.Footnote 110
Limited resources have forced the deployment of a large amount of private and collective societal monitoring. Often businesses such as restaurants, as well as transport companies and suchlike, have been asked to collect data related to the conduct of individuals for the purpose of contact tracing. This delegation of monitoring compliance has been scrutinised by the courts primarily in relation to the means and scope of control. Empowering private actors to monitor compliance is subject to limitations related to the scope of delegation.
Private actors have been involved in the compliance monitoring of individuals with governmental measures and, more recently, in monitoring vaccination. The legality of such involvement has been challenged because failure to monitor has been accompanied by administrative sanctions.Footnote 111
The introduction of new monitoring techniques has been under judicial scrutiny. As the French case law on drones suggests, the surveillance by public authorities is limited by the necessity to respect fundamental rights and the principle of proportionality.Footnote 112 The collection and use of data concerning individuals and organisations interferes with the limits of fundamental rights.
Not only has the pandemic introduced restrictive measures in order to enhance the prevention and control of the pandemic; it has also introduced new forms of compliance monitoring using technologies that have to comply with the rights to privacy and data protection.
Monitoring compliance also reflects a combination of hard and soft law instruments. The importance of social norms has been highlighted when deploying soft law monitoring mechanisms to ensure collective compliance. Hence, within legal instruments a distinction between hard and soft law monitoring devices may be drawn.
Individual and collective compliance is a key factor for reducing contagion. Governments have used different combinations of recommendations and orders. Some countries choose command and control. Other countries choose only persuasion and soft law. Most countries choose a combination of both.
The use of technology as a means of control is partly dependent upon collective action. Technological control works if a large number of people use the technological devices.
It is very difficult, for instance, to monitor compliance with quarantine obligations, but control over people’s position through their phones and computers can contribute to locating them and to detecting violations.
In terms of enforcement, the role of administrative fines has so far been paramount, whereas civil liability has so far not been used but for the liability of public institutions where no adequate precautions were taken.
The key in order for fines to work is to fine both those who manage the activities and the individuals who take part in them. In the case of restaurants, a lack of compliance with rules concerning distancing and mask wearing will result in fines for both the restaurant and the customers. In this way, there is a mutual incentive for reciprocal monitoring.
It is likely that civil liability litigation will develop in the near future if individual and collective behaviours involving violating the rules cause contamination and the spreading of the pandemic.
1. Compliance with voluntary measures: vaccines
Vaccination is still voluntary for the most part, but the sanitary pass has become mandatory in many countries to enable individuals to engage in many activities.Footnote 113 If individuals want to engage in certain activities, then they must have a valid pass; for example, access to transportation, leisure and cultural events may be conditioned on a pass that shows vaccination or the absence of COVID-19.Footnote 114 It is important to point out that the choice of vaccination remains free, but the chooser has to bear the consequences of the choice.
In France, the law regulating mandatory access with the pass has been scrutinised by the Constitutional Council.Footnote 115 The French Council has highlighted the judges’ role in ensuring that the limitations associated with the pass are adequate, necessary and proportionate. The pass controls access to activities on the basis of vaccination or proof that the person is free of COVID-19. The French law tasks private actors to check the validity of these passes and sanctions failure to monitor by private actors. According to the French Council, charging private actors with the task of monitoring the possession of a valid pass does not constitute a disproportionate limitation of the freedom of enterprise.Footnote 116 Furthermore, it has clarified that the pass is not a surreptitious way to introduce mandatory vaccination.Footnote 117
VIII. The scope of judicial review in times of pandemic
Courts have played an important role in reviewing administrative measures and ensuring respect for fundamental rights. At times, they have aligned with governmental policies; at other times, they have annulled the measures, limiting fundamental freedoms to protect health. Effective judicial protection of fundamental, individual and collective rights has been at the core of judicial review by ordinary and constitutional courts.
