Back to: Third Session of the Ad Hoc Committee
Daily summary of discussion at the third session
1 June 2004
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UN Convention on the Rights of People with Disabilities
Ad Hoc Committee Daily Summary
A service made possible by Landmine Survivors Network
Volume 4, #6
June 1, 2004
Morning Session
Commenced: 10:29 AM
Recessed: 10:31 AM
Reconvened: 10:41 AM
Adjourned: 1:01 PM
Following audio difficulties, the remaining Article 17 NGO interventions
were made on the topic of education and disability. Delegates then discussed
Article 18, Participation in political and public life, exploring a
range of political activities and spheres. The Committee began its discussion
of Article 19, Accessibility, with some delegations supporting very
specific requirements while others pushed for a broader articulation
of principles.
ARTICLE 17: EDUCATION (Contd)
World Federation of the Deaf (WFD) expressed support
for some portions of the EU proposal, with reservations regarding incorporating
17.3 and 17.4 together. Combining communication modes is a good idea,
but sign language should be left out since it is a language rather than
a communication method. Most WG members supported mentioning sign language
in this Article. If it is not included, the Convention will be weaker
than the Standard Rules (SR) and open to the interpretation that sign
language should be excluded. Since the Convention’s purpose is to “liberate
us from oppression,” the linguistic rights of Deaf people should be
an essential part of it. As a result of the misperception that Deaf
people are unable to learn multiple languages, Deaf children are sometimes
forced to stop signing.
Inclusion International (II) urged that, in order to
meet the Millennium Development Goals, the Convention should guarantee
students with intellectual disabilities “the right to free and compulsory
primary education without qualifiers.” In some developing countries
only two to five percent of children with intellectual disabilities
are in school, and in other countries their school attendance is disproportionately
low. Children with intellectual disabilities should be assured equal
access, and the choice of inclusion, at all levels. II supported Canada’s
position that this Article requires a substantial rewrite. The members
of the International Disability Alliance believe that inclusion should
be the norm. Inclusive education is not only a basic right, it is good
public policy. “Inclusive education is better education for all.”
People with Disabilities Australia (PWDA), also speaking
for the National Association of Community Legal Centres of Australia,
expressed disappointment that some delegations, including Australia,
have proposed amending language regarding States' obligations to ensure
an inclusive education to PWD. These obligations should not be diluted
by adding qualifying phrases. “Education is essential to the realization
of human rights.” States who have made an early commitment to equality
should not abrogate responsibility for PWD inclusion by reducing State
obligations to “mere options.” Specialized education in disability-specific
languages and skills have value, but should be provided inclusively
within the mainstream educational system. Children with disabilities
(CWD) should have opportunities to interact with non-disabled people
in order to develop social skills and be part of an inclusive society.
PWDA recommended amending 17.1 to recognize the rights of all PWD to
an inclusive education in a school of their choice in their local community.
It also suggested deletion of 17.3, which would justify the continuing
discrimination against, and segregation of, PWD. Finally, it supported
the International Labor Organization’s recommendations concerning school-to-work
transitional education and other vocational rehabilitation training.
Save the Children (STC) emphasized the right of children and
adults with disabilities to education and training, and States' obligations
in that regard. Inclusive education is essential to both academic and
social development. It proposed the following revisions of 17.2(b):
“The provision of adequate support for change of the education system,
positive attitudes for stakeholders, appropriate training and mentoring
of teachers and educational support staff, student centered curriculum,
flexible teaching methods, appropriate teaching aids and equipment,
alternative and augmentative communication modes, an inclusive physical
and learning environment, parent and community involvement to ensure
the full participation of students with disabilities.” In 17.4, it encouraged
amending the wording to read: “States' Parties shall ensure that students
with communication disabilities have the right to education in alternative
language and/or the alternative communications systems, to become bilingual
and to learn the communication, learning and mobility skills for inclusive
education, and full participation within the class or school environment.
States' Parties shall take appropriate legislative, administrative and
other measures for full inclusive education of all students with disabilities
by ensuring appropriately skilled teachers and basic additional resources.”
“Communication disabilities” include blindness, deafness, autism, severe
spasticity, learning and intellectual impairments. The text of these
proposed amendments is available online at www.savethechildren.org.uk.
STC also supported Kenya, Australia, South Africa, and on some issues,
the European Union, World Blind Union, the ILO, World Deaf Federation
and Inclusion International. It also recognized the Salamanca Statement,
Dakar Framework and SR on education. The goal is to “avoid pre-selected
training on the basis of perceived disability instead of the potential
of the child." Special education and training should be available
for persons who cannot fully develop their potential in inclusive settings
because of specific learning needs, but this special education should
be provided in the community and, wherever possible, within existing
schools structures.
ARTICLE 18: PARTICIPATION IN POLITICAL AND PUBLIC LIFE
The Chair appealed for simple and concrete interventions
in order to make progress within the timetable.
Namibia proposed amending 18(a) by replacing “including"
with "guaranteeing," and by replacing "citizens"
with "persons." In 18(b)(ii), the word “local” should be moved
before “national and regional levels.” A new subparagraph, 18(b)(iii),
should read: “represent their states at national, regional and international
levels to participate in the work of international organizations."
Another new subparagraph, 18(c)(i), should read "participate in
the formulation, implementation and evaluation of plans and programmes
for national and regional development.”
Uganda proposed several amendments. In the chapeau,
"ensure" should replace "recognize." In 18(a)(iii),
after “assistance,” the words “of their choice” should be inserted.
In 18(b)(ii), the word “international” should be inserted before "national."
Morocco proposed deleting from 18(a) the words "actively
promote an environment in which persons with disabilities can effectively
and fully participate," and replacing them with the following:
“Allow persons with disabilities to participate effectively, fully and
freely.” The current text in 18(a)(iii) should be replaced by the following:
“ensure that the necessary support is provided to citizens with disabilities
to vote.”
Japan proposed amending the 18(a) chapeau by changing
the words “including the right and opportunity of citizens with disabilities“
to “by providing citizens with disabilities with opportunities";
and by changing "ensuring that voting procedures and facilities"
to “taking measures to establish and maintain voting procedures and
facilities which"; and by either deleting or defining “public,"
a word whose meaning is unclear. Several changes were suggested for
clarity: The final word in the 18(b) chapeau, “to,” should be changed
to “their." In 18(b)(i), “participate” should be changed to “participating.”
In 18(b)(ii), the words “form and join” should be changed to read, “establishment
and adhering to."
Costa Rica expressed concern because Article 18 only
addresses physical assistance in voting. Stating the importance of consistency
with 18(a), Costa Rica was of the view that the Convention shouldn’t
limit it to discrimination. In the chapeau, the words "without
discrimination" should be deleted and replaced by the words “on
the basis of equal opportunity and to guarantee its effective enjoyment."
