Lucy Letby: Difference between revisions

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There is no comfortable centre to hold here.
There is no comfortable centre to hold here.
====Standpoint intersection ahoy====
====Standpoint intersection ahoy====
{{Drop|C|riminal justice stands}} at the intersection of at least four discrete fields of intellectual enquiry: law, medicine, statistics and ethics. The perspectives they afford are not “[[The Structure of Scientific Revolutions|commensurate]]”: each has its own rules, customs and institutions. Authority in one discipline does not commute to the others. In a perfect world, their outcomes would converge, but the world is not perfect. There will be times where the legal outcome is not the moral one, where the moral one is not borne by the statistics, where the statistics are at odds with our knowledge, and vice versa.  
{{Drop|C|riminal justice stands}} here at the intersection of at least four distinct fields of enquiry: law, medicine, statistics and ethics. Their perspectives are not “[[The Structure of Scientific Revolutions|commensurate]]”: each has its own rules, customs and institutions.  


You cannot but frame your understanding of the overall scenario through one or other of those prisms. There is no transcendent, “neutral” frame of reference. Without some kind of framework, the territory is random, incoherent noise.  
In a perfect world, they would converge, but the world is not perfect. They may conflict. There will be times where the legal outcome is not the moral one, where the moral one is not borne by the statistics, where the statistics are at odds with our knowledge, and vice versa.
 
Since we cannot but frame our understanding of the overall scenario through one or other of those prisms, we should expect dissonance, especially in difficult cases.


====Victims====
====Victims====
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====Substance, form and process====
====Substance, form and process====
{{Drop|T|he first thing}} to bear in mind is the difference between the ''substantive'' the morally unjustified ending of a life (this is an ''ethical'' frame of reference), the ''formal'' the commission of the act of “murder” as defined in law (in some ways an ethicist’s [[map]] of the [[territory]]: a systematic way of economically delivering that ethical framework), and the ''procedural'' the process one must gone through to determine whether a “murder” was committed.  
{{Drop|S|o we must}} keep in mind the difference between the ''substantive'' “ethical” frame of reference, and in the “legal” frame of reference there is a ''substantive'' element comprising medicinal, statistical and observational information, which is then filtered through a ''formal'' framework (the legal definition of “murder”) and a ''procedural'' one (the processes one must go through and the customs one must observe to arrive at a formal legal conclusion, including the presumption of innocence, the adversarial nature of the criminal justice system, the laws of evidence, the rules of court procedure, the tactics and strategies that defence and prosecution teams adopt within that milieu to best present their case, and the "tribunals of law and fact” — judge and jury — who must ultimately settle the question. Neither judges nor jury are necessarily, ethicists, statisticians, physicians or metaphysicians.  


This “procedural” includes the presumption of innocence, the adversarial tradition of British criminal justice, the laws of evidence, the rules of court procedure, and tactics and strategies that defence and prosecution teams adopt within that milieu to best present their case, whose outcome is ultimately determined not by judges, lawyers, ethicists, statisticians, physicians or metaphysicians but by 12 ordinary people, drawn at random from the electoral roll, who may have none of these skills. These change, drastically, the terms of the debate in a way that ''New Yorker'' articles, blogposts, twitter rants, podcasts, reddit subforums are not limited.
Needless to say this is a highly constrained and ''artificial'' process: the stakes are high and the process has evolved to favour certainty over doubt and protect the innocent from criminal punishment. It has few of the freedoms and laxities of the “town square”, where a freer debate can, and plainly does, play out in blogposts, twitter rants, podcasts, reddit subforums, and works of investigative journalism of greater or less rigour.


These are different questions, with different considerations, and it is important they are not confused. A person who murders unobserved in cold blood, leaves no evidence, and has no motive cannot be convicted beyond reasonable doubt of murder ''unless no other explanation is possible''. The procedural element fails: there is not enough evidence. A person who kills in cold blood, before witnesses but in demonstrable, reasonable self-defence, cannot be convicted of murder because the ''formal'' elements are not met. She has a defence.  
In the town square we address different questions with different information, and much looser rules of engagement.  


Our justice system is meant to benefit the accused in marginal cases: acquitting the occasional perpetrator is a “lesser evil” than convicting a single innocent.  
Our justice system is meant to benefit the accused in marginal cases: acquitting the occasional perpetrator is a “lesser evil” than convicting a single innocent. In the town square, the accused are afforded far less doubt.


But even then we get it wrong sometimes.  
But even in the courts we get it wrong sometimes.  
====The medical misadventure cases====
====The medical misadventure cases====
{{Drop|I|ndeed, cases involving}} medical misadventure, no direct evidence and which rely on statistics are a recurring case of injustice: Sally Clark, Daniela Poggiali and Lucia de Berk are but three recent examples with strikingly similar facts patterns. We should not take concerns about statistics lightly.
{{Drop|I|ndeed, cases involving}} medical misadventure, where no direct evidence and which rely on expert evidence, especially as to statistics or “science”<ref>The junk science ” of bite mark analysis, blood spatter analysis, hair microscopy are a recurring case of injustice: Chris Fabricant, {{Plainlink|https://www.audible.co.uk/pd/B09PF98JST?|br|Junk Science and the American Criminal Justice System}}</ref> Sally Clark, Daniela Poggiali and Lucia de Berk are but three recent examples with strikingly similar facts patterns. We should not take concerns about statistics lightly.


Where there is no “direct” evidence, the form and procedure becomes all the more important.
Where there is no “direct” evidence, the form and procedure becomes all the more important.

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