In some jurisdictions, courts play not only the conventional role of ex post reviewers, but also that of ex ante monitors. However, the scope of such authorisation is limited to the potential violation of fundamental rights. At least in one jurisdiction – Spain – ex ante ratification has been deployed. With the ex ante ratification (automatic de-ratification), Spanish courts are tasked with verifying the legality and proportionality of the governmental measure limiting fundamental rights. Footnote 118 The governmental measure is subject to judicial ratification before becoming effective in order to verify the compatibility with fundamental rights according to the principle of proportionality and legality. Footnote 119 If legality is denied, the government can appeal before the Supreme Court.Footnote 120 The ex ante ratification does not eliminate ex post control since only some aspects of legal conformity can be considered in the ex ante control.Footnote 121
The scope of judicial review is manifold:
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(1) To ensure that the collective right to health is protected and action by the government is promptly and effectively taken.
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(2) To ensure that the interests and the rights of those negatively affected by the measures are duly considered when restrictive measures of freedoms are adopted.
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(3) To ensure that when governments refrain from acting, the protection of health is duly taken into account.
Different legal traditions over the scope of judicial review exist, going well beyond the traditional common/civil law distinction. Both in common law and in civil law, different approaches have developed. The differences between French and German courts highlight the broader scope of judicial review in Germany than in France. Similarly, within common law, the scope of judicial review between the UK and the USA differs quite significantly. Outside of Europe and North America, the role of courts has been more pronounced in Latin America and less in Asia, with the exception of India.Footnote 122
It is not within the scope of this article to describe whether and how the pandemic has changed these approaches and, when changes have occurred, whether they have increased or decreased convergence among legal systems. However, it is important in the analysis of courts’ reviews to consider the different “attitudes” to scrutinising governmental measures.
The scope and intensity of judicial review in times of pandemic are different from in ordinary times. Footnote 123 The scrutiny has been at the same time deferential, if compared to ordinary times, and stricter, given the relevance of fundamental freedoms and rights limited by the protective measures.Footnote 124
The quality and intensity of judicial review takes into account the emergency and the fact that governments act in a condition of urgency, often combined with uncertainty about scientific knowledge and sanitary crisis management.Footnote 125 Clearly, the scope of review differs depending on whether there is a summary judgment or a final judgment.Footnote 126 However, the pandemic has broadened the scope of review in urgent procedures.
The different context created by the emergency does not necessarily reduce the intensity of review by increasing the level of judicial deference. It simply changes the perspective of review and that of balancing, allowing for the limitation or suspension of rights to protect individual and collective health. Footnote 127 It is the quality, not the intensity of review that varies depending on the uncertainty and the evolution of scientific knowledge related to the pandemic.Footnote 128 Courts have become more demanding as scientific knowledge increases and stabilises. The exercise of legislative and administrative discretion is correlated with the level of scientific knowledge. The short duration of governmental measures often imposes a different approach to judicial review. Courts are asked to engage in the continuous review of measures that succeed over time. Continuous judicial review does not increase legal uncertainty, but indirectly contributes to ensuring policy control rather than segmenting control over single acts.
The case law reveals that courts are willing to admit claims even when the challenged measure has expired but its effects continue.Footnote 129 This is true not only when, for example, a temporary closure of business for part of the day becomes a total closure, but also when parties, forbidden from engaging in a certain activity, are allowed to engage in that activity only upon meeting certain conditions.
Reviewing the scientific foundations of governmental measures has been a daunting challenge for national courts. We observe a less strict scrutiny when scientific knowledge is limited, whereas judicial scrutiny becomes less deferential when scientific knowledge increases and consolidates. Footnote 130 Uncertainty and divergences within the medical world must be considered by the administrations and by the courts when they exercise judicial review. Usually, the task of integrating divergent scientific opinions is attributed to scientific advisory bodies that support governmental decision-making. However, courts may have to decide about divergences when claimants provide scientific evidence that contrasts with that which was the foundation of the challenged administrative measure. In some countries, courts have scrutinised the level of convergence and divergence of scientific opinions and their reliability within wider scrutiny of coherence, rationality and logical reasoning regarding the motivation sustaining the administrative decision. Footnote 131
Whereas courts have been careful to ensure separation of powers and not to override governmental and scientific decisions concerning restrictive measures, they have certainly closely scrutinised the limitations of fundamental freedoms by restrictive measures since the outset.Footnote 132
Courts have scrutinised the choice to intervene and that of regulatory instruments. One distinction that has emerged, albeit with different levels of intensity among legal systems, is that between the judicial review of administrative action and inaction. Courts seem more willing to scrutinise action than inaction. Footnote 133 They examine administrative measures and evaluate their proportionality. When the administration does not act, courts have been less willing to order action and to define the suitable measure necessary to ensure effective judicial protection of the rights violated by inaction.Footnote 134
Similarly, when the claim was to harden the measures, courts have been less willing to order governments’ more radical actions than when the claim sought to soften the existing measures.
