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Andrew Ronald MacMillan (54) is serving a life sentence at the Otago Corrections Facility after killing 17-year-old Jayne McLellan and dumping her naked body in the Kaikorai Stream in 1988.
He told the court the pain he was suffering was “like torture” and left him unable to wipe his bottom.
The killer took his argument to the High Court at Auckland, where he also sought $11,000 in damages and $1550 in costs from Corrections, which he said had breached policy and international human rights declarations.
Despite a swathe of evidence before him, Justice Mark Woolford said — in a decision released this week — that it was unnecessary to analyse the specifics in detail.
Ultimately, the decisions of the medical practitioners dealing with MacMillan were simply “not reviewable” under the law.
“This was a clinical decision in relation to prescription, made by an independent medical doctor. It is not a decision which derives from a statutory power, and it is not a public decision, even when made in a prison environment,” the judge said.
“Medical professionals cannot be compelled to treat patients in a manner inconsistent with their clinical judgement.”
That continued through to July 2020, when MacMillan was released on parole, but when he was recalled to prison two months later the prescription was discontinued.
There was a review of that decision by another doctor last year, which confirmed long-term opiates were not appropriate treatment for non-cancer chronic pain.
“There is no suggestion that [Corrections] medical staff are acting in bad faith. That being the case, they must be allowed to act in accordance with their clinical judgement,” Justice Woolford said.
“It is totally inappropriate for the court to attempt to direct a doctor as to what treatment should be given to a patient . . . Medical professionals cannot be compelled to treat patients in a manner inconsistent with their clinical judgement.”
MacMillan will next appear before the Parole Board in April.