Project MUSE®: Hastings Center Report

Project MUSE®: Hastings Center Report - Latest Articles https://muse.jhu.edu/journal/287 Project MUSE®: Latest articles in Hastings Center Report. daily 1 2026-05-19T00:00:00-05:00 text/html en-US Vol. 35 (2005) - vol. 41 (2011) Latest Articles: Hastings Center Report TWO Project MUSE® Hastings Center Report 1552-146X 0093-0334 Latest articles in Hastings Center Report. Feed provided by Project MUSE® Compassion https://muse.jhu.edu/article/458032 To the Editor: In his essay, “Can We Mandate Compassion?” (March–April 2011), Ron Paterson, a former health and disability commissioner in New Zealand, discusses the decline of physicians’ compassion—an issue that is receiving more attention in the media, and in our journals, hospitals, and medical societies, as well. He decided—and I agree—that compassion should not be mandated. How could it be? After all, it’s unquantifiable; it’s not meted out in milliliters or grams. Compassion is a spontaneous emotion that arises from the individual caregiver’s spiritual reservoirs. Trying to regulate or mandate it would be absurd—the ultimate attempt at dehumanizing medicine. Giving students more exposure to ... <a href="https://muse.jhu.edu/article/458046">Read More</a> Project MUSE® https://muse.jhu.edu/ 2026-05-19T00:00:00-05:00 https://muse.jhu.edu/journal/287/image/coversmall Compassion 2011-11-23 text/html en-US Compassion 2011-11-23 2011 TWO Project MUSE® 6481 2026-05-19T00:00:00-05:00 2011-11-23 Commercial Speech Bruises Health Privacy in the Supreme Court https://muse.jhu.edu/article/458033 Heath services come with the promise of confidentiality.1 The ethical mandate to safeguard the confidentiality of personal health information aligns with legal mandates to do the same. Numerous state and federal laws demand one form of health data confidentiality or another, best illustrated by the Health Insurance Portability and Accountability Act.2 In early 2011, the Department of Health and Human Services decided to take a tougher stand against HIPAA violators, utilizing powers created by the Health Information Technology for Economic and Clinical Health Act.3 Ushering in a new era, the U.S. Department of Health and Human Services imposed an unprecedented civil penalty of $4.3 million on Cignet Health of ... <a href="https://muse.jhu.edu/article/458046">Read More</a> Project MUSE® https://muse.jhu.edu/ 2026-05-19T00:00:00-05:00 https://muse.jhu.edu/journal/287/image/coversmall Commercial Speech Bruises Health Privacy in the Supreme Court 2011-11-23 text/html en-US Commercial Speech Bruises Health Privacy in the Supreme Court 2011-11-23 2011 TWO Project MUSE® 14617 2026-05-19T00:00:00-05:00 2011-11-23 New Rules for Research with Human Participants? https://muse.jhu.edu/article/458034 In July, the Department of Health and Human Services and the Office of Science and Technology Policy published an advance notice of proposed rulemaking (ANPRM) proposing sweeping changes to the rules governing oversight of research on human subjects—changes aimed at “better protect[ing] human subjects who are involved in research, while facilitating valuable research and reducing burden, delay, and ambiguity for investigators.”1 The process is likely to amend not only the core regulation on human-subjects research (known as the “common rule”), but also regulations governing vulnerable subjects, IRB registration requirements, research regulations of the Food and Drug Administration, and the “privacy rule” of ... <a href="https://muse.jhu.edu/article/458046">Read More</a> Project MUSE® https://muse.jhu.edu/ 2026-05-19T00:00:00-05:00 https://muse.jhu.edu/journal/287/image/coversmall New Rules for Research with Human Participants? 2011-11-23 text/html en-US New Rules for Research with Human Participants? 