Legal Realism and Health Criminal Law Reform in the Era of Medical and Technological Advances

Authors

  • Martina Nilamsari Universitas Pendidikan Nasional Denpasar Bali, Indonesia
  • I Made Wirya Darma Universitas Pendidikan Nasional, Denpasar, Bali, Indonesia
  • Syed Muhammad Huzaif Mail Shaeed Zulfiqar Ali Bhutto University Of Law, Pakistan, Pakistan

DOI:

https://doi.org/10.15575/adliya.v19i1.40019

Keywords:

Law, Health, Technology, Realism, Malpractice.

Abstract

Health criminal law faces evolving challenges driven by rapid technological advancements and shifting social dynamics. Issues such as medical malpractice, drug counterfeiting, patient data privacy, and equitable access to healthcare require legal frameworks that are both adaptive and rights-based. However, Indonesia's current legal regulations often fall short in addressing these complex realities, revealing a gap between normative provisions and practical implementation. This research analyses the challenges of enforcing health criminal law in the modern era through the lens of legal realism and proposes adaptive legal solutions. Utilising normative legal research, including statutory and conceptual approaches, the study examines primary, secondary, and tertiary legal materials to assess the responsiveness of existing regulations. The findings highlight legal uncertainty, weak enforcement mechanisms, and insufficient alignment with technological and ethical developments. The novelty of this study lies in offering an integrated framework based on legal realism that emphasises pragmatic and contextually informed legal reform. Proposed solutions include comprehensive regulatory reform, restorative justice approaches, professional capacity-building, transparent oversight mechanisms, clear standards of criminal liability, and stronger protections against drug counterfeiting and patient data breaches. The study emphasises the need to strike a balance between law enforcement and human rights protection in the context of technological innovation in healthcare.

References

Al-Ahmad, Mohammad Hussein, and Istabraq Saad Al-Khazraji. “Criminal Liability for Artificial Intelligence Crimes.” In Studies in Computational Intelligence, 575–87, 2025. https://doi.org/10.1007/978-3-031-74220-0_45.

Ardiansyah, Lintang, Muhammad Alwan Fathurrobbanie, Renata Sheehan Del’ara, Desti Septiana, Salman Septiana Rohendi, and Rika Widawati. “Analisis Tindakan Eutanasia Dalam Perspektif Hukum Islam Dan Kode Etik Kedokteran Indonesia.” Hukum Inovatif : Jurnal Ilmu Hukum Sosial Dan Humaniora 1, no. 3 (2024). https://doi.org/https://doi.org/10.62383/humif.v1i3.318.

Ardiyanti, Novita, Rahma Nur Kamilatul Azmi, Noval Ramadhan, and Ahmad Jamaludin. “Legal Responsibility for The Use of Artificial Intelligence in Medical Practice.” DE’RECHTSSTAAT 10, no. 1 (March 2024): 121–32. https://doi.org/10.30997/jhd.v10i1.11323.

Azhar, Muhamad, and Utik Handayani. “Perlindungan Hukum Terhadap Korban Malpraktik Layanan Kesehatan Berbasis Telemedicine.” Law, Development and Justice Review 6, no. 1 (April 2023): 51–65. https://doi.org/10.14710/ldjr.6.2023.51-65.

Coiera, E., J. Ash, and M. Berg. “The Unintended Consequences of Health Information Technology Revisited.” Yearbook of Medical Informatics 25, no. 01 (August 6, 2016): 163–69. https://doi.org/10.15265/IY-2016-014.

Elvandari, Siska. “Penerapan Sanksi Terhadap Tempat Usaha Yang Tidak Gunakan Aplikasi Peduli Lindungi Dalam Perspektif Hukum Kesehatan Di Indonesia.” UNES Journal of Swara Justisia 7, no. 1 (April 2023): 220. https://doi.org/10.31933/ujsj.v7i1.317.

Firdaus, Aras, and Rudy Hendra Pakpahan. “Kebijakan Hukum Pidana Sebagai Upaya Penanggulangan Kedaruratan Covid-19.” Majalah Hukum Nasional 50, no. 2 (December 2020): 201–19. https://doi.org/10.33331/mhn.v50i2.61.

Fornasier, Mateus De Oliveira. “Freedom of Expression and the Metaverse: On the Importance of Content Creation for the Emergence of a Complex Environment.” Revista de Investigações Constitucionais 10, no. 1 (December 2023): 236. https://doi.org/10.5380/rinc.v10i1.87584.

Fu, Yeung Lap. “A Study on Medical Biotechnology System from Legal Perspective.” Journal of Commercial Biotechnology 23, no. 4 (February 1, 2018). https://doi.org/10.5912/jcb822.

Gunawan, Aria Chandra, Dika Yudanto, and Amir Junaidi. “Tinjauan Hukum Pidana Terhadap Tindakan Malpraktek Dalam Bidang Kesehatan Atau Medis.” Unes Law Review 6, no. 2 (2023). https://doi.org/https://doi.org/10.31933/unesrev.

