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IF 2.3 3区 哲学
Hastings Center Report Pub Date : 2025-04-17 DOI: 10.1002/hast.4982
{"title":"Contributors","authors":"","doi":"10.1002/hast.4982","DOIUrl":"https://doi.org/10.1002/hast.4982","url":null,"abstract":"","PeriodicalId":55073,"journal":{"name":"Hastings Center Report","volume":"55 2","pages":"54"},"PeriodicalIF":2.3,"publicationDate":"2025-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143845844","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"哲学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Rethinking the Burden of Traditional Informed Consent Prior to Prenatal Genetic Screening 重新思考传统的产前遗传筛查前知情同意的负担
IF 2.3 3区 哲学
Hastings Center Report Pub Date : 2025-04-17 DOI: 10.1002/hast.4976
Megan Allyse, Kirsten Riggan, Natasha Bonhomme, Marsha Michie
{"title":"Rethinking the Burden of Traditional Informed Consent Prior to Prenatal Genetic Screening","authors":"Megan Allyse,&nbsp;Kirsten Riggan,&nbsp;Natasha Bonhomme,&nbsp;Marsha Michie","doi":"10.1002/hast.4976","DOIUrl":"https://doi.org/10.1002/hast.4976","url":null,"abstract":"<p><i>The ethics literature and professional guidelines call for extensive discussions prior to prescreening consent to prenatal cell-free DNA screening to, theoretically, allow patients to make decisions that match their values and goals of care. Most patients, however, actively avoid in-depth moral deliberation when consenting to prenatal screening and then receive a screen-negative result, suggesting that an information-heavy process is irrelevant for average-risk pregnancies. In addition, extensive information-based consent procedures are not feasible in many resource-limited contexts. Meanwhile, patients and families with screen-positive results frequently report minimal support following screening, resulting in long-term distress and suboptimal outcomes. We argue for a fundamental shift to an approach we call “just-in-time consent”: identifying the essential information for values-based decisions prior to screening while relocating resources and moral deliberation to when families receive screen-positive results. This model both ensures that patients and families receive support when they most need it and maintains high standards for the ethical provision of prenatal genetic screening</i>.</p>","PeriodicalId":55073,"journal":{"name":"Hastings Center Report","volume":"55 2","pages":"29-38"},"PeriodicalIF":2.3,"publicationDate":"2025-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143845889","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"哲学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The Third Person in the Room 房间里的第三个人
IF 2.3 3区 哲学
Hastings Center Report Pub Date : 2025-04-17 DOI: 10.1002/hast.4972
Mara Buchbinder
{"title":"The Third Person in the Room","authors":"Mara Buchbinder","doi":"10.1002/hast.4972","DOIUrl":"https://doi.org/10.1002/hast.4972","url":null,"abstract":"<p><i>Since the U.S. Supreme Court's decision in</i> Dobbs v. Jackson Women's Health Organization, <i>the popular media has been flooded with stories about pregnant patients experiencing obstetric complications who were denied access to necessary abortion care and suffered tragic consequences. Yet some of the lesser-told relevant stories include far subtler impacts on the patient-physician relationship. In this commentary, I reflect on interviews that my team and I conducted with general obstetrician-gynecologists in states with near-total bans on abortion. They shared their sense that abortion bans had resulted in an imaginary “third person” in the room, haunting the clinical encounter and intervening in care. I suggest that post</i>-Dobbs <i>abortion bans drive a wedge into the physician-patient relationship that is figuratively embodied by invoking the “third person” in the room</i>.</p>","PeriodicalId":55073,"journal":{"name":"Hastings Center Report","volume":"55 2","pages":"2"},"PeriodicalIF":2.3,"publicationDate":"2025-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143845891","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"哲学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Thinking about Hope in the Care of Cancer Patients 对癌症患者护理中的希望的思考
IF 2.3 3区 哲学
Hastings Center Report Pub Date : 2025-04-17 DOI: 10.1002/hast.4954
Alan B. Astrow