In 18(a), the words “political processes” should be inserted before
“voting procedures and facilities” in order to clarify that the whole
political process, not just voting, should be accessible. In 18(a)(ii),
after "citizens with disabilities," should be inserted the
words "make a free and informed decision and." In 18(a)(iii),
the words “the provision of assistance in voting to citizens with disabilities“
should be replaced by “and at the citizen’s request, the provision of
the required support to exercise their vote.” An omission was noted
in the Spanish text, and the Secretariat was asked to consider correcting
it.
Ireland, on behalf of the European Union
(EU), proposed moving the draft article towards the beginning of the
Convention, before Article 8, to reflect its importance. Regarding 18(a),
it agrees with Costa Rica and others that this should refer specifically
to citizens with disabilities, because the language is drawn from Article
25 of the International Covenant on Civil and Political Rights which
specifically refers to citizens as opposed to persons in general. In
18(b) “without discrimination” should be inserted following the phrase,
“conduct of public administration” to reflect the difference between
public administration, which refers to conduct of government, and public
affairs. In 18(b)(i), “on a basis of equality” qualifies the right,
and should be deleted. In 18(c), the EU pointed out its reference to
issues such as decisionmaking. It proposed that “participate on an equal
basis to others” be replaced by “can participate without discrimination
and on an equal basis to other citizens”, given that it is frequently
citizens, rather than non-citizens, who participate in decisionmaking.
China proposed to differentiate the content of 18(a)
and 18(b) clearly with several amendments. In 18(a), “and public” should
be deleted, and the word “persons” should be replaced with “citizens,"
since in most countries only citizens enjoy political rights. In 18(a),
the words “right and opportunity of citizens with disabilities” should
be replaced by “exercise the right"; the word “to” should be inserted
before “be elected,” which should then be followed by the insertion
of “in accordance with election laws.” In 18(b), the words “and shall
encourage, as appropriate, their participation in public affairs” should
be deleted. In 18(c) the word “concerning” should be deleted for the
sake of conciseness.
Chile suggested use of more tangible terms regarding
the right to vote, language such as “guarantee the effective enjoyment
of that right,” and “providing necessary assistance and support the
disabled citizen required.” Two paragraphs already address this, but
it should be clearer that assisted voting does not have to be an obstacle
to the secrecy of the ballot. PWD should be assured of a secret ballot
as well as the assistance of their choice. Also, the article should
refer to the participation of PWD decisionmaking in all areas of public
interest, including but not confined to disability issues. Another issue
which should be covered is the opportunity for PWD to hold both elective
and nonelective government posts; the Convention shed expressly state
“the right to hold public office.” 18(c) should not be eliminated; the
logic in footnote 65 is flawed, since Article 4(2) covers domestic issues,
while Article 18 focuses on the national and local level.
Kenya proposed adding a new paragraph,18(b)(i)(bis),
“take all appropriate measures to ensure that persons with disabilities,
without any discrimination, have the opportunity to represent their
governments and to participate in the work of international organizations.”
It also proposed insertion of a new paragraph following 18(c). 18(d)
would read, “enable persons with disabilities to participate in the
formulation, implementation and evaluation of plans and programs for
local, national and regional development which may affect them.”
Argentina proposed to make Article 18 conform with
the Covenant on Civil and Political Rights (ICCPR) by rewording the
chapeau to read “States Parties shall guarantee the political rights
of persons with disabilities without undue restrictions and undertake
to." In 18(b), the words “effectively and fully participate in
the conduct of public administration” with ”participate in the direction
of public issues.” The purpose of this replacement is to ensure conformity
with the American Convention on Human Rights, Article 23. 18(c) should
be deleted because its addresses issues already covered in 4.2.
Yemen expressed support for Article 18, and proposed
the following amendments.
18(b) deletion of “encourage as appropriate” and replacing with “ensure,”
to avoid possible misinterpretations that would deprive PWD of opportunities
to participate. In18(b)(ii), “international” should be inserted so that
the text would read “international, national, regional and local levels.”
Jordan stated that the term “public life” is vague,
and suggested replacing “public life” with “public affairs” in the title
of Article 18.
New Zealand distributed a restructured version of
Article 18, in which the current chapeau and 18(a) would be replaced
by new paragraphs, 18.1 and 18.2; the current 18(b) would be replaced
by a new paragraph, 18.3; and 18(c), with some amendment, would be moved
to the article on general obligations. The suggested revision reads
as follows:
"1. States Parties shall guarantee to citizens with disabilities
the right and the opportunity to take part, on the basis of equality,
in the conduct of public affairs, including the right and opportunity
to vote and be elected in all elections and public referenda and be
eligible for election to publicly elected bodies. In particular States
Parties shall ensure that voting procedures and facilities:
(a) are appropriate, accessible and easy to understand;
(b) protect the right of citizens with disabilities to vote by secret
ballot; and
(c) allow, where necessary, the provision of assistance in voting to
citizens with disabilities.
"2. States Parties shall take all appropriate measures to ensure
to persons with disabilities, on the basis of equality, the right:
(a) to participate in the formulation of government policy and the
implementation thereof and to hold public office and perform all public
functions at all levels of government;
(b) to participate in non-governmental organizations and associations
concerned with the public and political life of the country.
"3. In particular, States Parties shall actively promote an environment
in which persons with disabilities can:
(a) participate in the activities and administration of political parties;
(b) form, lead and join organizations of persons with disabilities established
to represent them at national, regional and local levels."
In attempting to deal with some of the concerns about terms like "public
and political life" and "political administration," New
Zealand's suggested revision draws on wording from the International
Covenant on Civil and Political Rights (ICCPR), the Convention on the
Elimination of Racial Discrimination (CERD), and the Convention on the
Elimination of All Forms of Discrimination against Women (CEDAW). The
revised 18.1 changes “political and public life," which is part
of a descriptive phrase in CEDAW, to “the conduct of public affairs,"
which appears as a right in the ICCPR. The proposed new paragraph 18.3
goes beyond the basic right to vote and be elected to public office,
to address the right of PWD to take part in other aspects of public
life and civil society.
Uruguay suggested inserting in the chapeau, after
"people with disabilities," the words “and their role in public
administration,” in reference to the impediments that PWD often encounter
in serving in the judiciary and holding nonelective office. To 18(a)(iii)
should be appended the words “introducing the necessary adaptations
that will facilitate the use of new applied technologies, adjusting
them in keeping with their needs.” New technologies will continue to
advance and these should be used to assist PWD in voting.
