Hastings Center Report

Hastings Center Report
Volume 35, Number 5, September-October 2005

CONTENTS

From the Editor

Another Voice

    Maschke, Karen J.
  • Reconciling Protection with Scientific Progress
    [Access article in PDF]
    Subject Headings:
    • Human experimentation in medicine.

Letters

  • Letters
    [Access article in PDF]
    Subject Headings:
    • Kukla, Rebecca, 1969- Conscientious autonomy: displacing decisions in health care.
    • Patient participation.

In Practice

    Reisman, Anna B., 1964-
  • Indiscretions
    [Access article in PDF]
    Subject Headings:
    • Confidential communications -- Physicians.
    • Medical errors.

At Law

    Gostin, Larry O. (Larry Ogalthorpe)
  • The Negative Constitution: The Duty to Protect
    [Access article in PDF]
    Subject Headings:
    • Constitutional law -- United States.
    • Social rights -- United States.

Policy & Politics

    Sugarman, Jeremy.
  • Should the Gold Rule? Assessing "Equivalent Protections" for Research Participants across International Borders
    [Access article in PDF]
    Subject Headings:
    • Human experimentation in medicine.
    • Medicine -- Research -- International cooperation.

Case Study

    Sanders, Stacy J.
    Kittay, Eva Feder.
  • Shouldering the Burden of Care
    [Access article in PDF]
    Subject Headings:
    • Alzheimer's disease -- Patients -- Family relationships.
    • Alzheimer's disease -- Patients -- Home care.
    • Nursing home care -- Moral and ethical aspects.

Essays

    Hawkins, Jennifer Susan, 1969-
    Emanuel, Ezekiel J., 1957-
  • Clarifying Confusions about Coercion
    [Access article in PDF]
    Subject Headings:
    • Human experimentation in medicine.
    • Informed consent (Medical law)

Articles

    Orentlicher, David, 1955-
  • Making Research a Requirement of Treatment: Why We Should Sometimes Let Doctors Pressure Patients to Participate in Research
    [Access article in PDF]
    Subject Headings:
    • Human experimentation in medicine.
    • Clinical trials -- Moral and ethical aspects.
    Abstract:
      When a patient could be offered one of multiple established treatments, doctors should be able to offer treatment only if the patient agrees to participate in research aimed at determining which of the treatments is most effective. Making treatment conditional on research participation will help researchers complete badly needed studies.
    Jansen, Lynn A.
  • A Closer Look at the Bad Deal Trial: Beyond Clinical Equipoise
    [Access article in PDF]
    Subject Headings:
    • Human experimentation in medicine.
    • Clinical trials -- Moral and ethical aspects.
    Abstract:
      Some commentators have recently proposed that "clinical equipoise," although widely accepted, is not necessary for morally acceptable research on human subjects. If this concept is rejected, however, we may find that trials not in the best medical interests of their subjects--bad deal trials--could be justified. To avoid exploiting participants, we must find a way to distribute the risks fairly, even if it means embracing radical changes in the way clinical research is conducted.
    Wendler, David.
  • Protecting Subjects Who Cannot Give Consent: Toward a Better Standard for "Minimal" Risks
    [Access article in PDF]
    Subject Headings:
    • Human experimentation in medicine.
    • Informed consent (Medical law)
    • Health risk assessment.
    Abstract:
      When children and incapacitated adults are enrolled in research that cannot directly benefit them, they can be exposed to no more than "minimal" risks, according to guidelines accepted around the world. We need a new standard for what "minimal" risks are, howeve--one that recognizes that participating in nonbeneficial research is like participating in a charitable activity. Such a standard appears likely to provide more stringent protections for these vulnerable populations.

Review

    Levine, Carol.
  • Every Picture Tells a Story...and Then Some
    [Access article in PDF]
    Subject Headings:
    • Moller, David Wendell. Dancing with broken bones: portraits of death and dying among inner-city poor.
    • Urban poor -- United States -- Death -- Case studies.
    Mahowald, Mary Briody.
  • Reproductive Technology: Overcoming the Objections
    [Access article in PDF]
    Subject Headings:
    • Peters, Philip G. How safe is safe enough?: obligations to the children of reproductive technology.
    • Reproductive technology -- Moral and ethical aspects.

Contributors

Field Notes

Perspective

    Heitman, Elizabeth.
    Anestidou, Lida.
    Olsen, Cara.
    Bulger, Ruth Ellen.
  • Do Researchers Learn to Overlook Misbehavior?
    [Access article in PDF]
    Subject Headings:
    • Research -- Moral and ethical aspects.
    • Research -- Social aspects.



[Project MUSE] [Search Page] [Journals] [Journal Directory] [Top]