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The Dead Donor Rule and Normothermic Regional Perfusion. 死亡供体规则与常温局部灌注。
IF 2.7 3区 哲学
Hastings Center Report Pub Date : 2026-09-30 DOI: 10.1002/hast.70069
Andrew McGee, Brendan Parent, Dale Gardiner, Drew Carter
{"title":"The Dead Donor Rule and Normothermic Regional Perfusion.","authors":"Andrew McGee, Brendan Parent, Dale Gardiner, Drew Carter","doi":"10.1002/hast.70069","DOIUrl":"https://doi.org/10.1002/hast.70069","url":null,"abstract":"<p><p>Normothermic regional perfusion (NRP) can be used after the circulatory determination of death to prevent or minimize organ damage before the donor's organs are retrieved. It involves restarting circulation within the donor's body to reperfuse abdominal and thoracic organs while occluding the arteries that supply oxygenated blood to the brain to prevent brain recirculation and the possible restoration of brain function. Yet there are many who object to the use of NRP. These critics claim that donation with NRP, unlike standard deceased donation, violates the dead donor rule. However, when we examine their arguments for this claim, we find that those or similar arguments apply with equal force to standard deceased donation. Critics of NRP have therefore insufficiently appreciated the implications of their criticisms for the other deceased donation practices that they defend. Either all deceased donation practices violate the dead donor rule, or none of them do.</p>","PeriodicalId":55073,"journal":{"name":"Hastings Center Report","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2026-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149082866","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
Refining Relational Potential: The Concept of Relational Salience. 提炼关系潜能：关系显著性的概念。
IF 2.7 3区 哲学
Hastings Center Report Pub Date : 2026-09-01 DOI: 10.1002/hast.70100
Aaron Wightman, Jennifer Kett, Georgina Campelia, Benjamin S Wilfond
{"title":"Refining Relational Potential: The Concept of Relational Salience.","authors":"Aaron Wightman, Jennifer Kett, Georgina Campelia, Benjamin S Wilfond","doi":"10.1002/hast.70100","DOIUrl":"10.1002/hast.70100","url":null,"abstract":"<p><p>This letter responds to three pieces in the March-April 2026 issue of the Hastings Center Report: \"Making Medical Decisions for Children with Profound Cognitive Disabilities: Pluralism and the Best Interest Standard,\" \"A Life Worth Sustaining? Bestowed Worth and Pediatric Care,\" and \"Why Pediatric Ethics Needs a Theory of Goodness.\"</p>","PeriodicalId":55073,"journal":{"name":"Hastings Center Report","volume":"56 5","pages":"48-49"},"PeriodicalIF":2.7,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149290130","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
Speech Restoration & Mental Surveillance as Conflicting Ethical Concerns in Neural Speech-Decoding Research. 语音恢复与心理监控：神经语音解码研究中相互冲突的伦理问题。
IF 2.7 3区 哲学
Hastings Center Report Pub Date : 2026-09-01 DOI: 10.1002/hast.70090
Narayan Sankaran, Winston Chiong
{"title":"Speech Restoration & Mental Surveillance as Conflicting Ethical Concerns in Neural Speech-Decoding Research.","authors":"Narayan Sankaran, Winston Chiong","doi":"10.1002/hast.70090","DOIUrl":"10.1002/hast.70090","url":null,"abstract":"<p><p>The research program of speech decoding-\"reading\" words directly from brain activity-elicits an unusually wide range of public responses, reflecting a tension between the ethical goal of restoring speech for people with serious communication disabilities and the ethical goal of protecting mental privacy from neurotechnological surveillance. These competing moral perspectives are informed by intrinsic features of the research but also by the broader sociocultural context in which neuroscience is conducted and is communicated to an increasingly interested public. Whereas prior neuroethical literature has looked \"downstream\" from this research in proposing governance frameworks, in this paper we turn \"upstream\" to the neuroscience of language to consider how ethical tensions may be informed by the specific neural circuits from which speech is inferred. Our analysis identifies the communicative intent of neural signals as a key feature of some but not all speech-decoding strategies, and we argue that whether a speech BCI decodes linguistic information with or without communicative intent should inform assessments of the ethical implications of the research. At the level of public discourse, we show how such distinctions can inform responsible science communication about future advances in this fast-moving field.