Mexico expressed concern that 18(b)(ii) restricts PWD
to forming organizations of PWD. The words “of PWD” should be deleted,
to indicate that these organizations can include both persons with and
without disabilities. The content of 18(c) is covered by the general
obligations of Article 4. It supported New Zealand on including language
from other covenants and conventions, and supported Chile on the question
of public office. It is important to identify not only the procedures
and facilities involved, but also the measures required for PWD to exercise
their rights effectively. It also supported the antidiscrimination clause
suggested by the EU, and the technical amendments proposed by other
delegations.
Canada expressed its support for the helpful amendments
proposed by New Zealand, which clarify some of the concepts, including
the distinction between the rights of "persons" and the rights
of "citizens." In 18(a)(i), Canada suggested inserting “and
use” after “to understand."
Australia recommended, in 18(a), replacing “ensuring
that” with “promoting” and then appending “that:.” In 18(b)(i), in order
to maintain consistency in the text, the words “on a basis of equality”
should be replaced by the words “on an equal basis to others.”
South Africa proposed in 18(c) to replace “on an equal
basis” with “equitably,” and also to delete the words "in particular
those issues relating to persons with disabilities," as PWD should
be involved in decisionmaking across all issues, not only the spheres
that are disability-specific. Disability itself is a cross-cutting issue.
Lebanon recommended rewording the chapeau: “States
parties shall guarantee the participation of disabled persons in the
political and public life without discrimination and without any hindrances
or conditionals and undertake to perform the following:.” In 18(a),
it suggested adding “in the countries that approve of indirect voting”
after “representatives.”
Trinidad and Tobago proposed the addition of a new
paragraph, 18(d) "to ensure that persons with disabilities can
access national parliaments and/or local government legislative bodies
and be properly seated therein either as elected members of those bodies
or as visitors.” Because this revision deals with accessibility which
is covered in another Article, it could appear elsewhere in the Convention;
either way, it is important to address this.
Thailand supported the New Zealand revisions to make
the Article more concise and to bring it in line with other instruments.
It emphasized the importance of guaranteeing the right of PWD to exercise
secret voting, and also the right of self-representation for PWD. While
PWD can join or form any other type of organization, organizations that
represent PWD should always be organizations of PWD.
Israel supported New Zealand’s proposal, but suggested
amendments to that text. Some of these amendments relate to the fact
that in some countries, persons other than citizens are allowed to vote,
hold office, and so on. Israel recommended rewriting the first sentence
of New Zealand's draft paragraph 18.1, as follows: "States Parties
shall guarantee to persons with disabilities implementation and fulfillment,
on the basis of equality, of such rights as are prescribed by law, to
take part in the conduct of public affairs. This obligation shall include
facilitating to the full and on the basis of equality the rights of
PWD prescribed by law to vote and be elected in all elections and public
referenda and be eligible for election for election to publicly elected
bodies. “Citizens” should also replace “persons” in NZ 18.1(b) and (c).
Israel supported particularly the New Zealand proposal relating to public
office, and it endorsed the Canadian proposal for 18(a)(i). It proposed
a provision of an anti-discrimination paragraph for Article 18: “States
Parties shall guarantee that the rights subject of this Article are
not denied or restricted in any manner on the basis of disability.”
Viet Nam supported the proposal of the Chinese delegation.
Palestine emphasized the need to talk about the full
right of public participation in all spheres of life, especially the
right to vote and to serve in public office, and to participate in the
political, economic, social, and cultural spheres.
Sierra Leone endorsed the NZ proposal and suggested
further discussion of the issue, raised by Israel, about whether to
refer to "persons" or "citizens." In NZ 18.2(a),
the words “of government policy and the implementation thereof” with
the words “and implementation of public policies.” Referring to footnote
65, Sierra Leone noted that Article 4.2 deals specifically with legislation
to implement the Convention while this Article does not. In NZ 18.2(b),
“international organizations” should be inserted before “non-governmental
organizations.”
Peru recommended in 18(c) replacing “in particular
those issues relating to PWD” with “public and political life of a country.”
It also endorsed the New Zealand proposal, which encompasses all aspects
of political participation, and which incorporates the language of internationally-recognized
human rights instruments.
Serbia and Montenegro supported the New Zealand proposal
and suggested that “international” be inserted before “national” in
18.3(b). It supported the EU’s recommendation to move this Article further
up in the Convention, after the Articles that deal with equality and
non-discrimination.
India proposed in 18(a) to replace “to vote and be
elected” with “to vote and stand for election.”
Guatemala proposed to append to 18(a)(iii): “when
they so request of their own free will.” It supported Peru on its proposal
for 18(c).
The Chair opened the floor to NGOs.
Landmine Survivors Network supported the proposals
of Kenya and Uganda to include the right of PWD to represent their governments
at the international level. LSN emphasized the need to ensure that a
disability perspective be integrated into development planning and decisionmaking,
for example when considering accessibility of reconstruction projects
in post-conflict areas. This can only occur with the participation of
PWD and their representative organizations. LSN supported the inclusion
in Article 18 of language supported by international law that would
reference the right of PWD to participate in the formulation, implementation,
and evaluation of plans and programs for national and regional development.
Disabled Peoples’ International expressed appreciation
for the current level of specificity regarding PWD and voting, but expressed
concern for the lack of specificity in relation to other decisionmaking
processes, such as holding political office or participating in political
organizations. DPI drew attention to the prevailing practice to ensure
participation of marginalized groups in society of providing detail
outlining potential barriers to the realization of rights of participation.
It then urged the Committee to attend to the ILO Convention No. 169,
as noted in footnote 65, for a fuller outline of these potential barriers.
It supported Uganda and Kenya proposals to make explicit the rights
of PWD to represent governments and take part in the work of organizations
at the international level.
People with Disability Australia, Inc., along with
(Australian) National Association of Community Legal Centres and Australian
Federation of Disability Organizations, applauded 18(b)(ii), but recommended
strengthening the subparagraph in three respects as proposed by the
Bangkok draft. First, the Article should make clear that PWD are entitled
to form and join “independent” organizations, a right which is crucial
to the integrity of the civic participation of PWD. Second, the Article
should require States to provide these independent organizations of
PWD with recognition and financial support, without which these associations
will not be able to fulfill their important role. Third, the role of
PWD organizations should be expanded to include the international level,
such as in the implementation of this Convention. Also, 18(c) should
be strengthened by requiring States to recognize the "primacy"
of PWD participation in decisionmaking about issues which directly affect
PWD. "We want more than equal standing with others on these matters."
To facilitate PWD participation, States should establish central disability
policy coordination points within and across governments. In 18(a),
the words “information and materials” should be inserted after “voting
procedures and facilities,” to insure full accessibility. The convention
should also prohibit States from denying voting rights to PWD on the
basis of mental or cognitive disability. In 18(a) and (b), the words
“actively promote” should be replaced by “ensure," because these
paragraphs deal with civil and political rights which should be implemented
immediately. In 18(a)(i) “appropriate” should be deleted, as it adds
nothing to the meaning and might allow it to be read down. For this
same reason, the words “as appropriate” should be deleted from the chapeau
of 18(b).