Gutorova, Nataliya, Oleksandr Zhytnyi, and Oleksii Soloviov. “Falsification of Medical Products: Criminal Law Mechanism Combating Threats to Public Health.” Wiadomosci Lekarskie (Warsaw, Poland : 1960) 72, no. 5 cz 1 (2019): 856–61.

Jainah, Zainab Ompu. Kapita Selekta Hukum Pidana. Tangerang: Tira Smart, 2018.

Jakulin, Vid. “Criminal Offences against Public Health under the Criminal Code of the Republic of Slovenia.” Medicine, Law & Society 13, no. 1 (2020). https://doi.org/10.18690/mls.13.1.45-66.2020.

Lestari, Rinna Dwi. Rekonstruksi Regulasi Perlindungan Hukum Bagi Dokter Dan Pasien Dalam Pelayanan Kesehatan Melalui Telemedicine Berbasis Nilai Keadilan. Semarang: Universitas Islam Sultan Agung, 2023.

Mantovani, Reda. “Perlindungan Konsumen Terhadap Tindak Pidana Pemalsuan Obat.” Jurnal Magister Ilmu Hukum 6, no. 2 (August 2023): 78. https://doi.org/10.36722/jmih.v6i2.2315.

Mercado, Carla I., Kai McKeever Bullard, Michele L.F. Bolduc, Courtni Alexis Andrews, Zoe R.F. Freggens, Grace Liggett, Desmond Banks, Shanice Battle Johnson, Ana Penman-Aguilar, and Rashid Njai. “A Shift in Approach to Addressing Public Health Inequities and the Effect of Societal Structural and Systemic Drivers on Social Determinants of Health.” Public Health Reports®, October 11, 2024. https://doi.org/10.1177/00333549241283586.

Mindus, Patricia. “Realism Today: On Dagan’s Quest Beyond Cynicism and Romanticism in Law.” International Journal for the Semiotics of Law - Revue Internationale de Sémiotique Juridique 28, no. 2 (June 28, 2015): 401–22. https://doi.org/10.1007/s11196-014-9397-2.

Montgomery, Jonathan. “Medicalizing Crime—Criminalizing Health? The Role of Law.” In The Criminal Justice System and Health Care, 257–72. Oxford University Press, 2007. https://doi.org/10.1093/acprof:oso/9780199228294.003.0015.

Muhammad Ali Ausath. “Upaya Penerapan Ekosida Sebagai Kejahatan Luar Biasa Di Indonesia.” LITRA: Jurnal Hukum Lingkungan, Tata Ruang, Dan Agraria 2, no. 1 (October 2022): 115–28. https://doi.org/10.23920/litra.v2i1.1091.

Mulisi, Sibro. Argumentasi Hukum Kedudukan Kecerdasan Buatan Di Indoneisa. Surabaya: Universitas 17 Agustus, 2018.

Mumtaz, Hassan, Muhammad Hamza Riaz, Hanan Wajid, Muhammad Saqib, Muhammad Hamayl Zeeshan, Shaheer Ellahi Khan, Yesha Rajendrabhai Chauhan, Hassan Sohail, and Laiba Iman Vohra. “Current Challenges and Potential Solutions to the Use of Digital Health Technologies in Evidence Generation: A Narrative Review.” Frontiers in Digital Health 5 (September 2023). https://doi.org/10.3389/fdgth.2023.1203945.

Mureyi, Dudzai, Nyaradzai Arster Katena, and Tsitsi Monera-Penduka. “Perceptions of Diabetes Patients and Their Caregivers Regarding Access to Medicine in a Severely Constrained Health System: A Qualitative Study in Harare, Zimbabwe.” Edited by Rajat Das Gupta. PLOS Global Public Health 2, no. 3 (March 2022): e0000255. https://doi.org/10.1371/journal.pgph.0000255.

Piombo, Horacio J. J. “The Legal Pragmatism of Oliver Wendell Holmes, Jr. And the Predictive Theory of Law.” Doxa. Cuadernos de Filosofía Del Derecho, no. 43 (June 1, 2020): 189. https://doi.org/10.14198/DOXA2020.43.08.

Pradita, Riska, Retno Kusumo, and Rahmawati. “Pentingnya Aspek Keamanan Informasi Data Pasien Pada Penerapan Rme Di Puskesmas.” Journal Of Sustainable Community Service 2, no. 2 (March 2022): 52–62. https://doi.org/10.55047/jscs.v2i2.437.

Provodina, Elena V., Oksana Yu. Krasovskaya, and Natalya A. Greshnova. “Fundamentals of Developing Legal Mechanisms for the Protection of Society in the Context of Scientific and Technological Progress,” 359–67, 2023. https://doi.org/10.1007/978-3-030-78083-8_34.