Courts have played a less active role in the choice between hard and soft law instruments. The use of soft law and recommendations has been significant, but this is not the case for the subjects of reviews.Footnote 135 Very limited litigation has emerged on the choice to use soft instead of hard law instruments or vice versa.Footnote 136
Clearly, there is more space for limited judicial review concerning the “if” question (eg whether the administration should act) than the “how” question (which protective measure should be adopted to protect the fundamental right).
The distributional question concerning access to testing, treatment and vaccination has been dealt with mainly by countries with weak welfare systems.Footnote 137 The collective nature of prevention has driven courts to stimulate governments to devise access policies favouring the most vulnerable and those with the least resources.Footnote 138 In countries with stronger welfare systems, courts have been generally more deferential towards governments’ prioritisation schemes.Footnote 139
A second non-legal factor influencing judicial review is the level of citizens’ trust in governmental expectations. Limited empirical and experimental evidence shows that there is an inverse relationship between the level of trust and the intensity of judicial review. Footnote 140 However, there are examples where the courts have tried to increase trust and certainty when governments did not manage to preserve institutional trust, as well as cases in which the courts have referred to the lack of trust as a ground for rejecting claims for injunction concerning measures whose enactment would have raised the risk of abuse or corruption.Footnote 141
IX. Concluding remarks
The role of courts has been quite significant in the COVID-19 pandemic, weakening the theory that the judiciary is not equipped to manage emergencies and contribute to govern sanitary crisis management. Not only have courts been the guardians and custodians of fundamental rights and the rule of law, but they have also contributed to governing uncertainty and adapted to the evolution of scientific knowledge by reducing arbitrariness and imposing evidence-based decision-making on national governments. Innovative use of the precautionary principle, connected to proportionality, has enabled courts to scrutinise past decisions and to steer future governmental behaviour.
The experience of COVID-19 has shown that even in times of emergency, when rapid and effective action is required, courts can adapt and provide the necessary balance to the power shift towards the executives. Creative interpretations of procedural rules have permitted continuous and effective oversight of governmental decisions.
Courts’ involvement has varied across countries. It has been much more intense in democratic regimes, where both the protection of fundamental rights and the oversight on the executive’s use of emergency powers have permitted control over compliance with the rule of law. This has been much less the case in non-democratic countries, where the concentration of decision-making power in the executives has not been balanced by judicial oversight.
The quality of judicial review has been influenced by the emergency, but its scope and intensity have not been reduced. The protection of fundamental rights and freedoms has been a primary objective of judicial oversight in democratic countries, and differences in the balancing have emerged compared to that of ordinary times. The necessity to protect collective health through preventive and reactive measures has justified the limitations of freedoms to a greater extent than is usually permitted under national constitutional traditions in ordinary times. Proportionality and reasonableness with multiple conceptual variants, partly associated with the different national legal traditions, have been used to scrutinise the legality of restrictive governmental measures.
Courts have been deferential to the increased role of science in providing guidance to decisions related to governmental measures. However, they have modified their reviews, including in the use of proportionality, as medical and scientific knowledge increased over time. They have required transparency and ensured procedural accountability of the process through which scientific committees and governments interacted to ensure that measures were evidence-based. Both action and inaction affecting fundamental rights have been scrutinised to ensure that governments took the necessary measures to combat the pandemic and to protect health. Courts have been responsive to the evolution of the crisis, and their reviews have usually reflected both the level of knowledge and the necessity to decide under uncertainty by national governments. More deference has characterised the choice of the regulatory instruments. Very limited litigation has so far addressed the choice between hard and soft law. More intense has been the scrutiny over compliance with the principle of legality, especially when fundamental rights were at stake.
The consequences of the crisis will survive the end of the pandemic, and courts are likely to continue to play a significant but different role in the years to come. The subject matter of litigation will change, and the issue of liability and the allocation of losses from the pandemic will eventually overtake the crisis management questions that have engaged the courts so far.