World Network of Users and Survivors of Psychiatry
expressed concern that the text of Article 18 does not explicitly guarantee
the right to vote and hold public office. This must be included because
the legislation of many countries excludes PWD from voting or holding
public office on the ground of disability. WNUSP supports New Zealand’s
proposal.
National Human Rights Institutions suggested expanding
the scope of the text to “embrace the full spectrum of the right of
association," so that PWD can not only join organizations that
are representative of PWD but can also join other organizations. It
supported the proposals of Mexico and New Zealand. In 18(a), “ensure”
should replace “actively promote”; and in 18(b), “shall encourage” should
replace “actively promote.”
DRAFT ARTICLE 19: ACCESSIBILITY
Morocco reported that the African Group would be submitting
written proposals later today.
Israel clarified that accessibility applies not only
to physical and sensory disabilities, but also to mental and cognitive
disabilities, and recommended adding to the chapeau of 19.1 “all kinds
of” before "disabilities." There should be greater clarification
of the definitions of public and private; any place and service open
to the public should in principle be accessible. To that end, 19.1(a)
and (b) should be deleted; in the chapeau of 19.2 “appropriate” should
be replaced by “all possible"; and 19.2(a) should be revised as
follows: “ensure, including by way of legislation and state-funded financial
incentives, that places, buildings, facilities and services open to,
and used by the public are accessible to people with all kinds of disabilities,
including by way of provision of auxiliary aids and services.” In a
new paragraph, 19.5, "auxiliary aids and services" should
be defined as: "(a) interpreters or other methods of making orally
delivered materials available to individuals with hearing impairments;
(b) readers, taped texts or other methods of making visually delivered
materials available to individuals with visual impairments; (c) guidance,
advice and information in a manner intelligible to persons with mental,
psychiatric and cognitive disabilities." The text of 19.2(b) should
be replaced with “promote and encourage, including by way of state-funded
financial incentives, the accessibility to people with all kinds of
disabilities of residential places and buildings.” In 19.2(c), “public”
should be replaced with “places, buildings” and at the end should be
appended the words “open to, or used by the public.” In 19.2(g) Israel
proposed replacing the text after “are consulted” with “at all stages
in the process of formulating legislation, regulations, standards and
guidelines in relation to accessibility.”
Israel urged States Parties be obliged to introduce legislation requiring
the accessibility of places, buildings, facilities and services open
to and used by the public, and proposed a paragraph on such.
3. (a) States Parties shall introduce legislation requiring that:
(i) all places, buildings, facilities and services open to and used
by the public shall be made accessible, subject to no disproportionate
burden being imposed and subject also to the possibility of providing
for progressive realisation of accessibility in accordance with this
sub-paragraph;
(ii) such accommodations are made in residential places and buildings
as are
reasonable in the circumstances
(b) Legislation introduced under this paragraph shall include appropriate
and effective remedies and penalties as well as efficient enforcement
and implementation mechanisms." Israel proposed an additional paragraph
that would apply to the legal system: “4. States Parties shall, in the
implementation of this article, place special emphasis on taking all
possible steps to ensure the accessibility of the legal system, including
civil and criminal proceedings, the courts of law, tribunals, interrogation
and testification procedures.”
Korea expressed concern that transportation is not
included in issues of accessibility, and recommended a separate subparagraph
between 19.2(a) and (b): “devise policies and necessary technologies
in order to make public transportation accessible to persons with disabilities,
and develop special transportation services for persons with disabilities
as a complementary measures to public transportation.”
Philippines supported the recommendations of Israel
and Korea. It proposed the addition in 19.1(a) of “but not limited to”
after “including.”
Ireland, representing the European Union, reaffirmed
its recommendation that this Article appear earlier in the Convention.
The Article should be broad, but the current draft is excessively detailed,
which could lend itself to being exclusive rather than inclusive; the
proposal from Israel could take the Article even further in the wrong
direction. The EU proposed a rewording of the chapeau of 19.1: “States
parties to this Convention shall take appropriate measures to identify
and eliminate obstacles to accessibility, including inter alia architectural,
sensorial and cultural barriers, and promote equal access to information
and means of communication.” It suggested deleting 19.1(a) and (b) as
a result of this rewording. It suggested replacing the chapeau of 19.2
with: “These measures shall include.” The EU recommended deleting 19.2(a),
as it does not add to the maintenance of a general approach in the text.
It proposed that the ideas in 19.2(b) be moved to Article 15 on independent
living. The EU suggested a rewording of 19.2(c) to emphasize consultation
with organizations of PWD: “developing, promulgating and monitoring
implementation of minimum national standards and guidelines for the
accessibility of public facilities and services in consultation with
organizations of PWD;”. It expressed concern that the essential principle
of universal design has not been adequately addressed in this Article,
and therefore proposed inserting “and universal design” after “assistive
technologies” in 19.2(e). The EU proposed a new paragraph 19.2(e)(bis):
“promoting the development, availability and use of universally designed
goods, services, equipment and facilities, which are accessible and
understandable to, as well as usable by, everyone, to the greatest extent
in the most independent and natural manner possible, without the need
for adaptation or specialized design solutions.” As a result of this,
the EU asserted that 19.2(f) could be deleted, as it was subsumed in
the previous paragraph. It also stated that 19.2(g) could be deleted,
as the idea was subsumed in the revised para 19.2(c). The EU proposed
deleting 19.2(h), as it does not consider this subparagraph to be helpful
in the context of accessibility.
Canada stressed that the elimination of barriers and
the prevention of new barriers a key element of substantive equality,
and therefore recommended the addition of the “barrier prevention factor”
in the chapeau of 19.1. It stated that certain provisions of Articles
13, 19, and 20 address the same issue, but with emphasis on different
points, e.g., 13(f) and 19.2(d) both encourage private entities that
provide services to the general public to do so in an accessible manner.
Other examples of partial duplication are 13(d) and 19.2(e); as well
as 19.2(f) and 20(b); and 19 2(e) and 20(c). Therefore Canada suggested
consolidating overlapping provisions of these Articles to strike a balance
between applicable overriding principles and the enumeration of specific
measures designed to give effect to these principles. Canada cautioned
against enshrining in the convention any specific technical measures
that time may render obsolete or outmoded, as technical advances will
change what is required of accessibility to achieve equality. Canada
stated that if a consolidation of these three Articles is attempted,
it must take into account the issue of the duty to accommodate. It then
proposed a chapeau to the suggested consolidated Article that could
be titled “Accessibility and full participation,” to read as follows:
“States Parties to this Convention shall take all appropriate measures
to identify and eliminate existing barriers, to prevent the creation
of new barriers, and to ensure accessibility for PWD in order to enhance
their capacity to live independently and to participate fully in all
aspects of life.” It supported the EU’s proposed Article 19.2(e)(bis).
