Hospital bed as holding cell

Hospital bed as holding cell | Daily Tribune

The cynicism is understandable. But the legal picture is more complicated than the joke allows, and that complication is exactly where the problem lives.

Start with what the law actually says. Article III, Section 13 of the Constitution makes all persons bailable before conviction except those charged with offenses punishable by reclusion perpetua when the evidence of guilt is strong. Plunder sits in that exception.

What no statute or rule squarely provides for is hospital arrest. Rule 114 governs bail, not the place of confinement. Once a person is in custody, where that custody is served has been left largely to judicial discretion exercised case by case, without a written standard.

Into that gap came Enrile v. Sandiganbayan (2015), where the Supreme Court granted provisional liberty on humanitarian grounds — advanced age and fragile health — largely detached from the usual inquiry into the strength of the evidence. A ruling framed as an exception has since functioned as a template.

None of this is illegitimate on its face. The State owes detainees humane treatment under Article III, Section 19, and the Mandela Rules require healthcare equivalent to what is available in the community. A facility that cannot dialyze a patient cannot lawfully hold one. The doctrine is defensible. It is the practice that fails, in three places.

First, evidence. Courts lean heavily on certifications from the accused’s own physicians, with no routine independent examination, no articulated standard for what “unfit for detention” means, and no fixed schedule for review. Confinement therefore lasts as long as the certificate is renewed.

Second, equal protection in fact if not in law. The same doctrine is theoretically available to the man with tuberculosis sleeping in shifts in a jail at four times capacity. In practice, access tracks the ability to retain counsel and specialists.

Third, cost and custody. Public funds and police details are committed indefinitely, on standards nobody has written down.

The encouraging thing is that the remedy is already in motion. The Chief Justice has reported that the revised Rules of Criminal Procedure under deliberation include custodial hearings — an open-court determination of house arrest, hospital arrest, or compassionate release.

That is the right instrument: court-designated physicians, a defined threshold, mandatory periodic review, written findings, and clear rules on who pays.

Let us build it together, and build it so it reaches the sick detainee in Payatas as surely as the one in San Juan.