2011-11-23 2011 TWO Project MUSE® 15616 2026-05-19T00:00:00-05:00 2011-11-23 Confidentiality and Its Limits https://muse.jhu.edu/article/458035 Multiple sclerosis is believed to be an autoimmune disease of the central nervous system. However, according to Italian physician Paolo Zamboni, it is related to cerebrospinal vascular insufficiency. Zamboni claims that MS can be treated by remedying this condition with venous angioplasty. This surgery is offered as treatment for MS in various countries—Poland, Bulgaria, and Costa Rica, for example. But the Medical Board of Quebec, Canada, does not allow its members to perform the surgery and strongly advises patients against seeking it elsewhere. This opposition is based on the lack of evidence to support the procedure and the serious risks associated with it (including venous thrombosis, stroke, and ... <a href="https://muse.jhu.edu/article/458046">Read More</a> Project MUSE® https://muse.jhu.edu/ 2026-05-19T00:00:00-05:00 https://muse.jhu.edu/journal/287/image/coversmall Confidentiality and Its Limits 2011-11-23 text/html en-US Confidentiality and Its Limits 2011-11-23 2011 TWO Project MUSE® 15742 2026-05-19T00:00:00-05:00 2011-11-23 Bioethics and Cancer: When the Professional Becomes Personal https://muse.jhu.edu/article/458037 In 2006, I was diagnosed with cancer. This began a crash course in real-world medical ethics. Having cancer was awful, but it was instructive, too. The experience gave me a new understanding of what my profession is about. Individuals in the bioethics field often address topics related to cancer, such as medical decision-making, the patient-physician relationship, clinical trials, and access to health care. Yet few engaged in this work have lived with cancer themselves. Experience as a cancer patient or family caregiver extends and deepens one’s thinking about serious illness and bioethics. During my time as a cancer patient, I kept in touch with several colleagues immersed in their own cancer ... <a href="https://muse.jhu.edu/article/458046">Read More</a> Project MUSE® https://muse.jhu.edu/ 2026-05-19T00:00:00-05:00 https://muse.jhu.edu/journal/287/image/coversmall Bioethics and Cancer: When the Professional Becomes Personal 2011-11-23 text/html en-US Bioethics and Cancer: When the Professional Becomes Personal 2011-11-23 2011 TWO Project MUSE® 33275 2026-05-19T00:00:00-05:00 2011-11-23 Anorexia, Authenticity, and the Expert Perspective https://muse.jhu.edu/article/458038 In this issue of the Hastings Center Report, Tony Hope, Jacinta Tan, Anne Stewart, and Ray Fitzpatrick, reporting on twenty-nine interviews they conducted with women with so-called anorexia nervosa, note that the participants recurrently raised issues of authenticity. The paper reflects on the way their behaviors, experiences, and choices can be considered authentic (parts of their “real selves”), or inauthentic (parts of their anorexia). The authors also pose a question about the normative implications of their analysis—if some choices are inauthentic, then is it ethical to override them? For example, they suggest that “showing respect” for the sufferer “does not necessarily mean simply acceding to the ... <a href="https://muse.jhu.edu/article/458046">Read More</a> Project MUSE® https://muse.jhu.edu/ 2026-05-19T00:00:00-05:00 https://muse.jhu.edu/journal/287/image/coversmall Anorexia, Authenticity, and the Expert Perspective 2011-11-23 text/html en-US Anorexia, Authenticity, and the Expert Perspective 2011-11-23 2011 TWO Project MUSE® 6687 2026-05-19T00:00:00-05:00 2011-11-23 The Rationality and Morality of Dying Children https://muse.jhu.edu/article/458039 There is more rationality in our lives than there is in our philosophy. There is more morality in our lives than there is in our philosophy. Those claims undoubtedly are startling, perhaps even incomprehensible, given that the Western philosophical tradition from Plato on is devoted to rationality, in morality and everywhere else. The narrowly circumscribed account of rationality in that philosophical tradition—formal reason—is, however, the source of both claims. The formal reason of philosophy is rule-governed reasoning, the kind of inferential reasoning used in logic and mathematics. This view percolates through ordinary understandings