{"title":"Reaffirming Nurses’ Moral Agency in the Age of “Agentic” AI","authors":"Jia-You Lu, Lien-Chung Wei","doi":"10.1002/hast.70060","DOIUrl":"10.1002/hast.70060","url":null,"abstract":"<p><i>This letter responds to the essay “What Does Moral Agency Mean for Nurses in the Era of Artificial Intelligence?,” by Connie M. Ulrich, Oonjee Oh, Sang Bin You, Maxim Topaz, Zahra Rahemi, Liz Stokes, Lisiane Pruinelli, George Demiris, and Patricia Flatley Brennan, in the January-February 2026 issue of the</i> Hastings Center Report.</p>","PeriodicalId":55073,"journal":{"name":"Hastings Center Report","volume":"56 3","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147846291","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}
{"title":"Contributors","authors":"","doi":"10.1002/hast.70071","DOIUrl":"https://doi.org/10.1002/hast.70071","url":null,"abstract":"","PeriodicalId":55073,"journal":{"name":"Hastings Center Report","volume":"56 3","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148069020","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}
{"title":"Issue Information and About the Cover Art","authors":"","doi":"10.1002/hast.70067","DOIUrl":"https://doi.org/10.1002/hast.70067","url":null,"abstract":"<p><b>On the cover:</b> <i>Sam,</i> by James Earley, oil on canvas, 81 × 65 cm., 2019.</p><p>Courtesy of the artist. www.jamesearleyartist.com</p>","PeriodicalId":55073,"journal":{"name":"Hastings Center Report","volume":"56 3","pages":"1-4"},"PeriodicalIF":2.3,"publicationDate":"2026-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/hast.70067","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148068703","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}
{"title":"Connie M. Ulrich and Patricia Flatley Brennan Reply","authors":"Connie M. Ulrich, Patricia Flatley Brennan","doi":"10.1002/hast.70064","DOIUrl":"10.1002/hast.70064","url":null,"abstract":"<p><i>This letter responds to the letter “Reaffirming Nurses’ Moral Agency in the Age of ‘Agentic’ AI,” by Jia-You Lu and Lien-Chung Wei, in the same, May-June 2026, issue of the</i> Hastings Center Report.</p>","PeriodicalId":55073,"journal":{"name":"Hastings Center Report","volume":"56 3","pages":"43-44"},"PeriodicalIF":2.3,"publicationDate":"2026-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147846187","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}
{"title":"Making the Move to a Learning System of Research Ethics","authors":"Neal W. Dickert","doi":"10.1002/hast.70063","DOIUrl":"10.1002/hast.70063","url":null,"abstract":"<p><i>Not much of what is done to protect and engage participants in clinical research is firmly grounded in evidence. Furthermore, it can be difficult to conduct research to generate that evidence—especially if doing so challenges norms or involves</i> not <i>doing things researchers often do. Cultivating a learning system of research ethics is important and should not be so hard. This piece describes some examples of attempts to generate evidence regarding recruitment and consent that have encountered significant barriers and is a call to recognize the importance of collaboration and movement toward more of a “learning system” of research ethics</i>.</p>","PeriodicalId":55073,"journal":{"name":"Hastings Center Report","volume":"56 3","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147846319","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}
Jada Wiggleton-Little, Shameka Poetry Thomas, Kristin Walters, Consuela Albright
{"title":"Transformed but Not Cured: The Ethics of Describing Gene-Editing Therapy for Sickle Cell Disease","authors":"Jada Wiggleton-Little, Shameka Poetry Thomas, Kristin Walters, Consuela Albright","doi":"10.1002/hast.70033","DOIUrl":"10.1002/hast.70033","url":null,"abstract":"<p><i>In December 2023, the U.S. Food and Drug Administration approved gene-editing therapies as sickle cell disease treatments. Such approvals for gene-editing not only mark radical scientific innovations for populations living with sickle cell disease (SCD) across the United States but also generate an expectation of a potential cure—the end or eradication of an illness and its effects. This essay, however, cautions against framing gene-editing therapy as a “cure” for SCD. Our argument illustrates that, even if gene editing is proven to permanently normalize the hematologic function of the body, there are other painful aspects of SCD that gene editing is unable to transform. Scientific researchers and health care practitioners could benefit from further bioethical consideration of the effects of using curative language with regards to SCD. The curative framing can easily generate misunderstandings in patient-provider communication and elicit unrealistic expectations. Raising awareness about the importance of how gene-editing therapies for SCD are described and about the need to discuss their limitations can prevent further harm</i>.</p>","PeriodicalId":55073,"journal":{"name":"Hastings Center Report","volume":"56 3","pages":"9-14"},"PeriodicalIF":2.3,"publicationDate":"2026-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13148463/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147846352","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}