</p>","PeriodicalId":55073,"journal":{"name":"Hastings Center Report","volume":"56 5","pages":"15-24"},"PeriodicalIF":2.7,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13715635/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149290141","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
Patient Narratives as Testimonies to Structural Inequity. 病人叙述作为结构不平等的证据。
IF 2.7 3区 哲学
Hastings Center Report Pub Date : 2026-09-01 DOI: 10.1002/hast.70096
Faith E Fletcher
{"title":"Patient Narratives as Testimonies to Structural Inequity.","authors":"Faith E Fletcher","doi":"10.1002/hast.70096","DOIUrl":"10.1002/hast.70096","url":null,"abstract":"<p><p>As of this year, 2026, medical schools are no longer explicitly required to teach structural competency in order to be accredited by the Liaison Committee on Medical Education. This change marks a significant shift in the priorities that guide medical education in the United States. Structural competency provides a framework for understanding how social, economic, political, and institutional forces shape health outcomes, health care experiences, and opportunities for well-being. Drawing on research encounters with medically underserved populations, particularly Black women living with HIV, this commentary argues that patient narratives are a powerful tool for helping learners in the health professions understand the lived realities that influence health and health care. As ethics educators, we have a moral obligation to help learners recognize the full humanity of the patients they serve so that these future health professionals are better able to provide respectful, compassionate, holistic, and person-centered care. In the current political climate, fulfilling this obligation may require moral courage.</p>","PeriodicalId":55073,"journal":{"name":"Hastings Center Report","volume":"56 5","pages":"5"},"PeriodicalIF":2.7,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13715639/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149290176","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
Daniel Kim and Xiang Yu Reply. 丹尼尔·金和项羽回复。
IF 2.7 3区 哲学
Hastings Center Report Pub Date : 2026-09-01 DOI: 10.1002/hast.70118
{"title":"Daniel Kim and Xiang Yu Reply.","authors":"","doi":"10.1002/hast.70118","DOIUrl":"10.1002/hast.70118","url":null,"abstract":"<p><p>This is a response to the letter \"Refining Relational Potential: The Concept of Relational Salience,\" by Aaron Wightman, Jennifer Kett, Georgina Campelia, and Benjamin S. Wilfond, in the September-October 2026 issue of the Hastings Center Report.</p>","PeriodicalId":55073,"journal":{"name":"Hastings Center Report","volume":"56 5","pages":"51"},"PeriodicalIF":2.7,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149290203","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
Pierce Randall Replies. 皮尔斯·兰德尔回答。
IF 2.7 3区 哲学
Hastings Center Report Pub Date : 2026-09-01 DOI: 10.1002/hast.70115
{"title":"Pierce Randall Replies.","authors":"","doi":"10.1002/hast.70115","DOIUrl":"10.1002/hast.70115","url":null,"abstract":"<p><p>This is a response to the letter \"Refining Relational Potential: The Concept of Relational Salience,\" by Aaron Wightman, Jennifer Kett, Georgina Campelia, and Benjamin S. Wilfond, in the September-October 2026 issue of the Hastings Center Report.</p>","PeriodicalId":55073,"journal":{"name":"Hastings Center Report","volume":"56 5","pages":"52"},"PeriodicalIF":2.7,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149290208","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
Free Speech, Professional Judgment, and Medical Standards after Chiles. 智利事件后的言论自由、职业判断和医疗标准。
IF 2.7 3区 哲学
