title: Chevron v Echazabal: protection, opportunity, and paternalism.
abstract: The Supreme Court, in Chevron v Echazabal, ruled that risks to a disabled worker, if established by an individualized medical assessment, can disqualify the worker from protections offered by the Americans with Disabilities Act (ADA). This decision rejected the antipaternalist position of ADA advocates that workers with disabilities should be able to determine, through their own consent, the risks they will take. Such strong antipaternalism may not be compatible with the underlying justification for the protection of workers against health hazards. Stringent regulation of workplace hazards involves restricting the scope of consent to risk. Resolution of this conflict will depend on more careful examination of the degree to which individualized medical assessments avoid stereotyping and bias.
authors.affiliation: Harvard School of Public Health, Boston, MA 02115, USA. ndaniels@hsph.harvard.edu
authors.forename: Norman
authors.initials: N
authors.lastname: Daniels
mesh_terms: D002961:Civil Rights / Q000331:legislation & jurisprudence*; D006233:Persons with Disabilities / Q000331:legislation & jurisprudence*; D004198:Disease Susceptibility; D004651:Employment / Q000331:legislation & jurisprudence*; D015386:Hazardous Substances / Q000009:adverse effects; D006526:Hepatitis C / Q000175:diagnosis / Q000473:pathology; D006801:Humans; D007221:Industry / Q000191:economics / Q000331:legislation & jurisprudence*; D008297:Male; D016273:Occupational Exposure / Q000009:adverse effects; D016272:Occupational Health / Q000331:legislation & jurisprudence*; D026706:Paternalism; D011634:Public Health / Q000941:ethics; D018570:Risk Assessment / Q000331:legislation & jurisprudence*; D035521:Supreme Court Decisions; D014481:United States; D014938:Work Capacity Evaluation
chemical_list: D015386:Hazardous Substances