Canada asserted that consolidation is necessary to reduce or eliminate
redundancy, to achieve brevity, and to promote consistency between Articles,
rendering the Convention more clear.
China stated that accessibility involves the infrastructure
of the State and that the building of infrastructure cannot be accomplished
within a short period of time, and that depending on the economic and
social development levels of countries, available resources should be
used gradually to make infrastructure more accessible. Therefore, China
proposed adding in the chapeau to 19.1 after “appropriate measures”
the words “to the maximum extent of the available resources.”
Jordan stated that 19.2(a), (f), and (h) are of general
interest are applicable to other articles, so there is no need to include
them in more than one article. Thus, Jordan agreed with the EU that
in order to consolidate this Convention, these subparagraphs should
be moved to the Article on general obligations. It also proposed moving
19.2(c) to the Article on monitoring (Article 25). In 19.2(g), it suggested
inserting “and families of disabled children” after “PWD.”
Kuwait proposed to append “all buildings that house
key services for PWD must be made fully accessible” to 19.1(a) to clarify
what is public and what is private with respect to facilities. It suggested
a new subparagraph in 19.1: “(c) formulate and implement plans to progressively
reduce and eliminate barriers to accessibility for persons with disabilities
with respect to existing public buildings.” It also suggested dividing
19.2(b) into two sections, as follows:
"19.2(b)(i): “provide other forms of live assistance including
guides, readers and captioning to facilitate accessibility to public
buildings, facilities and information;” and "19.2(b)(ii): “provide
sign language interpreters as intermediaries to interpret information
from spoken language into sign language and from sign language into
spoken language for access to public services, education and to facilitate
participation.”
In 19.2(d) Kuwait proposed to replace “require” with "encourage.”
In 19.2(f) it proposed to replace “universal design” with “personal
accessibility to all PWD.”
Costa Rica suggested that the term “built environment”
is too restrictive, as mentioned in footnote 67, and proposed replacing
it with “physical environment,” as PWD should have the right to access
to all spaces, not just buildings. In the chapeau of 19.1, Costa Rica
proposed to insert after “to ensure” the words “the enjoyment of the
rights and fundamental freedoms of PWD, their capacity to live independently.”
In 19.1(a) “private or public” should be inserted after “and other other."
19.2(a) should be revised to read “providing and provide in public buildings
and facilities signage in easy to understand forms, including Braille.”
In 19.2(e), the words “where appropriate” should be appended. In 19.2(b),
after the word “intermediaries” should be inserted the words “other
support services and technological services.”
Afternoon Session
Commenced: 3:05 PM
Adjourned: 5:57 PM
The morning discussion of Article 19 was completed and Article 20
was discussed in its entirety, with the Chair again urging succinctness
given that many of the points raised on A19 will be raised in A20. Discussion
of Article 21 began with a majority of interventions recommending (see
FN 74) that its Health and Rehabilitation aspects be dealt with in two
separate articles. The EU, Israel and India drafts of these Articles
are on the UN Enable website.
ARTICLE 19: ACCESSIBILITY (CONT)
Chile stated that the Convention should refer to various
modes of transportation, including air transportation. Technology is
a right, not merely a reference; technology is a means to better education,
work, economic and social rights. It also applies to rehabilitation.
In 19.1(a), accessibility refers not only to public buildings and sites,
but also to private buildings. There should be accessibility everywhere
in the public sector; the private sector should be encouraged to improve
the standards of accessibility even if they don’t provide services to
the public. The obligation in 19.2(h) should be linked with Article
4 because education about accessibility will create change not just
today, but for decades.
Thailand proposed preserving the entire content of
the chapeau and supported the constructive proposals of Israel. It suggested
replacing “Encourage” with “To require” in 19.2(d). It proposed inserting
19.2(e), after “production” the words “, including localization,” and
appending to 19.2(f) the words “following, if appropriate with internationally
recognized accessibility standards and guidelines.” Although it agreed
that the concepts put forth in 19.2(e) and (f) could overlap with Articles
13 and 20, and while it supported consolidation of the Articles, it
desired the concept of accessibility be preserved.
New Zealand stated Article 4.2 could be revised to
incorporate overlapping ideas expressed in 19.2(g), and favored 4.1
being revised to absorb concepts in 19.2(e) and (f). It recommended
that if “universal design” appears in the final text more once it should
be defined in a definitions article. If it appears only in Article 4,
the definition should appear there. Training is mentioned in 19.2(h)
and throughout the Convention, and provisions for training should be
consolidated in one article. It expressed concern about diluting this
article by deleting and relocating provisions and stated that the Committee
should avoid the loss of practical ideas which could help implement
the Article's more general ideas. Deleting details from 19.1 and 19.2(a)
and (b) could dilute their meaning. Details may become obsolete, but
details serve as a guide for States to translate the conceptual into
the practical. In the chapeau of 19.1, New Zealand proposed adding “to
amenities inside buildings and the communications environment” after
“built environment.” By “communication environment” it means signage
and audio loops. In 19.1(a) it proposed to add “infrastructure” after
“roads.”
Japan stated that the government can encourage or
give advice to private companies on the improvement of the environment
for PWD, but cannot compel them.
In the chapeaus of 19.1 and 19.2 it proposed replacing “appropriate”
with “progressive” and replacing “built” with “physical”. In 19.1(a),
it recommended commencing the subparagraph with “Promotion of” and replacing
“public buildings” with “buildings for public use”. In 19.2(b) it suggested
replacing “live assistance and intermediaries” with “assistance”. In
19.2(e), it recommended replacing “Undertake and promote” with “Promote,
and where appropriate, undertake.”
Mexico stated that it submitted its proposals to the
Secretariat. Access should include all PWD. It focused on footnote 76,
progressive application, and stated that dissemination, investigation,
and promotion of technologies and means of support should be low cost
and widespread. Accessible transportation is vital element to achieve
other matters. Mexico stated that PWD should be evacuated safely in
emergency situations. Accessibility should be considered not only for
construction but also for the renovation of public buildings, e.g.,
schools, housing, medical establishments and public property work spaces
as well as walkways, sporting establishments, parks, an other public
buildings, both inside and outside. PWD should be active participants
as well as spectators. Mexico offered some suggestions to improve correlation
between the English and Spanish texts.