Putri, Junia, Yuyut Prayuti, Yudhan Triyana, M. Ibnu Farhan, Arman Lany, and Aziz Fahrudin. “Prespektif Hukum Kesehatan Dalam Penyelenggaraan Layanan Kesehatan Berbasis Digital Kedokteran Jarak Jauh (Telemedicine).” JURNAL RECTUM: Tinjauan Yuridis Penanganan Tindak Pidana 6, no. 2 (2024). https://doi.org/http://dx.doi.org/10.46930/jurnalrectum.v6i2.4127.

Rahmatullah, Indra. “Filsafat Realisme Hukum; Konsep Dan Aktualisasinya Dalam Hukum Bisnis Di Indonesia.” ADALAH 5, no. 3 (June 2021). https://doi.org/10.15408/adalah.v5i3.21395.

Rusdiyanto. “Pertanggungjawaban Tindak Pidana Terhadap Pelaku Pemalsuan Obat.” Inkracht 2, no. 2 (2018).

Selbst, Andrew D. “Negligence and Ai’s Human Users.” Boston University Law Review 100, no. 4 (2020): 1315 – 1376. https://www.scopus.com/inward/record.uri?eid=2-s2.0-85093508249&partnerID=40&md5=9609e2d59aa8e829190e53f2269ceb89.

Siregar, Rospita Adelina. “Penerapan Permenkes Nomor 24 Tahun 2022 Tentang Rekam Medis Terhadap Efektivitas Pelayanan Kesehatan.” Jurnal Ilmu Hukum Kyadiren 5, no. 2 (2024). https://doi.org/https://doi.org/10.46924/jihk.v5i2.182.

Siti Ashira Salvina Day, and Rahayu Subekti. “Pertanggungjawaban Penyedia Sistem Rekam Medis Elektronik Dari Partner System Terhadap Kebocoran Data.” Demokrasi: Jurnal Riset Ilmu Hukum, Sosial Dan Politik 1, no. 3 (May 2024): 92–101. https://doi.org/10.62383/demokrasi.v1i3.253.

Sutarno. Hukum Kesehatan Kontemporer: Prinsip, Perkembangan Kajian Dan Permasalahan. Surabaya: Fakultas Hukum UHT Surabaya, 2019.

Thacharodi, Aswin, Prabhakar Singh, Ramu Meenatchi, Z. H. Tawfeeq Ahmed, Rejith R. S. Kumar, Neha V, Sanjana Kavish, Mohsin Maqbool, and Saqib Hassan. “Revolutionizing Healthcare and Medicine: The Impact of Modern Technologies for a Healthier Future—A Comprehensive Review.” Health Care Science 3, no. 5 (October 9, 2024): 329–49. https://doi.org/10.1002/hcs2.115.

Trisnadi, Setyo. “Perlindungan Hukum Profesi Dokter Dalam Penyelesaian Sengketa Medis.” MASALAH-MASALAH HUKUM 45, no. 2 (April 2016): 150. https://doi.org/10.14710/mmh.45.2.2016.150-156.

Utomo, Setyo. “Tantangan Hukum Modern Di Era Digital.” Jurnal Hukum Media Bhakti 1, no. 1 (February 2020). https://doi.org/10.32501/jhmb.v1i1.5.

Vandervort, David. “Medical Device Data Goes to Court.” In Proceedings of the 6th International Conference on Digital Health Conference, 23–27. New York, NY, USA: ACM, 2016. https://doi.org/10.1145/2896338.2896341.

Victorian Law Reform Commission. The Role of Victims of Crime in the Criminal Trial Process : Report, 2016.

Widyastuti, Dyah Ayu. “Terapi Gen: Dari Bioteknologi Untuk Kesehatan.” Al-Kauniyah: Jurnal Biologi 10, no. 1 (April 2017). https://doi.org/10.15408/kauniyah.v10i1.4864.

Wiraditya, Gede Gilang Adi, and I Dewa Made Suartha. “Pertanggungjawaban Pidana Dalam Malapraktik Kedokteran Dalam Perspektif Hukum Kesehatan Indonesia.” Jurnal Kertha Desa 1, no. 2023 (9AD).

Yoserwan. Doktrin Ultimum Remedium Dalam Hukum Pidana Indonesia (Implementasinya Dalam Hukum Pidana Ekonomi). Padang: Andalas University Press, 2019.

Yulianti, Evy, Mahdalena Sy Pakaya, Eti Yerizel, Rizzqi Septiprajaamalia R., Wiwit Zuriati Uno, Hasmiwati, Magfiratul Jannah, et al. Rekayasa Genetika. Purbalingga: Eureka Media Aksara, 2024.

Downloads

Published

2025-06-30

How to Cite

Nilamsari, M., Darma, I. M. W., & Huzaif Mail, S. M. (2025). Legal Realism and Health Criminal Law Reform in the Era of Medical and Technological Advances. ADLIYA: Jurnal Hukum Dan Kemanusiaan, 19(1), 57–76. https://doi.org/10.15575/adliya.v19i1.40019

Citation Check