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. 38, No. 1, January-February

A Path to Universal Access: What Should Health Care Reform Look like, and How Do We Get It under Way? Three Commentators Respond to DeGrazia
What balance of government and private institution activity might stand a reasonable chance of achieving universal access to basic health care in the United States? David DeGrazia makes a strong case that single-payer national health insurance with...
Belief in a Just World: A Case Study in Public Health Ethics
A recent news article in The Atlanta Journal-Constitution profiled a working-class married couple, Connie and Michael Post, whose children were enrolled in PeachCare for Kids, a health insurance program for children that is Georgia's version of the...
Craft and Power
[I]t is as craftsmen that we get our satisfactions and our pay. --Learned Hand The Bill of Rights Oliver Wendell Holmes--a great judge--said that "the command of the public force is intrusted to the judges in certain cases, and the whole power...
Doctor, Will You Turn off My LVAD?"
Mr. P is a 62-year-old man with an extensive history of heart disease and severe heart failure. He underwent coronary bypass surgery ten years ago and has had two heart attacks in the past five years. His quality of life has been deteriorating due...
Ending the Life of a Newborn: The Groningen Protocol
Several criticisms of the Groningen Protocol rest on misunderstandings about how it works or which babies it concerns. Some other objections--about quality-of-life judgments and parents' role in making decisions about their children--cannot be easily...
How to Debate Science Policy
Last fall, Chris Mooney, author of The Republican War on Science and Storm World: Hurricanes, Politics, and the Battle over Global Warming, came to The Hastings Center to discuss science policy, how science policy is debated, and what can be done to...
Justice as a Frame for Health Reform
America is clamoring for health reform, but the current debate feels a bit like recitations of the tax code, with candidates from both parties arguing about mandates, tax credits, tax subsidies, market deregulation, and vouchers. Such a debate is more...
Laying the Groundwork for a Defense against Participation in Torture?
According to the former chief of training at the Navy's Survival, Evasion, Resistance and Escape (SERE) school, waterboarding is a "controlled drowning" that "occurs under the watch of a doctor, a psychologist, an interrogator and a trained strap-in/strap-out...
Lethal Injections: Medicine and Research
For the first time in more than a hundred years, the U.S. Supreme Court has agreed to hear a case involving the constitutionality of a particular method of execution--lethal injection. The case involves Kentucky death row inmates Ralph Baze and Thomas...
On the Moral Superiority of a Single-Payer System
David DeGrazia has sketched out a health reform proposal that combines the monopsony purchasing power of a single public payer with managed competition among health plans and implicitly among providers, alone or in groups. The proposal differs from...
Reforming Health Care Reform
This issue features two distinct levels of debate about health care reform, both of which are set in motion by David DeGrazia in the lead article. DeGrazia assembles an argument for consolidating health insurance in a single payer (or at least for...
Stem Cells from Skin Cells: The Ethical Questions
Recently, research teams led by Shinya Yamanaka and James Thomson published separate reports that they had genetically modified human skin cells to behave like embryonic stem cells. (1) Like their embryonic counterparts, these induced pluripotent stem...
The Case for Public Funding and Private Delivery
Common sense and empirical evidence suggest that single-payer health insurance, combined with competitive private delivery, would be the most cost-effective way of achieving the major, widely accepted goals of health care reform. Among the current...
The Problem with Single-Payer Plans
Many liberals in America dream about single-payer plans. Even if they acknowledge that a single-payer plan cannot be enacted, they still think it the best reform. Another proposal may be politically necessary to achieve universal coverage, but it would...
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