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From:The Hastings Center Report (Vol. 41, Issue 2) Peer-ReviewedWe hardly regard politics--certainly not the words of politicians--as a realm where truth and honesty are closely protected. Public ignorance undoubtedly often pairs with politicians' disregard for accuracy to allow...
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From:The Hastings Center Report (Vol. 41, Issue 2) Peer-ReviewedAt 6 a.m. on my third day at the hospital, I was frantically calling and e-mailing my friends who were physicians, hoping and praying that one of them would get me the medical care I desperately needed. I was in...
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From:The Hastings Center Report (Vol. 41, Issue 2) Peer-ReviewedMV, a fifty-year-old woman, called 911 for help. Police arrived after her husband refused entrance to the paramedics who responded. Once police gained access to the house, they found MV in the bedroom. She fluctuated in...
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From:The Hastings Center Report (Vol. 41, Issue 2) Peer-ReviewedOn a recent evening, while working in a children's hospital emergency department as a pediatric emergency medicine physician, I picked up the chart of yet another patient without a true emergency: a sixteen-year-old...
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From:The Hastings Center Report (Vol. 41, Issue 2) Peer-ReviewedPatients should not always receive hard data about the risks and benefits of a medical intervention. That information should always be available to patients who expressly ask for it, but it should be part of standard...
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From:The Hastings Center Report (Vol. 41, Issue 2) Peer-ReviewedTo the Editor: As the lawyer representing the hospital involved in the Ashley case, I write to offer my profound thanks to the Seattle Growth Attenuation and Ethics Working Group for their thorough, thoughtful,...
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From:The Hastings Center Report (Vol. 41, Issue 2) Peer-ReviewedIn November 2009, the U.S. Conference of Catholic Bishops issued "Ethical and Religious Directives for Catholic Health Care Services," requiring that all patients--including those in the so-called persistent vegetative...
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From:The Hastings Center Report (Vol. 41, Issue 2) Peer-ReviewedA moral paradigm shift has been proposed for participation in health-related research. It's not just a praiseworthy option, some say; it's a social obligation. Recasting research participation in this way would have...
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From:The Hastings Center Report (Vol. 41, Issue 2) Peer-ReviewedHealth care reform is being assaulted from all sides. In January, the House of Representatives voted to repeal The Patient Protection and Affordable Care Act (the "Affordable Care Act"). For now, that effort will not...
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From:The Hastings Center Report (Vol. 41, Issue 2) Peer-ReviewedThis issue of the Hastings Center Report includes a special report that comes out of a three-year Hastings Center research project on controversies surrounding the diagnosis and treatment of mental disorders in...
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From:The Hastings Center Report (Vol. 41, Issue 2) Peer-ReviewedYou hear about a new drug, and you learn first about its risks, then about its benefits. You weigh them and decide that the drug is in your best interests. Now you learn about another drug, first finding out about its...
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From:The Hastings Center Report (Vol. 41, Issue 2) Peer-ReviewedBY CAROL LEVINE Metaphors are so much a part of our language that we seldom consider their literal meanings. In response to the Arizona shootings, many talk-show hosts and conservative politicians defended their use...
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From:The Hastings Center Report (Vol. 41, Issue 2) Peer-ReviewedTo the Editor: Before using brain criteria, pronouncing death in humans was based on irreversible loss of something vaguely thought of as respiration or circulation or cardiac function. We have always known the loss had...
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From:The Hastings Center Report (Vol. 41, Issue 2) Peer-ReviewedCoriolanus, the legendary fifth-century BC general who turned against his native city for banishing him, is painted by Shakespeare as the paragon Stoic warrior. Physically strong and detached, at home in the...
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From:The Hastings Center Report (Vol. 41, Issue 2) Peer-ReviewedCosts, blogs, and rationing. In 1985 I was invited to take part in an Office of Technology Assessment project on the impact new technologies would have on the future of Medicare. The study concluded that those...
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From:The Hastings Center Report (Vol. 41, Issue 2) Peer-ReviewedA confession is in order. As did almost everyone else of a certain persuasion, I recoiled when Sarah Palin invoked the notion of a "death panel" to characterize reform efforts to improve end-of-life counseling. That was...
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From:The Hastings Center Report (Vol. 41, Issue 2) Peer-Reviewed
The health care cost monitor http://healthcarecostmonitor. thehastingscenter.org: the cost conundrum
BY DANIEL CALLAHAN Cost control is a conundrum for Democrats and Republicans and for much of the public as well. It is technically difficult to figure out how to do effectively and equitably, and it is difficult...