海南省第一中级人民法院
p t ; ” > 行 政 判 决 书
（2017）琼96行终73号
海南省第一中级人民法院
行政判决书
（2017）琼96行终73号
上诉人（原审原告）陈月梅，女，1950年10月1日出生，黎族，陵水黎族自治县人。
上诉人（原审原告）杨平，男，1973年11月1日出生，黎族，陵水黎族自治县人。
上诉人（原审原告）杨锋，男，1979年4月30日出生，黎族，陵水黎族自治县人。
3位上诉人的共同委托代理人杨文艺，男，1947年10月5日出生，黎族，陵水黎族自治县人，系上诉人杨平、杨锋的叔叔。
被上诉人（原审被告）陵水黎族自治县公安局。住所地：陵水黎族自治县椰林镇椰林南干道。
法定代表人陈俊华，局长。
委托代理人于欢，海南法立信律师事务所律师。
委托代理人李永生，陵水黎族自治县公安局法制大队大队长。
上诉人陈月梅、杨平、杨锋不服陵水黎族自治县人民法院作出的（2016）琼9028行初6号行政判决，向本院提起上诉。本院于2017年6月12日依法受理了本案。本院依法组成合议庭于2017年6月20日公开开庭审理了本案。上诉人杨平、杨锋及3位上诉人的共同委托代理人杨文艺，被上诉人的委托代理人李永生、于欢到庭参加诉讼。本案现已审理终结。
原审判决查明，死者杨荣系陈月梅、杨平、杨锋的近亲属。2015年10月24日，杨荣因吸食毒品被陵水黎族自治县公安局（以下简称陵水县公安局）三才派出所抓获。2015年10月25日，陵水县公安局依照《中华人民共和国治安管理处罚法》第七十二条第（三）项规定，作出陵公（三）行罚决字［2015］1025号《行政处罚决定书》，决定对杨荣行政拘留十五日（2015年10月25日至2015年11月9日）。同一天，陵水县公安局依照《中华人民共和国禁毒法》第三十八条第二款、第四十七条第一款之规定，作出陵公（三）强戒决字［2015］0022号《强制隔离戒毒决定书》，决定对杨荣强制隔离戒毒二年（2015年11月9日至2017年11月9日）。强制隔离戒毒所（以下简称戒毒所）为陵水县公安局的派出机构。戒毒所接收杨荣时依程序对其身体肝、胆、脾及双肾部位进行了B超检查。超声波提示：肝、胆、脾及双肾未见异常现象。于是，戒毒所收押杨荣执行强制隔离戒毒。2016年9月29日，戒毒所民警在日常管理中发现杨荣双脚有水肿病现象，于是当天联系原告来戒毒所一起带杨荣去医院看病，但原告当天未到。2016年10月2日，戒毒所民警再次电话联系杨锋，并让杨荣亲自与其通话，但当天陈月梅、杨平、杨锋也未到。2016年10月4日，原告来到戒毒所与民警一起带杨荣到陵水黎族自治县人民医院检查，经诊断患病症状：1.心脏增大，心包少量积液，右侧胸腔积液；2.胆囊炎。医生建议住院治疗，但告知当天没有空床位，同行民警当场向原告索要200元，作为杨荣在戒毒所打针治疗费用。然后，民警与原告带杨荣到椰林镇陵文路20号新兴诊所治疗，而后带回戒毒所。2016年10月5日上午9时许，戒毒所民警再次带杨荣到该诊所治疗，但医生发现病情严重，建议到上一级医院治疗。民警又继续联系县医院急诊科医生周岁智住院病床位事宜，但该医生回复尚未有空床位。2016年10月5日上午11时许，原告接到戒毒所民警通知杨荣病危后赶到戒毒所，尔后民警将病危的杨荣移交给原告带回海南省岭门农场进行社区戒毒。同时，被告陵水县公安局以杨荣所患疾病己不适合在戒毒所强制隔离戒毒为由，作出陵公（禁）社戒决字［2016］016号《社区戒毒决定书》，责令戒毒人员杨荣接受社区戒毒三年（2015年10月25日至2018年10月25日）。