Hastings Center Report

Article	Citations
Covid‐19: Ethical Challenges for Nurses	162
Older Adults and Covid‐19: The Most Vulnerable, the Hardest Hit	56
Vaccine Rationing and the Urgency of Social Justice in the Covid‐19 Response	49
Digital Contact Tracing, Privacy, and Public Health	42
Disability Rights as a Necessary Framework for Crisis Standards of Care and the Future of Health Care	38
Black Lives in a Pandemic: Implications of Systemic Injustice for End‐of‐Life Care	31
A Leap of Faith: Is There a Formula for “Trustworthy” AI?	28
AI Surveillance during Pandemics: Ethical Implementation Imperatives	25
Conceptualizing Race in the Genomic Age	22
Getting to the Truth: Ethics, Trust, and Triage in the United States versus Europe during the Covid‐19 Pandemic	22
Out of Africa: A Solidarity‐Based Approach to Vaccine Allocation	21
Can Clinical Empathy Survive? Distress, Burnout, and Malignant Duty in the Age of Covid‐19	19
What We're Not Talking about When We Talk about Addiction	19
Alzheimer's and Aducanumab: Unjust Profits and False Hopes	15
Global Disparity and Solidarity in a Pandemic	14
Duties toward Patients with Psychiatric Illness	13
Health Inequalities	12
Rethinking Human Embryo Research Policies	12
Dying during Covid‐19	11
The Emerging Hazard of AI‐Related Health Care Discrimination	11
Realizing Present and Future Promise of DIY Biology and Medicine through a Trust Architecture	11
The Future of Bioethics: It Shouldn't Take a Pandemic	11
What Could “Fair Allocation” during the Covid‐19 Crisis Possibly Mean in Sub‐Saharan Africa?	11
Rethinking “Elective” Procedures for Women's Reproduction during Covid‐19	11
The Social Risks of Science	10

Life‐Years & Rationing in the Covid‐19 Pandemic: A Critical Analysis	10
Interdependent Citizens: The Ethics of Care in Pandemic Recovery	10
Reevaluating the Ethical Issues in Porcine‐to‐Human Heart Xenotransplantation	10
Wrestling with Social and Behavioral Genomics: Risks, Potential Benefits, and Ethical Responsibility	9
Carbon Emissions from Overuse of U.S. Health Care: Medical and Ethical Problems	9
Public Attitudes toward Consent When Research Is Integrated into Care—Any “Ought” from All the “Is”?	9
Trust Also Means Centering Black Women's Reproductive Health Narratives	9
Pandemics, Protocols, and the Plague of Athens: Insights from Thucydides	9
Antiracist Praxis in Public Health: A Call for Ethical Reflections	9
Addressing Anti‐Black Racism in Bioethics: Responding to the Call	9
Our Next Pandemic Ethics Challenge? Allocating “Normal” Health Care Services	9
Material Insecurity, Racial Capitalism, and Public Health	9
Ventilator Allocation Protocols: Sophisticated Bioethics for an Unworkable Strategy	8
Pediatric Off‐Label Use of Covid‐19 Vaccines: Ethical and Legal Considerations	8
The Limited Value of Dementia‐Specific Advance Directives	8
Is Trust Enough? Anti‐Black Racism and the Perception of Black Vaccine “Hesitancy”	8
The University of California Crisis Standards of Care: Public Reasoning for Socially Responsible Medicine	7
Consent for Intimate Exams on Unconscious Patients: Sharpening Legislative Efforts	7
Coming to Terms with the Black Box Problem: How to Justify AI Systems in Health Care	7
New Findings on Unconsented Intimate Exams Suggest Racial Bias and Gender Parity	7
Patients Left Behind: Ethical Challenges in Caring for Indirect Victims of the Covid‐19 Pandemic	7
Public Deliberation about Gene Editing in the Wild	7
Experiencing Community in a Covid Surge	7
Recognizing Moral Injury: Toward Legal Intervention for Physician Burnout	6
Covid‐19: Exposing the Lack of Evidence‐Based Practice in Medicine	6
It Is Time to Abandon the Dogma That Brain Death Is Biological Death	6
Walls	6
Activism and the Clinical Ethicist	6
Ending One's Life in Advance	6
When Is Age Choosing Ageist Discrimination?	6
Covid Vaccine Mandates and Religious Accommodation in Employment	6
Weighted Lotteries and the Allocation of Scarce Medications for Covid‐19	6
Deficits of Public Deliberation in U.S. Oversight for Gene Edited Organisms	5
Trust: The Need for Public Understanding of How Science Works	5
In This Together: Navigating Ethical Challenges Posed by Family Clustering during the Covid‐19 Pandemic	5
Coding the Self: The Infopolitics and Biopolitics of Genetic Sciences	5
Legal and Ethical Issues in the Report Heritable Human Genome Editing	5
If Not Now, Then When? Taking Disability Seriously in Bioethics	5
Your Father's a Fighter; Your Daughter's a Vegetable: A Critical Analysis of the Use of Metaphor in Clinical Practice	5
Provoking Bad Biocitizenship	5
