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. 30, No. 4, July

A Caring and Teaching Organization
The Ethical Lessons of the Hospital Organizations educate and train professionals, in settings that define and reflect professional values. Our medical schools educate and train students in becoming physicians; our hospitals do the same--in very...
At the Center
Quiet in the midst of the storm. Boy is it hot and humid. Wait ... it's raining. Where's my sweater? Ninety degrees tomorrow? Impossible. Boy is it hot and humid.... Here we go again; it's full-swing summer in the Hudson Highlands. Last summer we...
Can a Physician Always Be Compassionate?
"Let compassion breathe in and out of you, filling you and singing"[1] The day was beautiful. I felt energetic and looked forward to morning office hours. Several new patients were scheduled, which always adds adventure to the routine and the possibility...
Closing Reflections
Through the plenary sessions and workshops over the past four days we have considered together the differences, and fundamental similarities, between medicine in China and the United States. Our conversations have highlighted distinguishing features...
Ethical Values in the Education of Biomedical Researchers
Research is a relatively new activity for physicians--scientific medicine and the culture of research that supports it date from only the beginning of this century. Whereas Western physicians have discussed ethical values in patient care for over 2,000...
Ethics Teaching in Medical Schools
Today's students with knowledge of medicine will be tomorrow's medical practitioners. They will face not cold stones or objects, but patients with flesh and feelings. They must provide not only technical skills and therapy, but also compassion and...
From the Editor
Several of the more influential papers on the relationship between doctor and patient have dealt with the structure of the relationship. These studies ask primarily about the physician's role with respect to the patient: is it that of caring parent...
Health Care and the Presidential Election
Many Republicans and Democrats in Washington see health care as capable of challenging the slim Republican majority in the House. But how will it play as a presidential campaign issue? The candidates for the White House are playing to a public that...
How Professional Values Are Developed and Applied in Medical Practice in China
The accomplishments of Chinese health care in the last fifty years have been recognized internationally. Before 1949, infant mortality in China was roughly 200 per 1,000, while the average life expectancy was about 35 years. According to the fourth...
Ignore the Law
Peter Ribinski, a seventy-two-year-old man, had been a resident in a nursing home in New York State for two years. About four weeks ago he developed a low-grade fever and a cough; his rate of breathing increased, his urine output decreased, and his...
Illness as Failure: Blaming Patients
At fifty, everyone has the face he deserves. --George Orwell Thy rebuke hath broken my heart; I am full of heaviness: I looked for some to have pity on me, but there was no man, neither found I any to comfort me. They gave me gall to eat: and...
Introduction
China has a fine tradition in developing medical morals and medical ethics. We integrate education in ethics all the way through the training of medical students. As a new academic discipline, medical ethics is developing rapidly in the world. The...
Medicine Is a Humane Art
The Basic Principles of Professional Ethics in Chinese Medicine The value system of medical ethics in China has a long tradition that can be traced back to ancient times. Those values are reflected in the (Confucian) precept that "medicine is a...
On the Development of Teachers of Medical Ethics in China
Despite a long history in China, medical ethics didn't become a popular course until the 1980s. At present, medical ethics is either a required or an optional course in most medical schools in China, but lack of qualified teachers is a conspicuous...
On the Hippocratic Sources of Western Medical Practice
One of the key figures in Western medicine is the fourth century Greek physician, Hippocrates. The Hippocratic Oath binds new physicians to the ethos and profession of medicine, while the Western tradition of scientific medicine traces its roots to...
Phase I Cancer Trials
A Collusion of Misunderstanding A dilemma confronts physician-investigators ... As physicians they are dedicated to caring for their patients ... As investigators they are dedicated to caring for their research ... These two commitments conflict...
Preface
In the 1960s, when the modern medical ethics movement began, it focused on resolving ethical dilemmas by clarifying, expanding, and codifying the values used by physicians to justify their actions and define their responsibilities. This focus on physician-centered...
Professional Values in Modern Clinical Practice
How are professional values defined and applied in the actual practice of modern medicine? Let me begin to answer that question by reviewing the virtues that a number of scholars regard as central professional values in medicine. James Drane considers...
Recruiting Subjects for Clinical Trials: Strategies and Perils
In June the Inspector General of the Department of Health and Human Services released Recruiting Human Subjects: Pressures in Industry-Sponsored Clinical Research, its latest report on the state of play in human subjects research (http://www.dhhs.gov/progorg/oei)....
Research Notes
A Code of Ethics for the Health Internet In February, the Center launched a collaboration with the e-Health Ethics Initiative organized by the Internet Healthcare Coalition--a nonprofit, Washington, D.C.-based organization devoted to educating stakeholders...
The 18th of October 1999 IN MEMORIAM
The story of a Cuban-American family and some lessons for patient care. I have been fretting about this day, in fact this very hour of this day, for many months. What a relief it will be when midnight finally comes and goes, and I know that I have...
The Best-Laid Plans
It is natural to suppose law is like the centurion and can do as it will: "I say to this man, Go, and he goeth; and to another, Come, and he cometh; and to my servant, Do this, and he doeth it." But a thousand years ago, King Canute tried to disillusion...
The Development of Professional Character in Medical Students
What is a professional? A professional commands a special body of knowledge and skills. A professional also is given specific rights not generally provided to the public, and has specific responsibilities or duties not generally expected of the public....
The Efficacy of Professional Ethics
The AMA Code of Ethics in Historical and Current Perspective The expressions "professional ethics" and "medical ethics" were coined by Thomas Percival (1740-1804), a philosophically trained English physician famous in his own lifetime for writing...
The Principles of the Belmont Report Revisited
How Have Respect for Persons, Beneficence, and Justice Been Applied to Clinical Medicine? In 1954 a man in his fifties was admitted to a teaching hospital with a heart attack of a few hours duration. He was to be the first subject of an innovative...
The Role of Medical Associations in Developing Professional Values
Thousands of health professionals who share common interests enroll in associations by their own choices. In China medical associations are academic organizations classified by specialty, and membership is voluntary. Medical associations are not trade...