The Gujarat HC's Covid-19 order - Certain troubling observations from a constitutional Court

The Gujarat HC has been proactively examining the State’s handling of the Covid-19 pandemic. The Court took suo moto cognizance of the manner in which the pandemic has been handled in Gujarat, and has issued multiple directions to the State Government. As we discussed in the previous post, the Court had also made a recommendation to regulate private hospitals in the city of Ahmedabad, which accounts for more than half the cases in the State. Once the Ahmedabad Municipal Corporation (AMC) enacted regulations and capped the fees that could be charged by private hospitals, the Court had provided a sound constitutional justification for the same.

To recall, the Court stated that imposing regulations and capping the fees charged by private hospitals was in furtherance of the fundamental right to health under Article 21, as it ensured that a wider section of society could access private hospitals for Covid-19 treatment. The Court had also directed the State Government to take punitive action against those private hospitals that were refusing to comply with the AMC’s regulations. The Court has continued hearing the manner and has issued two more orders on 25^th May and 29^th May respectively.

The order issued on 25^th May concerned the functioning of the Ahmedabad Civil Hospital, which is a government hospital that is at the forefront of the State’s fight against Covid-19. Subsequent to this order, there was a sudden change in the composition of the bench, where the Chief Justice of the Gujarat HC replaced one of the judges who had issued the earlier two orders. The order issued on 29^th May by the new Bench was to follow up on the earlier orders issued by the Court, after examining the compliance reports filed by the State Government. In this post, I aim to highlight certain concerns with the most recent order of the Court, which was issued on 29^th May.

In its 29^th May order, the Court first took note of the status report filed by the State Government. The status report mentioned that the private hospitals which were refusing to comply with the AMC’s regulations were now in the process of complying with the same, after the Court directed the State Government to take punitive action against the defaulting hospitals. This is one positive result of the Court’s exercise of writ jurisdiction, which has brought about accountability in the functioning of private hospitals. The Court also gave an important direction with respect to Covid-19 testing.

It held that for those category of patients who are eligible to get tested under the ICMR Guidelines, the test can be performed by a qualified physician at a public/private hospital, and there would be no need to take additional permission from the District Health Officers. This was to prevent delay in conducting a Covid-19 test in certain urgent situations, such as when an emergency surgery is to be conducted. For other categories of patients who are not covered by the ICMR guidelines, the Court held that the District Medical Officers should grant the necessary permissions within 24 hours – to avoid unwanted delay. Apart from these positive directions, the Court also made certain stray observations which should invite our concern.

Before concluding its order, the Court stated that – “Before we close this order, we would like to express our anguish over the unnecessary debates and comments that are going on as on date on the social media and other platforms. We have gathered an impression that our orders passed time to time in the larger interest of the public are being misused for some oblique motive”. Without elaborating on this aspect of Court orders being ‘misused’, the Court went on to state that – “In these extraordinary circumstances, the role of the opposition is equally important. There is no denying that the role of the opposition is to hold the government to account, but in times like this a helping hand would be more beneficial than a critical tongue”. (emphasis supplied)

Now, these are troubling and disturbing observations from a constitutional Court. The freedom of speech and expression conferred by Article 19(1)(a) envisages a marketplace of different ideas and opinions. This becomes even more important in the emergency situation we are facing today, where criticism and constructive questioning is an important tool to secure accountability of the Government. The Court also goes on to say that “Simply highlighting the flaws and gaps in the State’s handling of the situation only creates fear in the minds of people”.

If this was indeed the case, then the Court should have also completely refrained from discussing the deficiencies in government hospitals such as the Ahmedabad Civil Hospital, or highlighting the State Government’s delay in giving approval for Covid-19 testing! If the Court has the jurisdiction to highlight the flaws and gaps in the State’s policy, then the same naturally extends to civil society, the media and to medical professionals, who can demand accountability by pointing out the flaws in the manner in which Covid-19 has been handled.

Perhaps the most troubling observation has been reserved for the end, as the Court then goes on to state that – 

“All those who cannot extend their helping hand in this difficult times and do anything good for the people at large have no right to criticize the functioning of the State Government. If the State Government would not have been doing anything, as alleged, then probably, by now, we all would have been dead. All that we are doing in this litigation is to keep the State Government conscious and active by reminding its constitutional and statutory obligations”. (emphasis supplied)

The natural implication here is that if you cannot meaningfully assist the State Government, you would have to parrot its voice. It can be nobody’s case that the common man or the poor migrant worker has no right to raise his voice during this crisis. While all of these observations are mere obiter dicta and have no legal force, it is indeed troubling to see a constitutional Court speak in this tone. The Court’s reason for taking suo moto cognizance here was for ensuring that the State Government is held accountable for its actions. But, it is incorrect for the Court to assume that it is the only institution which can ensure accountability.

Accountability can also be secured through constructive ground-reporting by the Media (as journalists such as Barkha Dutt have done), or through the flaws and gaps that medical professionals and civil society organizations may highlight. The Court’s problematic observations also undermine the positive changes that its intervention brought about - where the government was put under pressure to improve the conditions at the Ahmedabad Civil Hospital, and private hospitals were prevented from profiteering. If the Court were to now insist that everybody should speak in one voice, that would only add to the existing issues in Gujarat, and shall solve none.

Before concluding, it is pertinent to refer to the words of the late Dr. Li Wenliang, who was one of the whistleblower doctors who was detained by the Wuhan Police after he warned his colleagues that a novel coronavirus may be emerging. Before his untimely death due to Covid-19, Li had stated – “in a healthy society, there should be more than one voice”. Their Lordships in the Gujarat HC would do well to take note.