Legal Governance in HTA: Environment, Health and Safety Issues / Ethical, Legal and Social Issues (EHSI/ELSI), the Ongoing Debate

• Main Authors: Louise Bernier, Georges Auguste Legault, Charles Étienne Daniel, Suzanne K.-Bédard, Jean Pierre Béland, Christian A. Bellemare, Pierre Dagenais, Hubert Gagnon, Monelle Parent, Johane Patenaude
• Format: Article
• Language: English
• Published: Programmes de bioéthique, École de santé publique de l'Université de Montréal 2020-04-01
• Series: Canadian Journal of Bioethics
• Subjects: governance; social role; health technology assessment; ethics
• Online Access: https://cjb-rcb.ca/index.php/cjb-rcb/article/view/199

This paper aims to provide a better understanding of the law circumscribing the social role of Health Technology Assessment (HTA) and gain insight into the reasons challenging the inclusion of ethics into HTA. We focused on a debate at the core of the perceived role of regulatory law in health technology development, namely: Environment, Health and Safety Issues (EHSI) vs Ethical, Legal and Social Issues (ELSI) that arose in technology governance. Data collection was based on a literature review and a case study analysis. The former was founded on previous work. Three HTA agencies were selected for the latter using categories ranging from a greater to a lesser level of legal obligatory intensity. Our literature review revealed five different themes relating to the social role of HTA and a distinction between the role/use of “hard law” and “soft law” in regulatory law, thus providing an understanding of how agencies used law for handling ethics in HTA. Both approaches revealed that the debate, first observed in the EHSI/ELSI technology-governance and assessment, is reproduced in HTA. The main trend revealed by the literature review and the case study, is the presence of a pact between science and regulatory law. The social demand for integrating ELSI, and more precisely, ethical evaluation into HTA, is not the main preoccupation of the traditional legal frameworks governing HTA and remains to be considered primarily by alternative, soft law initiatives. The reported difficulties in integrating ethics into HTA demonstrate the need for rethinking legal governance in HTA.