of rationality as well, exemplified by the familiar use of the ... <a href="https://muse.jhu.edu/article/458046">Read More</a> Project MUSE® https://muse.jhu.edu/ 2026-05-19T00:00:00-05:00 https://muse.jhu.edu/journal/287/image/coversmall The Rationality and Morality of Dying Children 2011-11-23 text/html en-US The Rationality and Morality of Dying Children 2011-11-23 2011 TWO Project MUSE® 88904 2026-05-19T00:00:00-05:00 2011-11-23 Anorexia Nervosa and the Language of Authenticity https://muse.jhu.edu/article/458040 It feels like there’s two of you inside—like there’s another half of you, which is my anorexia, and then there’s the real K [own name], the real me, the logic part of me, and it’s a constant battle between the two. The anorexia almost does become part of you, and so in order to get it out of you I think you do have to kind of hurt you in the process. I think it’s almost inevitable. We came to the concept of authenticity belatedly, one might say. We had been talking to people who had a diagnosis of anorexia nervosa about their experiences of living with their condition, and though we had not raised issues of authenticity or identity ourselves, they often did. They struggled with questions of ... <a href="https://muse.jhu.edu/article/458046">Read More</a> Project MUSE® https://muse.jhu.edu/ 2026-05-19T00:00:00-05:00 https://muse.jhu.edu/journal/287/image/coversmall Anorexia Nervosa and the Language of Authenticity 2011-11-23 text/html en-US Anorexia Nervosa and the Language of Authenticity 2011-11-23 2011 TWO Project MUSE® 89589 2026-05-19T00:00:00-05:00 2011-11-23 Hastings Center Report: Volume 41, 2011 https://muse.jhu.edu/article/458041 Following is the comprehensive index for Volume 41 of the Hastings Center Report, covering all feature material from 2011. Letters have not been included. Complete issues are available for Volume 41 (2011) and may be purchased from Wiley-Blackwell; e-mail: cs-journals@wiley.com. Allen, Anita L., Commercial Speech Bruises Health Privacy in the Supreme Court (At Law), Nov–Dec, 8–9 Bates, Stephen, Dead Rights (book review), Jul–Aug, 47 Bedau, Mark A., The Intrinsic Value of Reprogramming Life, Jul–Aug, 29–31 Berg, Jessica, and Nicole Deming, New Rules for Research with Human Subjects? (Policy and Politics), Nov–Dec, 10–11 Blum, Ryan, Conscience Rules: Implications for Care ... <a href="https://muse.jhu.edu/article/458046">Read More</a> Project MUSE® https://muse.jhu.edu/ 2026-05-19T00:00:00-05:00 https://muse.jhu.edu/journal/287/image/coversmall Hastings Center Report: Volume 41, 2011 2011-11-23 text/html en-US Hastings Center Report: Volume 41, 2011 2011-11-23 2011 TWO Project MUSE® 24913 2026-05-19T00:00:00-05:00 2011-11-23 Field Notes https://muse.jhu.edu/article/458042 The theoretical value of talking to the media isn’t hard to appreciate. Who doesn’t want to shape the public conversation, whether to make it more nuanced and reasoned or to bring injustice and wrongdoing to light? Issues you’ve studied are in the news and you get to be the expert, pointing out what’s wrong, or right, or offering another way of thinking about a difficult question. If you’re lucky, you get your name in print—and in a publication your friends and family actually read. But it can also be intimidating. I used to feel like the hapless witness about to be cross-examined by the wily attorney. I’d heard about the twenty-four-hour news cycle and the push to appeal to the lowest common denominator. ... <a href="https://muse.jhu.edu/article/458046">Read More</a> Project MUSE® https://muse.jhu.edu/ 2026-05-19T00:00:00-05:00 https://muse.jhu.edu/journal/287/image/coversmall Field Notes 2011-11-23 text/html en-US Field Notes 2011-11-23 2011 TWO Project MUSE® 4580 2026-05-19T00:00:00-05:00 2011-11-23 Real-life Bioethics https://muse.jhu.edu/article/458043 My academic training is in philosophy, and I tend to see the problems in bioethics as philosophical problems. And so they often are. What are moral values? What is the nature of rationality? These are certainly philosophical