Australia proposed in the chapeau of 19.1 inserting
“and progressive” after “appropriate"; inserting “remove barriers
in all areas including the built environment, goods, services - including
transportation, information and communications - facilities, information
technology, electronic commerce -including banking - equipment, aids
and appliances” after “measures to”; and deleting the last sentence
of the chapeau. With the revised chapeau, 19.1(a) and (b) become redundant
and should be deleted. In the chapeau of 19.2, “and progressive” should
be added after "appropriate," and “inter alia:” should be
appended at the end, 19.2 is too prescriptive as it stands.
Uruguay believes that developing countries need technical
assistance. It proposed a bis which reads without editing: “States Parties
will facilitate access to the necessary means so that PWDs can ensure
integration. To that end, they will establish appropriate mechanisms
which will allow aids, prostheses, technical assistants, specific technology,
and in general to be imported without taxes for individuals with disabilities
or for institutions which provide services to those individuals.”
Guatemala supported Mexico and adds to 19.1(b), after
“public buildings,” the words “and private buildings for public use.”
Lebanon proposed adding to 19.1, “all kinds of disabilities”
to make clear this Article applies to all PWD. It suggested deleting
“that provide public facilities and services” from 19.2(d). In 19.1(a),
after “publicly owned workplaces,” should be added “and private entities
that provide public facilities or services addressed to the public”
so that there is no confusion between public facilities and official
facilities. It agreed with Kuwait regarding 19.1(c) and 19.2(b)(i) and
(ii), except it would delete “other forms of” and add after “readers,”
the words “and sign language interpreters” in 19.2(b)(i).
Vietnam proposed, in the chapeau, rewriting "to
ensure accessibility for PWD" to read instead “in accordance with
available resources to ensure the best accessibility for PWD.” In 19.1(b),
it proposed deleting “and remodeling.”
India agreed with Japan that “progressive” is better
than “appropriate” in 19.1. It proposed changing "built environment"
to “physical environment” in 19.1. Because the list in 19.2(a) may be
limiting, it supports adding the following language: “the inclusion
of principles of universal design in the construction and renovation
of all indoor and outdoor physical environment.” In 19.2(c), it supports
including elements of 19.2(d) at the end by adding the words “as also
for private facilities intended for full or partial public usage,” and
then deleting 19.2(d). 19.2(e) is the same as 20(c) and therefore should
be moved; 19.2(f) should be moved to general obligations.
Argentina supported Guatemala's proposed changes to
19.1(a), and recommended appending it with “including building installation
and services that is property or construction for public use.”
Serbia Montenegro supported Mexico’s replacement of
“appropriate” to “progressive” and it prefers “physical environment”
instead of “built environment” in 19.1. In 19.1(a) and 19.2(a) and (b),
it proposed changing “public buildings and facilities” in Mexico’s amendments
to “buildings and public use.” It suggested strengthening 19.2(g) as
Israel proposed. It also supported the EU in moving Article 19 up nearer
to the front because of its importance.
Thailand stated that progressive realization should
be clear in general obligations, but not in this article because it
is redundant. Information technology should be changed to “information
communication technology” so it adheres to generally accepted language.
NHRI supported the retention of this article because
it is fundamental in ensuring PWD can participate in society. In 19.1(a),
it proposed replacing “public” with “all,” deleting “for public use,”
placing “roads” after “including,” and deleting “publicly owned” because
private entities should not be exempt from access requirements. This
Article should encourage States to develop their own access standards.
In 19.2(c), it proposed deletion of the word “public” and at the end,
add “and infrastructure.” These changes make 19.2(d) redundant and therefore
it should be deleted. References to “universal design” should be deleted,
unless this is defined. Absent a definition this concept may be interpreted
as endorsing the least access. This Article should cover the acceptance
of sign as a language.
WFD supported 19.2(b) proposals by Kuwait, Mexico,
and NHRI. It is unsure if it agrees to move parts to Article 15. The
point of Article 19 is to integrate PWD as equal parts of society.
PWD Australia/NACLC/Australian Federation of Disability
believes Article 19 is too narrow to remove all barriers. It supported
the Australian changes to 19.1. If Article 19 was generally framed and
not prescriptive, encouraging international cooperation, it may achieve
more. It is too focused to the “public” and “built” environment; obligations
for access should apply to State and non-State actors. Private residential
accommodations must be made accessible as this impacts PWD’s isolation,
and they need to spend money to modify structures. The Bangkok draft
mandating national access standards should be included. “Progressive”
measures should replace “appropriate” measures.
RI / DPI / European Disability Forum / II / WFD / LSN / WBU/
World Union for Progressive Judaism believe that access opens
“gateways into the life world”. It should tackle barriers built to exclude
and ensure all new buildings are built for access. It supports Kuwait’s
proposal for 19.2(c), but prefers the word “enact,” not “promulgate”
to make clear the standards have the force of law. “Universal design”
may be interpreted with too much flexibility and therefore they support
alternative wording. All new forms of communication and transportation
should be accessible from the beginning because it is cost effective.
Progressive achievement of access means retrofitting over time, but
starting today. The private sector needs to be strengthened. All key
services need access, especially basic living needs and equal citizenship
rights, physician services, community services and cultural sites. Like
Kuwait, it supports dividing 19.2(b) into two sections. It supports
referring to reasonable accommodation because inaccessibility is not
an excuse to not deliver services to PWD. It also supports information,
communication and technologies needs its own paragraph.
ARTICLE 20: PERSONAL MOBILITY
Ireland suggested shortening this article. The chapeau
should read: “States Parties to this Convention shall take appropriate
measures to promote liberty of movement for PWD.” It proposed shortening
20(a): “facilitating access by PWD to high-quality mobility aids, devices,
assistive technologies”; the rest of 20(a) is now in 15(2). It suggested
deleting 20(b) and 20(c) because these ideas are now in 19(e) (bis).
20(d), (e), (f) and (g) are already addressed in other areas of the
Convention.
Bahrain proposed adding a new paragraph: “States Parties
shall adopt all possible measures to have technologies exempt from taxes
and to have them a low prices.”
Yemen supports Bahrain’s addition. In 20(c), it proposed
adding at the end of the sentence: “and the participation of PWD in
the search for devices.” In 20(d), it proposed adding “and their families”
at the end of the sentence. It alerted the Secretariat to translation
discrepancies between the Arabic and English draft texts.
Chile alerted the Secretariat to clarifications needed
in the Spanish text in 20(a) and 20(e).
China suggested that the words “liberty of movement”
in the chapeau of Article 20 be changed to “personal mobility” for consistency.
Japan supported the EU proposal because Article 19
and 20 address similar ideas. It proposed changing the order of the
beginning of 20(c): “Promoting and where appropriate, undertaking.”
Morocco proposed adding to the end of 20(c): “and
to encourage the private sector to invest in research in this field.”
In 20(d), it proposed at the end, “and encourage exchange of experience
among States.”
Korea supported the EU proposal with one change in
the chapeau: instead of “promote,” it suggested “ensure.”