Hastings Center Report Pub Date : 2026-09-01 DOI: 10.1002/hast.70075
Dov Fox
{"title":"Free Speech, Professional Judgment, and Medical Standards after Chiles.","authors":"Dov Fox","doi":"10.1002/hast.70075","DOIUrl":"https://doi.org/10.1002/hast.70075","url":null,"abstract":"<p><p>Medicine is not a marketplace of ideas. Its legitimacy rests on the ability of licensed professionals to distinguish helpful interventions from harmful ones and to act on that distinction. Chiles v. Salazar threatens that lifeblood of medical practice. In Chiles, the Supreme Court held that state laws prohibiting licensed therapists from providing conversion therapy to minors violate the First Amendment. The Court reasoned that conversion therapy consists of protected speech rather than professional conduct subject to ordinary health-and-safety regulation. This essay argues that the Court's analysis misconstrues the nature of clinical practice and threatens the foundations of professional self-governance. In many therapeutic settings, conversation is not merely a vehicle for expressing ideas but the clinical intervention itself. By treating professional counseling as ordinary speech, Chiles weakens the authority of professional judgment and undermines the long-standing social compact under which licensed clinicians receive exclusive privileges in exchange for adherence to clinical norms. Medicine must not remain neutral among competing viewpoints about evidence-based practice. The essay proposes professional, legislative, and judicial responses to preserve accountability for harmful departures from standards of care.</p>","PeriodicalId":55073,"journal":{"name":"Hastings Center Report","volume":"56 5","pages":"6-8"},"PeriodicalIF":2.7,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149290191","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
Tyler Tate, Jenny Clark Schiff, Karolina Grekov, and Akilah Burford Reply. 泰勒·塔特，珍妮·克拉克·希夫，卡罗琳娜·格列科夫和阿基拉·伯福德回复。
IF 2.7 3区 哲学
Hastings Center Report Pub Date : 2026-09-01 DOI: 10.1002/hast.70107
{"title":"Tyler Tate, Jenny Clark Schiff, Karolina Grekov, and Akilah Burford Reply.","authors":"","doi":"10.1002/hast.70107","DOIUrl":"10.1002/hast.70107","url":null,"abstract":"<p><p>This is a response to the letter \"Refining Relational Potential: The Concept of Relational Salience,\" by Aaron Wightman, Jennifer Kett, Georgina Campelia, and Benjamin S. Wilfond, in the September-October 2026 issue of the Hastings Center Report.</p>","PeriodicalId":55073,"journal":{"name":"Hastings Center Report","volume":"56 5","pages":"50"},"PeriodicalIF":2.7,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149289919","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 Trouble with "Cure" in Sickle Cell Gene Therapy. 镰状细胞基因治疗中的“治愈”问题。
IF 2.7 3区 哲学
Hastings Center Report Pub Date : 2026-09-01 DOI: 10.1002/hast.70082
Yoram Unguru, Akshay Sharma, Liza-Marie Johnson
{"title":"The Trouble with \"Cure\" in Sickle Cell Gene Therapy.","authors":"Yoram Unguru, Akshay Sharma, Liza-Marie Johnson","doi":"10.1002/hast.70082","DOIUrl":"10.1002/hast.70082","url":null,"abstract":"<p><p>This letter responds to the essay \"Transformed but Not Cured: The Ethics of Describing Gene-Editing Therapy for Sickle Cell Disease,\" by Jada Wiggleton-Little, Shameka Poetry Thomas, Kristin Walters, and Consuela Albright, in the May-June 2026 issue of the Hastings Center Report.</p>","PeriodicalId":55073,"journal":{"name":"Hastings Center Report","volume":"56 5","pages":"45-46"},"PeriodicalIF":2.7,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149290194","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
Erratum. 勘误表。
IF 2.7 3区 哲学
Hastings Center Report Pub Date : 2026-09-01 DOI: 10.1002/hast.70110
{"title":"Erratum.","authors":"","doi":"10.1002/hast.70110","DOIUrl":"https://doi.org/10.1002/hast.70110","url":null,"abstract":"","PeriodicalId":55073,"journal":{"name":"Hastings Center Report","volume":"56 5","pages":"14"},"PeriodicalIF":2.7,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149290169","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
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