problems. But at the same time, they are not strictly philosophical problems, insofar as they are not the special purview of the field of philosophy. They require a broader treatment, and that broader treatment might even lead us to believe that the standard philosophical treatment is unsatisfactory. In one way or another, several items in this issue of the Hastings Center Report raise questions about the standard philosophical answers to issues in bioethics. The challenge is ... <a href="https://muse.jhu.edu/article/458046">Read More</a> Project MUSE® https://muse.jhu.edu/ 2026-05-19T00:00:00-05:00 https://muse.jhu.edu/journal/287/image/coversmall Real-life Bioethics 2011-11-23 text/html en-US Real-life Bioethics 2011-11-23 2011 TWO Project MUSE® 5035 2026-05-19T00:00:00-05:00 2011-11-23 Rationing and Reality https://muse.jhu.edu/article/458044 To the Editor: Daniel Callahan is correct when, in “Rationing: Theory, Politics, and Passions” (March–April 2011), he tells us that the combination of ever-rising medical costs and ever-increasing demand for expensive resources by physicians and their patients (sometimes with little to be gained in length of life, increased comfort, security, happiness, or improvements in well-being) will—in the absence of any workable, generally acceptable mode of official rationing—lead to covert rationing. Or, more precisely, it will encourage us to extend the covert rationing that already exists (and has since the world began), where those with more get more. As things stand now, this is unavoidable. However ... <a href="https://muse.jhu.edu/article/458046">Read More</a> Project MUSE® https://muse.jhu.edu/ 2026-05-19T00:00:00-05:00 https://muse.jhu.edu/journal/287/image/coversmall Rationing and Reality 2011-11-23 text/html en-US Rationing and Reality 2011-11-23 2011 TWO Project MUSE® 22289 2026-05-19T00:00:00-05:00 2011-11-23 Manuscript Reviewers 2011 https://muse.jhu.edu/article/458045 We would like to thank all manuscript reviewers for their thoughtful and thorough advice to the editors and to authors over the previous year. Manuscripts are screened editorially and blind-reviewed by research scholars at The Hastings Center, as well as by outside readers. In addition to the reviewers listed below, we would like to thank our colleagues at The Hastings Center for their generous help with these reviews. We apologize in advance if we’ve missed anyone in the following list. Nicholas Agar Victoria University of Wellington George Annas Boston University John Arras University of Virginia James Bernat Dartmouth College Frank Chervenak Weill ... <a href="https://muse.jhu.edu/article/458046">Read More</a> Project MUSE® https://muse.jhu.edu/ 2026-05-19T00:00:00-05:00 https://muse.jhu.edu/journal/287/image/coversmall Manuscript Reviewers 2011 2011-11-23 text/html en-US Manuscript Reviewers 2011 2011-11-23 2011 TWO Project MUSE® 8873 2026-05-19T00:00:00-05:00 2011-11-23 Fetal Sentience and Women’s Rights https://muse.jhu.edu/article/458046 A growing number of states have banned abortion after twenty weeks on the grounds that the fetus at that stage experiences pain. Such laws run contrary to current abortion law, and so are almost certain to be challenged in court. In Roe v. Wade the Supreme Court said that the constitutional right to abortion extends until the fetus is viable, between twenty-four and twenty-eight weeks. After viability, states may ban abortion entirely except where continuing the pregnancy would threaten the woman’s life or health. The viability threshold was upheld in Planned Parenthood v. Casey. Maternal health should be paramount. Why viability? The Roe court said that this is “the ‘compelling’ point . . ... <a href="https://muse.jhu.edu/article/458046">Read More</a> Project MUSE® https://muse.jhu.edu/ 2026-05-19T00:00:00-05:00 https://muse.jhu.edu/journal/287/image/coversmall Fetal Sentience and Women’s Rights 2011-11-23 text/html en-US Fetal Sentience and Women’s Rights 2011-11-23 2011 TWO Project MUSE® 6291 2026-05-19T00:00:00-05:00 2011-11-23