The Consent Continuum: A New Model of Consent, Assent, and Nondissent for Primary Care	5
Empowering Indigenous Knowledge in Deliberations on Gene Editing in the Wild	5
Genetic Data Aren't So Special: Causes and Implications of Reidentification	5
Centering Social Justice for Covid‐19 Resources and Research	5
Can Genetic Nondiscrimination Laws Save Lives?	5
Employment‐Based, For‐Profit Health Care in a Pandemic	5
Doubt, Disorientation, and Death in the Plague Time	4
Does Solidarity Require “All of Us” to Participate in Genomics Research?	4
Reciprocity and Liability Protections during the Covid‐19 Pandemic	4
In the Name of Racial Justice: Why Bioethics Should Care about Environmental Toxins	4

Guiding the Future: Rethinking the Role of Advance Directives in the Care of People with Dementia	4
A Strategy to Prevent and Control Zoonoses?	4
Can Our Schools Help Us Preserve Democracy? Special Challenges at a Time of Shifting Norms	4
White Privilege, White Poverty: Reckoning with Class and Race in America	4
Deliberative Public Consultation via Deliberative Polling: Criteria and Methods	4
Toward Meeting the Obligation of Respect for Persons in Pragmatic Clinical Trials	4
Handle with Care: The WHO Report on Human Genome Editing	4
Bioethics Rooted in Justice: Community‐Expert Reflections	4
Deciding with Others: Interdependent Decision‐Making	4
Mind the Gaps: Ethical and Epistemic Issues in the Digital Mental Health Response to Covid‐19	4
Does a Public Health Crisis Justify More Research with Incarcerated People?	4
Anti‐Black Racism and Power: Centering Black Scholars to Achieve Health Equity	4
Health for Whom? Bioethics and the Challenge of Justice for Genomic Medicine	4
Editors’ Statement on the Responsible Use of Generative AI Technologies in Scholarly Journal Publishing	4
The Pandemic: Lessons for Bioethics?	4
Black Feminist Bioethics: Centering Community to Ask Better Questions	4
Burdening Others	4
Regulating AI in Health Care: The Challenges of Informed User Engagement	3
When People Facing Dementia Choose to Hasten Death: The Landscape of Current Ethical, Legal, Medical, and Social Considerations in the United States	3
Structural Inequities, Fair Opportunity, and the Allocation of Scarce ICU Resources	3
Distressed Work: Chronic Imperatives and Distress in Covid‐19 Critical Care	3
Antiracist Activism in Clinical Ethics: What's Stopping Us?	3
Testimonies and Healing: Anti‐oppressive Research with Black Women and the Implications for Compassionate Ethical Care	3
The Ethics of Everyday Life in the Midst of a Pandemic	3
Disability Affirmative Action Requirements for the U.S. HHS and Academic Medical Centers	3
On the Shoulders of Giants: A Reckoning with Social Justice	3
	3
Against Exclusive Survivalism: Preventing Lost Life and Protecting the Disadvantaged in Resource Allocation	3
Compulsory Research in Learning Health Care: Against a Minimal Risk Limit	3
The Vanishing Square: Civic Learning in the Internet Age	3
Planetary Ethics: Russell Train and Richard Nixon at the Creation	3
Ethics of a Mandatory Waiting Period for Female Sterilization	3
Why and How Bioethics Must Turn toward Justice: A Modest Proposal	3
What Makes a Better Life for People Facing Dementia? Toward Dementia‐Friendly Health and Social Policy, Medical Care, and Community Support in the United States	3
Excavating the Personal Genome: The Good Biocitizen in the Age of Precision Health	3
The Decision Phases Framework for Public Engagement:Engaging Stakeholders about Gene Editing in the Wild	3
A Matter of Justice: “Fat” Is Not Necessarily a Bad Word	3
Mapping the Moral Terrain of Clinical Deception	3
The Market in Noninvasive Prenatal Tests and the Message to Consumers: Exploring Responsibility	3
Opioid Treatment Agreements and Patient Accountability	3
Toward Fair and Humane Pain Policy	3
Advance Directives: The Principle of Determining Authenticity	3
Disability and the Damaging Master Narrative of an Open Future	3
Dueling Definitions of Abortifacient: How Cultural, Political, and Religious Values Affect Language in the Contraception Debate	3
Too Soon or Too Late: Rethinking the Significance of Six Months When Dementia Is a Primary Diagnosis	3
History and Bioethics	3
	3
Rethinking the Importance of the Individual within a Community of Data	3
Protecting Health after Dobbs	3
Redoing the Demos	2
Clarifying the Ethics and Oversight of Chimeric Research	2
Care Ethics versus the CARES Act	2
Solving the Opioid Crisis Isn't Just a Public Health Challenge—It's a Bioethics Challenge	2
Wrestling with Public Input on an Ethical Analysis of Scientific Research	2