此时，原告看到杨荣病情严重，将其送往位于三亚市的解放军第四二五医院住院治疗。因杨荣病情恶化，在院方与原告详细交待杨荣病情后，且考虑当地风俗，原告要求出院，杨荣当晚被送回家。2016年10月6日早上，杨荣在家中因病死亡。原告遂向原审法院提起行政诉讼，请求：一、判决被告在杨荣因病不及时治疗，致使其死亡的行政行为属”疏于管理，造成公民身体伤害或者死亡的其他违法行为”；二、依法确认被告作出的《社区戒毒决定书》，并将杨荣和决定书交给原告是被告有意推卸责任的行政行为；三、案件受理费由被告承担。
原审判决认为，本案争议焦点问题：原告的诉讼请求有无事实和法律依据。根据《中华人民共和国禁毒法》第四十二条”戒毒人员进入强制隔离戒毒场所戒毒时，应当接受对其身体和所携带物品的检查”的规定，本案中，被告戒毒所在接收戒毒人员杨荣时依程序对其进行了身体检查。2016年9月29日，戒毒所民警在日常管理工作中，发现杨荣双脚有水肿病现象，当天电话联系原告到戒毒所一起带杨荣去医院看病，但原告当天未到。10月2日，民警再次电话联系原告杨锋，并让杨荣亲自与其通话，但当天原告也未到戒毒所。10月4日，原告来到戒毒所与民警一起带杨荣到陵水黎族自治县人民医院检查，诊断后发现病情严重，医生建议住院治疗，因当天没有空床位，原告及民警拿着医生开的处方带杨荣到椰林镇陵文路20号新兴诊所治疗。10月5日上午9时，民警再次带杨荣到该诊所治疗，并继续与县医院急诊科医生联系病床位事宜。在此期间，被告尽到了管理义务，履行了工作职责，实施救治的行政行为并无违法之处。原告主张杨荣因病死亡是被告疏于管理造成，存在不作为行为，与事实不相符，且对其主张所举证据也未能充分证明被告疏于管理的事实。因此，原告的该项诉讼请求，不予支持。根据《中华人民共和国禁毒法》第三十三条、《戒毒条例》第三十一条的规定，戒毒人员杨荣所患疾病经县医院诊断为严重疾病，需住院治疗，所外就医，其健康状况己不适宜在戒毒所执行强制隔离戒毒，被告以此为由变更戒毒人员杨荣执行强制隔离戒毒为社区戒毒方式，该行政行为的实施并无不当，也符合上述法律法规规定，只是程序上存在瑕疵。因此，原告主张请求确认被告有意推卸责任的行政行为，其主张理由不充分，于法无据，因此，原告的该项诉讼请求，也不予以支持。综上所述，依照《中华人民共和国行政诉讼法》第六十九条之规定，判决驳回原告陈月梅、杨平、杨锋的诉讼请求。案件受理费50元，由原告陈月梅、杨平、杨锋负担。
上诉人陈月梅、杨平、杨锋共同上诉称：一、原审法院认定事实不清，判决不当。杨荣死亡是因被上诉人疏于管理，不及时对杨荣所患的疾病进行有效的治疗，也不提前通知上诉人配合治疗，而是等到杨荣的病情恶劣，危及生命时才通知上诉人。在陵水黎族自治县人民医院治疗时，在没有床位的情况下，被上诉人应当及时将杨荣送往其他医院救治。因此，杨荣的死亡是与被上诉人的违法行政行为有直接的因果关系。原审法院认定被上诉人对杨荣的疾病治疗尽到了管理义务，履行了工作职责，实施救治的行政行为不违法等，是不公正的判决。二、在杨荣病重时，被上诉人作出《社区戒毒决定书》是违法和推卸责任的行政行为。综上，原审法院认定事实不清，程序违法，判决明显不当，请求二审法院：一、撤销（2017）琼9028行初6号行政判决；二、支持上诉人一审的诉讼请求；三、上诉费由被上诉人承担。
被上诉人陵水县公安局未提交书面答辩意见，其二审答辩意见与一审答辩意见一致。