{"title":"Thinking about Hope in the Care of Cancer Patients","authors":"Alan B. Astrow","doi":"10.1002/hast.4954","DOIUrl":"https://doi.org/10.1002/hast.4954","url":null,"abstract":"<p><i>Medical science has delivered extraordinary advances during my forty-year career as a medical oncologist. But might the science's justified prestige unhelpfully diminish our respect for other needed forms for understanding the human experience? This is a critical issue for physicians, who may be present with patients at moments of profound existential challenge. By equating hope with scientific progress and limiting its own role to purveyor of the latest that science has on offer, the medical profession may unwittingly add to the burden on patients with advanced cancer. Humanistic understandings of hope drawn from philosophy, theology, and literature serve as essential—at their best, equally true—partners to the portrait offered by experimental science. Physicians, in their manner of interacting with patients, may serve as both messengers of and models for a deeper understanding of hope that fully embodies the significance of human life and sustains patients when they most need support</i>.</p>","PeriodicalId":55073,"journal":{"name":"Hastings Center Report","volume":"55 2","pages":"3-5"},"PeriodicalIF":2.3,"publicationDate":"2025-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143845894","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"哲学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Disability, Relational Equality, and the Expressivist Objection 残疾、关系平等与表现主义的反对
IF 2.3 3区 哲学
Hastings Center Report Pub Date : 2025-04-17 DOI: 10.1002/hast.4975
Erik Magnusson
{"title":"Disability, Relational Equality, and the Expressivist Objection","authors":"Erik Magnusson","doi":"10.1002/hast.4975","DOIUrl":"https://doi.org/10.1002/hast.4975","url":null,"abstract":"<div>\u0000 \u0000 <p><i>Proponents of the expressivist objection argue that the use and provision of testing to select against disability in offspring express negative judgments about existing persons with disabilities. But does the expression of such judgments also wrong those persons? This paper argues that whether the expressivist objection succeeds will ultimately depend on whether a plausible explanation can be supplied for how persons with disabilities are wronged by the expression of negative judgments and that the literature on relational egalitarianism can supply such an explanation, albeit with important limitations</i>.</p>\u0000 </div>","PeriodicalId":55073,"journal":{"name":"Hastings Center Report","volume":"55 2","pages":"15-25"},"PeriodicalIF":2.3,"publicationDate":"2025-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/hast.4975","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143845897","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"哲学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Epistemic Humility in the Age of Assisted Dying 协助死亡时代的认知谦卑
IF 2.3 3区 哲学
Hastings Center Report Pub Date : 2025-04-17 DOI: 10.1002/hast.4960
Sean Riley
{"title":"Epistemic Humility in the Age of Assisted Dying","authors":"Sean Riley","doi":"10.1002/hast.4960","DOIUrl":"https://doi.org/10.1002/hast.4960","url":null,"abstract":"<div>\u0000 \u0000 <p><i>The current debate on medical assistance-in-dying (MAID) fails to acknowledge the limitations of empirical data and the influence that cognitive biases exert in interpreting evidence and formulating arguments. This paper examines the evidentiary foundations of the MAID debates by conducting a critical analysis of the methodological approaches to research on MAID. The paper advocates for epistemic humility in this debate, including the acknowledgment of the fallibility of MAID research, the incompleteness of understanding surrounding MAID, and the limited usefulness of empirical facts in determining ethical judgments. These factors cast doubts over the role data can play in shaping MAID discourse. Developing a well-balanced MAID policy necessitates an innovative research framework that not only prioritizes methodological rigor and data integrity but also integrates ethical deliberation with empirical research through a commitment to epistemic humility</i>.</p>\u0000 </div>","PeriodicalId":55073,"journal":{"name":"Hastings Center Report","volume":"55 2","pages":"8-14"},"PeriodicalIF":2.3,"publicationDate":"2025-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/hast.4960","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143845896","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"哲学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Talking with Each Other about Science 相互交流科学知识
IF 2.3 3区 哲学
Hastings Center Report Pub Date : 2025-04-17 DOI: 10.1002/hast.4978
Dena S. Davis
{"title":"Talking with Each Other about Science","authors":"Dena S. Davis","doi":"10.1002/hast.4978","DOIUrl":"https://doi.org/10.1002/hast.4978","url":null,"abstract":"<div>\u0000 \u0000 <p>The Road to Wisdom: On Truth, Science, Faith, and Trust, <i>the optimistic title of Francis S. Collins's new book, hides a realistic appraisal of our current polarized country. Collins tries to tackle, in everyday language, why people are having such a hard time figuring out what is truth, how to think about science, how religious faith fits into this, and how and whom we can trust. “Misinformation, disinformation, fear … are constantly trying to knock us into the ditch,” he observes. His prescriptions are personalized and actionable—for example, talking to a neighbor whose views are different from yours</i>.</p>\u0000 </div>","PeriodicalId":55073,"journal":{"name":"Hastings Center Report","volume":"55 2","pages":"52-53"},"PeriodicalIF":2.3,"publicationDate":"2025-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/hast.4978","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143845892","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"哲学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Food and Drug Administration v. Alliance for Hippocratic Medicine: How Conscience Protections Preserved Mifepristone Access 美国食品和药物管理局诉希波克拉底医学联盟：良心保护如何保留米非司酮获得权