Mexico alerted the Secretariat to Spanish translation
discrepancies in 20(a). In 20(e), it proposed the addition: “promote
their purchase at an affordable cost” after choice, deleting “and at
affordable cost.”
Costa Rica proposed replacing “effective” with “appropriate”
in the chapeau to be consistent with other articles. It agreed with
Mexico, but not with the translation discrepancy. In 20(a), the qualifier
“high-quality” should be replaced with “functional” because it is not
up to States to determine quality. It proposed deleting “live assistance
and intermediaries” with “and other forms of support services.” Support
services appears in the U.N. norms and standards. It agreed with Japan
about adding the word “appropriate”. In 20(d) and 20(f), it suggested
adding “and their families” after PWD. Subpara 20(d) deals with staff
that need to be trained, so the reference to “specialists” should be
deleted.
Jordan proposed adding “in the manner and at the time
of their choice and at affordable cost” after “PWDs” in the chapeau.
It suggested deleting 20(b), (c), (d), (e), (f), and (g) which are repeated
in other Articles and to promote a more consolidated text.
Liechtenstein believes Article 19 and 20 should be
nearer to the beginning of the Convention, between Article 7 and 8.
Both Article 19 and 20 are linked to the freedom of movement. It supported
shortening and making Article 20 concise as Jordan and EU stated, possibly
just the chapeau and 20(a).
Kenya proposed adding before “measures,” in the chapeau,
“and progressive.”
Uganda suggested replacing “effective” with “appropriate”
and adding “independent” before “movement” in the chapeau. In 20(a)
it suggested changing “high-quality” to “appropriate”, and in 20(b)
it proposed inserting “appropriate,” between “promoting” and “universal.”
New Zealand’s proposals are similar to Jordan and
the EU. However, it suggested due to redundancy, deleting this Article
entirely. Most of the ideas are already in other articles or can be
included; the WG split this Article out of the Article on Accessibility
and now it is too detailed. It suggested 20(a) move to Article 15. 20(b),
(c), and (d) should be moved to Article 4, General Obligations. It suggested
deleting 20(e) because it creates a greater right in freedom of movement
for PWD than that which generally exists. 20(f) is covered by 15(e);
20(g) is unnecessary.
NHRI proposed a new title, liberty of movement, because
this emphasizes a more rights-based approach rather than the medical
model implied in the existing title. It suggested deleting “with the
greatest possible independence” from the chapeau and deleting 20(b)
and (g), to be placed in General Obligations.
PWD Australia/NACLC/Australian Federation of Disability
called for a more general Article that reflects the effect on all PWD,
all impairment groups, including Blind and intellectually disabilities.
In 20(b), “universal design” only applies to physical environments which
are often highly individualized and cannot be universally designed,
and “encouraging” should be replaced with “ensure.” It is private entities
that build mobility devices and assistive technology, therefore States
must make them comply with this Convention. 20(b) should encourage international
cooperation to create international design standards for mobility aids.
The language in the Bangkok draft is preferable because it is broader
than covering access to buildings. It proposed two new paragraphs: “(a)
Should require States to take effective measures to ensure timely availability
of affordable maintenance and emergency repair services for mobility
devices and appliances and (b) Require States to allow portability of
personal mobility aids and devices purchased or granted through public
subsidy across internal and international borders without cost.”
RI /DPI / European Disability Forum /II /WFD / LSN / WBU /
World Union for Progressive Judaism is concerned with the term
“universal design.” It agrees with NHRI that “liberty of movement” replace
personal mobility because it connotes PWD have power over their own
lives. It supported retaining Article 20. “Appropriate assistive technology”
should replace “aides, devices and assistive technology” because it
is more culturally sensitive and infers that technology will differ
by country and age groups. It supported 20(e), the idea affordable costs
and believes this will take much work to make affordable assistive technology
a reality. “States Parties shall support the emergence and development
of assistive technology production through incentives and other measures
to support innovation and to reduce market barriers between product
design and the placing of products on markets. States parties shall
also take steps to ensure the affordability of such assistive technology
by PWD.”
International Disability Convention Solidarity Korea
stated that general human rights are needed, as well as specific rights
to ensure PWD live independently. If the Convention only includes general
human rights, it will do little for the rights of PWD. The right to
mobility is key.
ARTICLE 21: RIGHT TO HEALTH AND REHABILITATION
Philippines proposed inserting after “States Parties
recognize that,” the phrase “the promotion of health and the prevention
of disabilities is an immutable and essential responsibility of all
health care systems”. 21(j) should be changed to read: “Ensure that
free and informed consent is given only after the person concerned has
been told of the nature, consequence and risks of the health intervention
in the language understandable to the specific PWD and/or their immediate
families and recognized guardians.”
Israel recommended splitting this Article and circulated
a draft 21(bis) on the separate right to rehabilitation. All references
to rehabilitation should be deleted from this Article, which should
focus on the right to healthcare.
India circulated a draft splitting this Article into
a right to health and a right to rehabilitation. All references to rehabilitation
should be deleted from this Article. A new article, 21(bis) should be
created reflecting the fact that rehabilitation is unique to PWD, based
on a social rather than medical model. This approach is in accordance
with Rule 3 of the Standard Rules.
Ireland proposed that Article 21 be limited to medical
rehabilitation only and that other kinds of rehabilitation be addressed
in other articles such as the right to work or a separate article. Because
there is no general right to health in international instruments, just
the highest attainable standard of health, the title should be changed
to “Access to healthcare and medical rehabilitation.” The EU does not
support references to prevention because this Convention should address
disability, not the occurrence of disability. It proposed deleting 21(d)
and dealing with it in Article 12. 21(e), 21(f), and 21(g) should be
deleted because they are addressed in other places. 21(h), (i ), and
(j) should be replaced by the following: “Promoting quality public and
private healthcare that respects the human rights of persons with disabilities
and ensuring that health and rehabilitation professionals are aware
of, and respect, the rights, dignity and needs of persons with disabilities.”
21(k) should be moved to Article 12 and 21(l) and (m) should be deleted.
Bahrain supported both Israel and India’s proposal.
It proposed to add “involvement of organizations and establishments
whose interest is to support research and spreading knowledge and awareness
of preventive services” at the end of 21(f). In addition, it would add
a new paragraph to address “those with severe disabilities.”
Costa Rica proposed to replace “without discrimination
on the basis of disability” with “on an equal basis and considering
human diversity.” In 21(b), it proposed adding “needed and requested”
before “by PWD. In 21(c), after “assistive technologies,” add “, as
appropriate” and a sentence should be added: “including domestic services
and community based rehabilitation (CBR).” The translation in 21(g)
the term “sufficient” is too ambiguous, so it suggested deletion. In
21(k), the Spanish translation states “medical treatment”, instead of
“medical interventions” which is preferred.
