The Hastings Center Report

The Hastings Center Report is a bimonthly magazine addressing ethical issues in medicine and the life sciences for an audience of physicians and other health care practitioners, attorneys and professionals in business and academia. Founded in Feb. of 1971, The Hastings Center publishes this magazine. Subjects for the Hastings Center Report are medicine and surgery. The Managing Editor is Joyce Griffin. Gregory E. Kaebnick is the Editor.

Articles from Vol. 24, No. 1, January-February

Exercising the Right to Die
This past autumn, the highest courts in New York and California decided two closely watched cases concerning how patients exercise the right to refuse life-prolonging technologies. In New York, the Court of Appeals affirmed an intermediate appellate...
Exploring Ethical Landscapes
Oncomouse, BST cows, Beltsville pigs, and transgenic fish, among other bioengineered "exotics," have recently appeared on the horizon of practical ethics, with more to come. Biotechnology and transgenic animals in particular, which involve the introduction...
Hope in Our Hearts
As Pascal might have said but didn't, the heart has its devices which reason knows nothing of. Research into the most recent of these devices, which are intended to replace the heart completely, was given a large boost on 30 September 1993 when the...
Is It Time to Clone a Bioethics Commission?
The intense media coverage of the latest version of "human cloning" that began in mid-October with a front-page story in the New York Times revealed more than the public's deep fascination with the prospect of endless human replicas.[1] It also served...
Making the Rounds: The Ethical Development of Medical Students in the Context of Clinical Rotations
Often in the hospital setting I feel I intrude into people's lives, take what I want, and move on. Does the experience of serving as a clinical clerk on the hospital wards change the ethical views and moral values that students bring to medical...
My (Danish) Living Will
In 1992 the Danish parliament passed legislation concerning advance directives (L 1992-05-14 no. 351). The new law stipulates a standardized format and establishes a central national register for advance directives. Previously, all that physicians...
Philosophic and Ethical Challenges of Animal Biotechnology
Animal biotechnology and the fashioning of transgenic animals, along with biotechnology in general, are potent new tools in the arsenal of modern, post-industrial societies. They promise to transform scientific and biomedical research, medical therapies...
Primum Non Tacere: An Ethics of Speaking Up
During the last five years I have conducted ethics courses, seminars, and case conferences for medical students. I have also had many informal discussions with students at all stages of their medical training. Yet I am still surprised by how many students...
Profoundly Diminished Life: The Casualties of Coercion
A war of words is being waged about whether physicians can refuse, unilaterally, to provide life support for patients who are hopelessly or terminally ill. For many years one scenario predominated: the patient or his family said, "Stop this treatment...
Rescuing Lives: Can't We Count?
On 16 September 1993, five-year-old Laura Davies of Manchester, England, received small and large intestines, stomach, pancreas, liver, and two kidneys in a fifteen-hour, transplant operation at Children's Hospital of Pittsburgh. The National Health...
The Baby in the Body
On a wild December night Donna M, twenty years old, took the curve on River Road a little too fast. She hydroplaned into the oncoming lane and struck a car broadside. The driver of the second car was able to walk away, but Donna M was seriously hurt....
The Prospects for Consensus and Convergence in the Animal Rights Debate
Controversies over the use of nonhuman animals (hence-forth animals) for science, nutrition, and recreation are often presented as clear-cut standoffs, with little or no common ground between opposing factions and, consequently, with little or no possibility...
Transgenic Organisms, Science, and Society
The definition of animal biotechnology and its new biological products is a complex and still controversial issue. A transgenic organism is one that carries and expresses genetic information not normally found in that species of organism. This definition...
What Is a Child Worth?
It sounds like one of those essentially unanswerable conundrums beloved of ivory tower academics, yet two recent deaths of British children make one ask in all seriousness, What is a child worth? Jamie Bulger, a month short of his third birthday,...
Will the Real Bioethics (Commission) Please Stand Up?
Just prior to the election of President Clinton in September 1992, Senators Edward M. Kennedy, Mark O. Hatfield, and Dennis DeConcini asked the Office of Technology Assessment of the U.S. Congress to examine past bioethics entities in the context of...