上诉人陈月梅、杨平、杨锋在二审中向本院补充提供了2份证据：1.证明书；2.注销证明。2份证据证明杨荣的死亡时间。经庭审质证，本院对上诉人提供的2份证明的真实性、合法性和关联性予以确认，可以证明杨荣于2016年10月6日死亡。
本院经审理查明的事实与一审判决认定的事实一致，本院予以确认。
本院认为，根据《戒毒条例》第三十一条第一款的规定，强制戒毒人员在强制戒毒期间所外就医需要报经戒毒场所主管机关批准，且所外就医的费用由强制戒毒人员本人承担。本案中，被上诉人陵水县公安局在发现杨荣患病后，及时电话联系上诉人杨锋到戒毒所配合送医治疗。被上诉人尽到了管理义务，履行了工作职责，实施救治的行政行为并无违法之处。上诉人主张在陵水黎族自治县人民医院没有床位的情况下，应当积极送其他大医院进行救治。本院认为，杨荣系强制隔离戒毒人员，其所外就医需要经过戒毒场所主管机关批准并报强制隔离戒毒决定机关备案，其转院治疗需要办理相关手续且陵水黎族自治县人民医院在10月4日检查后只是建议住院治疗，并未明确告知杨荣病情危急必须住院治疗。而被上诉人在得知杨荣的检查结果后，于次日作出《社区戒毒决定书》，依法变更了对杨荣的戒毒措施，以便杨荣及时就医。被上诉人并无拖延救治和违法之处。从上诉人提供的解放军第四二五医院出具的《诊断证明》和《出院通知书》中记载”与患者家属详细交待病情后，考虑当地风俗，要求出院，并签字为证”。可见，上诉人在杨荣治疗期间主动放弃治疗，杨荣是因病死亡。因此，被上诉人在杨荣生病后的送医救治行为和变更戒毒措施并未违反法律规定而侵犯杨荣的合法权益。上诉人的上诉理由不能成立，对其上诉请求本院不予支持。原审判决认定事实清楚，适用法律、法规正确，应予维持。依照《中华人民共和国行政诉讼法》第八十九条第一款第（一）项之规定，判决如下：
驳回上诉，维持原判。
二审案件受理费人民币50元，由上诉人陈月梅、杨平、杨锋负担。
本判决为终审判决。
审判长姜国强
审判员吕丽霞
审判员冯花
二O一七年七月二十六日
法官助理何醒涛
法官助理何醒涛
书记员詹文莉
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caseinfo=JSON.stringify({\"法院ID\":\"71\",\"案件基本情况段原文\":\"\",\"附加原文\":\"\",\"审判程序\":\"刑罚变更\",\"案号\":\"（2018）冀07刑更625号\",\"不公开理由\":\"\",\"法院地市\":\"张家口市\",\"法院省份\":\"河北\",\"文本首部段落原文\":\"\",\"法院区域\":\"\",\"文书ID\":\"643a50de-0176-4572-a26a-a90d00115f69\",\"案件名称\":\"薛志宝寻衅滋事刑罚变更刑事裁定书\",\"法院名称\":\"河北省张家口市中级人民法院\",\"裁判要旨段原文\":\"\",\"法院区县\":\"\",\"补正文书\":\"2\",\"DocContent\":\"\",\"文书全文类型\":\"1\",\"诉讼记录段原文\":\"河北省张家口市崇礼区人民法院于2014年7月30日作出（2014）崇刑初字第23号刑事判决书，以薛志宝犯寻衅滋事罪判处有期徒刑六年六个月。判决生效后交付执行。刑罚变动情况：2016年12月28日本院作出（2016）冀07刑更1689号刑事裁定，对该犯减去有期徒刑十个月。执行机关涿鹿监狱于2018年6月12日向本院提出减刑建议，报送本院审理。