{"title":"Banning Gender-Affirming Treatment for Minors: The Supreme Court Speaks","authors":"Rebecca Dresser","doi":"10.1002/hast.70057","DOIUrl":"10.1002/hast.70057","url":null,"abstract":"<p><i>In</i> United States v. Skrmetti, <i>the U.S. Supreme Court considered the constitutionality of a Tennessee law prohibiting certain medical procedures for the treatment of minors with gender dysphoria. A majority of the justices agreed that the law failed to violate the U.S. Constitution's equal protection provision. Because the law failed to distinguish among patients on the basis of sex, they said, it required only a rational basis to survive constitutional scrutiny. A lack of solid evidence on appropriate treatment for transgender minors supplied this rational basis. The</i> Skrmetti <i>majority strained, however, to avoid acknowledging that Tennessee's law classifies people on the basis of sex</i>.</p>","PeriodicalId":55073,"journal":{"name":"Hastings Center Report","volume":"56 3","pages":"6-9"},"PeriodicalIF":2.3,"publicationDate":"2026-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147846177","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}
{"title":"Harm Reduction as an Alternative to Mandated Drug Treatment","authors":"Elliott J. Liebling","doi":"10.1002/hast.70062","DOIUrl":"10.1002/hast.70062","url":null,"abstract":"<p><i>In “Mandated Drug Treatment in the Criminal Legal System—a Blunt but Necessary Tool?,” in this issue of the</i> Hastings Center Report, <i>Brendan Saloner examines the empirical evidence surrounding mandated treatment, weighs pragmatic ethical arguments for and social justice arguments against the practice, and ultimately supplies a qualified defense of it. This commentary augments Saloner's egalitarian social justice perspective by outlining the legal principles of the police power and the</i> parens patriae <i>power, then uses this framework to illustrate the legal and ethical risks of mandated and involuntary treatment, and finally responds to Saloner's call for an affirmative vision of a more proportionate response</i>.</p>","PeriodicalId":55073,"journal":{"name":"Hastings Center Report","volume":"56 3","pages":"30-31"},"PeriodicalIF":2.3,"publicationDate":"2026-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147846245","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}
{"title":"","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":55073,"journal":{"name":"Hastings Center Report","volume":"55 6","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148096892","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}
{"title":"A Life Worth Sustaining? Bestowed Worth and Pediatric Care","authors":"Daniel T. Kim, Xiang Yu","doi":"10.1002/hast.70015","DOIUrl":"10.1002/hast.70015","url":null,"abstract":"<p><i>When parents request life-sustaining treatments for children who suffer from profound neurocognitive disabilities or are at the end of life, the typical ethics advice for clinicians is to accommodate the request. It can be unclear what interests such children have, and being unable to assess those interests, a clinician will tend to honor parents’ requests to continue treatments if the associated pain can be palliated. But how is the clinician not participating in using a profoundly vulnerable child merely to satisfy parental interests? In what sense can their actions be experienced as worthwhile? These circumstances can be morally distressing for clinicians, and recent efforts to justify the practice according to a</i> relational potential standard <i>seem problematic. We therefore propose an alternative</i> meaningfulness standard, <i>which builds on a notion of</i> bestowed worth <i>to explain how a clinician's duty to treat in these cases can be meaningful, and why it need not entail using the child as a mere means</i>.</p>","PeriodicalId":55073,"journal":{"name":"Hastings Center Report","volume":"56 2","pages":"30-42"},"PeriodicalIF":2.3,"publicationDate":"2026-03-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12992669/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147470369","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}