IF 2.3 3区 哲学
Hastings Center Report Pub Date : 2025-04-17 DOI: 10.1002/hast.4974
Rebecca Dresser
{"title":"Food and Drug Administration v. Alliance for Hippocratic Medicine: How Conscience Protections Preserved Mifepristone Access","authors":"Rebecca Dresser","doi":"10.1002/hast.4974","DOIUrl":"https://doi.org/10.1002/hast.4974","url":null,"abstract":"<div>\u0000 \u0000 <p><i>People in the bioethics field generally agree that clinicians should have reasonable freedom to practice according to their moral and religious convictions. But this general position leaves room for debate over how much freedom objecting clinicians ought to have. Some commentators contend that exemptions from criminal, civil, and professional consequences for conscientious refusals to provide care impose too many burdens on patients, colleagues, and health care institutions. Others argue that existing protections are insufficient, failing to cover clinicians who are moved to provide legally permitted care to patients in the face of institutional and employment constraints on doing so. A 2024 United States Supreme Court ruling adds another element to the debate, showing how conscience-law protections can defeat legal efforts to limit access to contested treatments</i>.</p>\u0000 </div>","PeriodicalId":55073,"journal":{"name":"Hastings Center Report","volume":"55 2","pages":"6-8"},"PeriodicalIF":2.3,"publicationDate":"2025-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/hast.4974","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143845895","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"哲学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Brown Noise and the Propagation of Expressivist Audist Attitudes 褐色噪音与表现主义听众态度的传播
IF 2.3 3区 哲学
Hastings Center Report Pub Date : 2025-04-17 DOI: 10.1002/hast.4980
Teresa Blankmeyer Burke
{"title":"Brown Noise and the Propagation of Expressivist Audist Attitudes","authors":"Teresa Blankmeyer Burke","doi":"10.1002/hast.4980","DOIUrl":"https://doi.org/10.1002/hast.4980","url":null,"abstract":"<p><i>This commentary responds to Erik Magnusson's</i> Hasting Center Report <i>article “Disability, Relational Equality, and the Expressivist Objection.” The commentary's author uses the setting of her classroom at Gallaudet University, the world's only bilingual American Sign Language and written English liberal education university serving deaf, hard of hearing, and hearing students, to explore the expressivist objection in the context of her students’ lived experience as deaf people. As Magnusson explains, the expressivist objection comprises two claims: that the provision or use of prenatal testing to select against having a child with a disability “expresses negative judgments about existing people with disabilities” and that the expression of such judgments wrongs these people. The commentary proposes the concern that solely focusing on the expressivist objection to prenatal diagnosis and testing can obscure other, related harms that deserve attention too</i>.</p>","PeriodicalId":55073,"journal":{"name":"Hastings Center Report","volume":"55 2","pages":"26-28"},"PeriodicalIF":2.3,"publicationDate":"2025-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143845888","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"哲学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Issue Information and About the Cover Art 发行信息和关于封面艺术
IF 2.3 3区 哲学
Hastings Center Report Pub Date : 2025-04-17 DOI: 10.1002/hast.4983
{"title":"Issue Information and About the Cover Art","authors":"","doi":"10.1002/hast.4983","DOIUrl":"https://doi.org/10.1002/hast.4983","url":null,"abstract":"<p><b>On the cover</b>: <i>Stigmatized</i>, by Paul Klee, 1935, watercolor on oil-impregnated gauze on cardboard, 30.8 × 27.5 cm.</p><p>© 2025 Artists Rights Society (ARS), New York. Photo © Superstock/Bridgeman Images.</p>","PeriodicalId":55073,"journal":{"name":"Hastings Center Report","volume":"55 2","pages":"1"},"PeriodicalIF":2.3,"publicationDate":"2025-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/hast.4983","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143845845","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"哲学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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