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. 20, No. 5, September-October

A Hostage to Technology
A Hostage to Technology In one respect, the U.S. Supreme Court decision in Cruzan makes sense. There is simply not enough national consensus at the present time to establish uniform, national standards for terminating treatment (especially on the...
An Alternative to Property Rights in Human Tissue
An Alternative To Property Rights in Human Tissue Recent developments in biotechnology involving human tissue are sweeping our interactions with this material well beyond the boundaries of existing law. Some of these developments allow profit-oriented...
A Vision of the Health Decisions Movement
A Vision of the Health Decisions Movement I have a vision of the future of the health decisions movement. I see a national community health decisions movement gaining credibility, breadth, and power from the essential goodness that shared lives generate...
Business Ethics in Ethics Committees?
Business Ethics in Ethics Committees? A physical therapist employed at a physician-owned therapy service became distressed when the owner, an orthopedic surgeon, required the therapist to continue care for a patient beyond what could reasonably be...
Community Values in Vermont Health Planning
Community Values in Vermont Health Planning Most observers of America's health care system agree that change is necessary. Although we spend more per capita on health care than any other country in the world, the health of our population falls short...
Cruzan and Caring for Others
Cruzan and Caring For Others How can one be a health care professional in Missouri today? What does one say to the family of a very sick elderly person? Does one actually acknowledge that every life-sustaining treatment must be provided unless the...
Cruzan: No Rights Violated ("Cruzan V. Director, Missouri Department of Health" Right to Die Case)
Cruzan: No Rights Violated Cruzan was correctly decided. Not because persons in persistent vegetative state should be sustained indefinitely, but because sustaining them does not violate their own or their family's constitutional rights. Gastrostomy...
Democracy and Justice in Health Policy
Democracy and Justice in Health Policy On July 23, 1990 Dr. Louis Sullivan, Secretary of Health and Human Services, gave the first of a series of planned speeches on the Bush administration's view of U.S. health policy. Saying that he was beginning...
Ethics Committees as Corporate and Public Policy Advocates
Ethics Committees As Corporate and Public Policy Advocates New roles will open to ethics committees in the 1990s in the face of dramatic changes in the structure of the health care system and range of patient care choices. As vertically integrated...
Giving Voice to the Pragmatic Majority in New Jersey
Giving Voice to the Pragmatic Majority in New Jersey From its inception in 1983, the New Jersey Citizens' Committee on Bio-medical Ethics was motivated by the conviction that citizens are responsible for their society. In particular, they are responsible...
Health Care in Common: Setting Priorities in Oregon
Health Care in Common: Setting Priorities in Oregon The Problem. The 1989 Oregon Legislature passed a package of statutes that will substantially alter the health care system in Oregon, and may provide a model for similar reforms in other states....
How Can They?
How Can They? It was deja vu. The Supreme Court ruled recently, like the Missouri Supreme Court some months ago, that the state could "protect" the life of Nancy Cruzan, and that legislatures should make this vital health decision in place of the...
"Make Me Live": Autonomy and Terminal Illness
"Make Me Live": Autonomy and Terminal Illness Discussions of terminal care are always difficult, even with a patient with whom one has a long-standing relationship. In this case the attending physician must make a decision about life-prolonging treatment...
Missouri Stands Alone
Missouri Stands Alone On June 25, 1990, the United States Supreme Court decided Cruzan v. Director, Missouri Dep't of Health. The Court ruled on extremely narrow grounds, and virtually all ill effects of the decision are limited to the state of Missouri....
Nancy Cruzan in China
Nancy Cruzan in China Had the Cruzan family been in China when Nancy Cruzan suffered the accident that left her in a persistent vegetative state, and had China done to the Cruzans what Missouri has done to them, outrage would have rung throughout...
Noncompliance in AIDS Research
Noncompliance in AIDS Research From Nuremberg to the mid-1980s, the ethics of research has concentrated exclusively on the rights of patient-subjects. Noncompliance with protocols--either lying to get in a study or, once in, failing to adhere to its...
On Taking Substituted Judgement Seriously
On Taking Substituted Judgment Seriously I am a long-time advocate of patients' rights in general and the right to die in particular, but i believe the U.S. Supreme Court rendered the right decision in Cruzan. This is not a comfortable position for...
Public Input into Health Care Policy: Controversy and Contribution in California
Public Input Into Health Care Policy: Controvery and Contribution in California The hypothetical case of "Unclke Ned" comes up as an illustration in point during a California Health Decisions (CHD) group discussions of principles for health care allocation....
The Patient Self-Determination Act: Not Now
The Patient Self-Determination Act: Not Now The Patient Self-Determination Act is an idea whose time has not yet come. It aims for a laudable objective. Indeed, as poll after poll has shown, the American people overwhelmingly support that objective:...
The Patient Self-Determination Act: Yes
The Patient Self-Detemination Act: Yes The Patient Self-Determination Act (especially post-Cruzan) will be a vital public policy expression of a larger societal commitment to prevent the ill effects in the first case above and to increase the benefits...

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