China proposed to amend the first part of 21(k) to
read: “ensure medical and related interventions are in the best interest
of PWD, and prevent unwanted medical and related interventions unless
exceptional circumstances in accordance with the procedure established
by law and with the application of appropriate legal safeguards.”
Chile supports separate health and rehabilitation
articles. There should be an obligation to provide CBR. It suggested
a focus on prevention is important and it is a right. Secondary disabilities
must be prevented as well as degradation of primary disabilities into
secondary disabilities. People should be given information about genetically
transmitted disabilities. 21(k) needs to drafted in a positive way;
medical and related interventions should require the consent of the
PWD or guardian. Health insurance needs to be provided on an equal basis
and cover the cost for private coverage. Genetic, scientific, and medical
research should be included.
Namibia supported separate articles and the EU proposal.
In 21(b), “strive” should be replaced with “ensure.” It proposed changing
21(b) to read: “Develop understanding of disability rights, respect
for diversity, non discriminatory attitudes and a realistic perception
of the capacities of persons with disabilities as users of health services
for health professionals at all levels, in line with the principles
of this convention.” It proposed 21 (i ) and (m) be combined to read:
“Involve persons with disabilities and their representative organizations
in the development and monitoring of health policies and of a code of
ethics for public and private health care in promoting quality, transparency
and respect for human rights at the national level.” In 21(c), it proposed
to add: “rehabilitation services as close as possible to people’s own
communities.” 21(d) should be changed to: “Ensure that respect is afforded
to persons with disabilities to give consent to or refuse medical interventions
of all kinds, in accordance with their evolving capacities. 21(e)’s
proposed language is “Provide programmes and services to prevent and
protect against disabilities, including among children and the elderly.”
Text in 21(d) (bis) should be changed to “Ensure appropriate training
and support of sufficient number of rehabilitation.” The new Article
21 (bis) should be re-titled “Right to CBR” because medical rehabilitation
and CBR are different. “PWD have the right to representation State parties
shall ensure that PWD not be deprived of that right. It shall take all
appropriate measures to ensure that PWD have rehabilitation services.
In particular state parties shall (a) endeavor to provide rehabilitation
services within the community based on the principles of CBR.” It proposed
to add “benefit PWD in consultation with PWD.”
Japan proposed in the chapeau, in the second half
of first sentence, after the word “and,” deleting “shall” and adding
“for that purpose.” To cohere with ICESCR 12 (d), “to ensure access”
in the chapeau should be replaced with “to create conditions which would
assure to all persons with disabilities health and rehabilitation services.”
In 20(j), add after “consent,” “or with the application of other relevant
legal safeguards” for exceptional cases.
Kenya supported India and Israel. Rehabilitation is
a means to independent living and not a health issue.
Guatemala also supported separation into two articles.
In 21(a), it proposed adding “and information related to the health
services,” after “rehabilitation services.” Prevention should be included
in health care and should not be in rehabilitation.
South Africa supported the EU’s position on the title,
“access to health care” and deleting rehabilitation because rehabilitation
is not only medical. The latter half of 21 (a) should read ”…. health,
rehabilitation, as well as sexual and reproductive services.” In 21(b),
change “strive” to “provide,” and add “achieve the progressive realization
of disability specific.” It proposed deleting “safe” in 21(d) because
it is in Article 12 and to add 21(d) (bis): “Endeavour to support facilities
that are in the ownership or managed by persons with disabilities” to
encourage PWD and peer counseling. In 21(h), it proposed to delete “and
rehabilitation.” It proposed deleting 21(l) since Article 6 addresses
privacy.
Morocco proposed in 21(e), delete “secondary” to keep
prevention broad. In 21(g), at the end, add “continued,” before training.
After “safeguards” in 21(j), add “or their guardian or legal representative.”
Yemen proposed changing the title in 21(bis) to: “Right
to habilitation and rehabilitation”; Article 21 title could be right
to health or healthcare. In the chapeau, add “free,” after “standard
of health.”
Canada supported separated articles and agreed with
EU adding “medical” before “rehabilitation,” because there are other
forms of rehabilitation that can be addressed elsewhere, or it could
support a stand-alone Article. In 21(a), change “citizens” to “to others.”
21(d) is too detailed and prescriptive and should be deleted; respite
care should be placed in another article such as social security. 21(e),
(k), and (l) should be deleted. New technologies are addressed in 13(d)
and 20(c) so 21(f) should be deleted. It proposed deleting 21(g) and
21(i). Its proposed language for 21(h) is “Promote the appropriate education
and training of all health and rehabilitation professionals to increase
their disability-sensitive awareness and respect for the rights, dignity
and needs of persons with disabilities.” 21(j)’s reference to privacy
has already been addressed in article 14 and consent to treatment could
be addressed in Article 12 or Article 9- therefore this subpara should
be deleted. Likewise 21(m) should also be deleted because this is addressed
in general obligations, Article 4.2.
Holy See could support two separate articles. To keep
coherence with article 16, it recommended keep references in both as
“health” or as “health care” in 21(a) preceded by the word “all.” It
proposed deleting “sexual and reproductive health services” from 21(a).
Palestine affirmed the importance of free healthcare
services from the State and proposed separate articles for rehabilitation
and healthcare.
Russian Federation believes separating is appropriate.
“Rehabilitation” needs definition in Article 3. It proposed 21(c)(bis):
“Provide persons with disabilities with medical assistance including
the provision of medicines on a free basis in accordance with the minimum
social standards.”
Jordan proposed 21(d), (f), (j), (k), (i), and (l)
be deleted as redundant. It agrees with the EU proposal regarding 21(g)
and (h). It agreed that rehabilitation should be separate article, but
both are medical in nature, so need an empowerment paragraph, to include
a psycho-social model.
Uganda agreed to separate this article into two. It
proposed near the end of the chapeau, after “health,” to add “health
insurance” because many States charge PWD higher premiums for health
insurance. It suggested replacing “endeavor” with “ensure” in 21(c)
and replacing “encourage” with “promote” in 21(f) and in 21(g) to strengthen
these items.
Thailand supported a separate rehabilitation article.
It supported the EU chapeau, but adds “health insurance” as Uganda.
After the word “health insurance,” it proposed adding “on an equal basis
with others and without discrimination.” Some subparagraphs references
on research and development and consultation with PWD should be placed
in other articles. Rehabilitation should reflect the interdisciplinary
nature and should not be fractionalized; it supported India’s proposal
and the inclusion of an empowerment section. Although it values prevention,
the concept should not be in this Convention.
Argentina supported Japan’s amendment in 21(j) because
without that amendment it does not include emergencies, where consent
is unable to be obtained. It also supported Jordan in the deletion of
21(m).
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