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. 22, No. 2, March-April

A Model Partnership
After more than four years of critical examination of residents' needs for long-term care, program design, and coordination among private insurers and state and federal agencies, in December Connecticut launched a pilot project to offer affordable...
Assisted Suicide: Can We Learn from Germany?
As the United States' public discussion of euthanasia and assisted suicide grows increasingly volatile, our interest in the Netherlands - the only country that openly permits the practice of euthanasia - has grown enormously. How do they do it? we...
Euthanasia in the Netherlands
The growing debate about physician aid-in-dying has often invoked the Netherlands as a case study and has drawn somewhat indiscriminately on the Dutch experience to support arguements both for and against physician-assisted suicide and, especially,...
Euthanasia in the Netherlands: American Observations
At the Maastricht meeting our Dutch hosts opened a window on their society and invited us to take a look at euthanasia practices in the Netherlands. As Maurice de Wachter intimates in his article, the hosts were candid in their descriptions and the...
Euthanasia: Normal Medical Practice?
Since the 1973 Leeuwarden trial of a doctor who killed a patient requesting euthanasia, public debate on euthanasia in the Netherlands has become come more intense. Despite the fact that, legally, active euthanasia is a criminal offense, physicians...
On Regulating Death
In January 1989 the Hastings Centers Reports Special Supplement on euthanasia carried an article by Dr. Richard Fenigsen, a Dutch cardiologist, that was scathingly critical of the law and practice of euthanasia in the Netherlands. Fenigsen alleged...
Paternal-Fetal Conflict
The attempt to reduce birth defects has proceeded by various strategies; among them, large notices in bars instructing pregnant women of the risk to fetuses posed by alcohol, corporate policies (now unconstitutional) banning fertile women from jobs...
Paternalism No Problem
A sad episode in British cancer research recently drew to a low-key close in the setting of a parliamentary committee. The committee's investigation failed to throw any light, however, on why trials with doubtful ethics in the United Kingdom often...
Substituting Our Judgment
How should surrogates decide whether to continue treatment that sustains the lives of patients who have never been capable of making their own medical decisions? The highest courts of Massachusetts and Indiana have recently responded very differently...
The Usual Suspects
Mr. and Ms. N had ruefully come to think of the hour just before dinner as the naughtiness hour. That was the time of day when Alexander, aged five and emotionally troubled, was most apt to pick fights with his sister Fanny, almost three. They were...
Voluntary Active Euthanasia
Since the case of Karen Quinlan first seized public attention fifteen years ago, no issue in biomedical ethics has been more prominent than the debate about forgoing life-sustaining treatment. Controversy continues regarding some aspects of that debate,...
Washington's I-119
In the beginning, Washington state's "Death with Dignity" initiative seemed charmed. Everything went right, to an extent that amazed even its most optimistic supporters. Up until the final week before the 5 November election, it appeared almost certain...
When Self-Determination Runs Amok
The euthanasia debate is not just another moral debate, one in a long list of arguments in our pluralistic society. It is profoundly emblematic of three important turning points in Western thought. The first is that of the legitimate conditions under...
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