本院依法予以公示，现已审理终结\",\"判决结果段原文\":\"\",\"文本尾部原文\":\"\",\"上传日期\":\"\\\/Date(1530115200000)\\\/\",\"案件类型\":\"1\",\"诉讼参与人信息部分原文\":\"\",\"文书类型\":null,\"裁判日期\":null,\"结案方式\":null,\"效力层级\":null});$(document).attr(\"title\",\"薛志宝寻衅滋事刑罚变更刑事裁定书\");$(\"#tdSource\").html(\"薛志宝寻衅滋事刑罚变更刑事裁定书
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[{法规名称:\'《中华人民共和国刑法》\',Items:[{法条名称:\'第七十八条第一款\',法条内容:\' 第七十八条
被判处管制、拘役、有期徒刑、无期徒刑的犯罪分子，在执行期间，如果认真遵守监规，接受教育改造，确有悔改表现的，或者有立功表现的，可以减刑；有下列重大立功表现之一的，应当减刑：
（一）阻止他人重大犯罪活动的；
（二）检举监狱内外重大犯罪活动，经查证属实的；
（三）有发明创造或者重大技术革新的；
（四）在日常生产、生活中舍己救人的；
（五）在抗御自然灾害或者排除重大事故中，有突出表现的；
（六）对国家和社会有其他重大贡献的。
减刑以后实际执行的刑期不能少于下列期限：
（一）判处管制、拘役、有期徒刑的，不能少于原判刑期的二分之一；
（二）判处无期徒刑的，不能少于十三年；
（三）人民法院依照本法第五十条第二款规定限制减刑的死刑缓期执行的犯罪分子，缓期执行期满后依法减为无期徒刑的，不能少于二十五年，缓期执行期满后依法减为二十五年有期徒刑的，不能少于二十年。
\'},{法条名称:\'第七十八条第一款\',法条内容:\'
第七十八条
被判处管制、拘役、有期徒刑、无期徒刑的犯罪分子，在执行期间，如果认真遵守监规，接受教育改造，确有悔改表现的，或者有立功表现的，可以减刑；有下列重大立功表现之一的，应当减刑：
（一）阻止他人重大犯罪活动的；
（二）检举监狱内外重大犯罪活动，经查证属实的；
（三）有发明创造或者重大技术革新的；
（四）在日常生产、生活中舍己救人的；
（五）在抗御自然灾害或者排除重大事故中，有突出表现的；
（六）对国家和社会有其他重大贡献的。
减刑以后实际执行的刑期，判处管制、拘役、有期徒刑的，不能少于原判刑期的二分之一；判处无期徒刑的，不能少于十年。
\'},{法条名称:\'第七十九条\',法条内容:\'
第七十九条
对于犯罪分子的减刑，由执行机关向中级以上人民法院提出减刑建议书。人民法院应当组成合议庭进行审理，对确有悔改或者立功事实的，裁定予以减刑。非经法定程序不得减刑。
\'}]},{法规名称:\'《中华人民共和国刑事诉讼法（2012年）》\',Items:[{法条名称:\'第二百六十二条第一款\',法条内容:\'
第二百六十二条罪犯在服刑期间又犯罪的，或者发现了判决的时候所没有发现的罪行，由执行机关移送人民检察院处理。
被判处管制、拘役、有期徒刑或者无期徒刑的罪犯，在执行期间确有悔改或者立功表现，应当依法予以减刑、假释的时候，由执行机关提出建议书，报请人民法院审核裁定，并将建议书副本抄送人民检察院。人民检察院可以向人民法院提出书面意见。
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