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This chapter debates the appropriateness of the Paris Agreement’s ‘compliance’ system. The treaty’s Article 15 establishes ‘a mechanism to facilitate implementation of and promote compliance with the provisions of this Agreement’. Views differ radically on the legal mandate of this mechanism and its capacity to ensure that states comply with their treaty obligations. Meinhard Doelle praises the mechanism’s ability to sensitively inform domestic political and legal processes and, thus, to increase the likelihood of an effective implementation of states’ obligations. Anna Huggins develops the argument that an effective compliance system comprises both facilitation and enforcement elements, yet the Paris mechanism limits itself to facilitation. Moreover, in its facilitative role, the mechanism is duplicative of other facilitative elements of the Agreement.
This chapter debates the appropriateness of the Paris Agreement’s ‘compliance’ system. The treaty’s Article 15 establishes ‘a mechanism to facilitate implementation of and promote compliance with the provisions of this Agreement’. Views differ radically on the legal mandate of this mechanism and its capacity to ensure that states comply with their treaty obligations. Meinhard Doelle praises the mechanism’s ability to sensitively inform domestic political and legal processes and, thus, to increase the likelihood of an effective implementation of states’ obligations. Anna Huggins develops the argument that an effective compliance system comprises both facilitation and enforcement elements, yet the Paris mechanism limits itself to facilitation. Moreover, in its facilitative role, the mechanism is duplicative of other facilitative elements of the Agreement.
In the past two decades, a run of highly publicized medical scandals in the UK have affected the reputation of the medical profession. Beginning with Bristol, it was the cumulative effect of several such scandals. This chapter begins by considering what constitutes professionalism in medicine. It then looks at the recent history of medical professionalism in the UK and concludes that, whilst one have reached a position in which the regulatory framework is modern and potentially robust, there is still much to be done to ensure that professionalism is embedded deep within every doctor, part of their identity. The professionalism advanced by the General Medical Council (GMC) has four main elements: the foundation, the standards themselves; compliance mechanisms mainly through regulation and contracts of service; the responsibility for internalizing the professional standards primarily through medical education; and the moral obligation on professional institutions.
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