Brain Pioneers and Moral Entanglement: An Argument for Post‐trial Responsibilities in Neural‐Device Trials	2
Risk Trade‐Offs and Equitable Decision‐Making in the Covid‐19 Pandemic	2
Civic Learning, Science, and Structural Racism	2
Avoiding Ineffective End‐of‐Life Care: A Lesson from Triage?	2
Should Institutions Disclose the Names of Employees with Covid‐19?	2
Restructuring Deliberation Using a Cultural Theory Lens	2
We Have Seen the Mutants—and They Are Us: Gifts and Burdens of a Genetic Diagnosis	2
Living Donors and the Issue of “Informed Consent”	2
About the Special Report	2
Crisis Standards of Care—More Than Just a Thought Experiment?	2
When Following the Rules Feels Wrong	2
The Moral Difference between Faces & FaceTime	2
Anti‐Black Racism as a Chronic Condition	2
Gender‐Affirming Care for Cisgender People	2
Expanding Paid Sick Leave Laws: The Public Health Imperative	2
	2
Health Justice and Rawls's Theory at Fifty: Will New Thinking about Health and Inequality Influence the Most Influential Account of Justice?	2
Checking in with Neuroethics	2
The Bioethics of Built Space: Health Care Architecture as a Medical Intervention	2
Reproductive Embryo Editing: Attending to Justice	2
Narratives in Public Deliberation: Empowering Gene Editing Debate with Storytelling	2
The Vaccination Cold War	2
Fifty Years of U.S. Mass Incarceration and What It Means for Bioethics	2
Contributors	2
Errors in Converting Principles to Protocols: Where the Bioethics of U.S. Covid‐19 Vaccine Allocation Went Wrong	2
Latinx Bioethics: Toward a Braver, Broader, and More Just Bioethics	2

Recommendations for Better Civic Learning: Building and Rebuilding Democracy	2
Identity Theft, Deep Brain Stimulation, and the Primacy of Post‐trial Obligations	2
From a Reckoning to Racial Concordance: A Strategy to Protect Black Mothers, Children, and Infants	2
In Service to Others: A New Evolutionary Perspective on Human Enhancement	2
Does Gene Editing in the Wild Require Broad Public Deliberation?	2
Ventilators, Guidelines, Judgment, and Trust	2
Rethinking Ethical Categories in the Age of Technology	2
Do Health Care Organizations Have Legitimate Responsibilities beyond the Delivery of Health Care? Insights from Citizenship Theory	2
The Microethics of Communication in Health Care: A New Framework for the Fast Thinking of Everyday Clinical Encounters	2
The UN Challenge to Guardianship and Surrogate Decision‐Making	2
Variations on Consent	2
Opening the Door: Rethinking “Difficult Conversations” about Living and Dying with Dementia	2
“We have nothing left to bury.”	2
Social Equality in an Alternate World	2
	2
Covid‐19, Free Exercise, and the Changing Constitution	2
Civic Learning for a Democracy in Crisis	2
Raising the Dead? Limits of CPR and Harms of Defensive Practices	1
OK, Boomer, MD: The Rights of Aging Physicians and the Health of Our Communities	1
Erratum	1
Ethical Challenges of Advances in Vaccine Delivery Technologies	1
	1
Stories and Shame in Front‐Line Medicine	1
Risk‐Sensitive Assessment of Decision‐Making Capacity: A Comprehensive Defense	1
Contributors	1
Now You Are Part of the Solution: Bioethicists' Contribution in Addressing Racialized Health Inequity	1
Physician Perspectives on Building Trust with Patients	1
To Assess Technologies, Bioethicists Must Take Off Their Blinkers	1
Home Care in America: The Urgent Challenge of Putting Ethical Care into Practice	1
Justice, Bioethics, and Covid‐19	1
Lessons from Biomedical Innovation during World War II	1
Recalibrating Bioethics for the Reality of Interdependence: The Challenge of Collective‐Impact Problems	1
Speaking Volumes: The Encyclopedia of Bioethics and Racism	1
Holding Them Accountable: Organizational Commitments to Ending Systemic Anti‐Black Racism in Medicine and Public Health	1
Public Health at the Kitchen Table: Lessons from the Home HIV Test's Long Road to Approval	1
Before The Birth of Bioethics: James M. Gustafson at Yale	1
Ourselves, with Dementia	1
Disability Access and Digital Platforms	1
Allocation of Opportunities to Participate in Clinical Trials during the Covid‐19 Pandemic and Other Public Health Emergencies	1
Creative Democracy—the Task Still before Us	1
Learning from Covid	1
Contributors	1
	1
Human, Nonhuman, and Chimeric Research: Considering Old Issues with New Research	1
Disability, Bioethics, and the Problem of Prejudice	1
	1
Selected Publications Relevant to Topics Explored in This Special Report, with a Focus on the United States	1
Related Developments and Debates in Canada: Time Line and Publications	1
Genomic Testing, Unexpected Consanguinity, and Adolescent Parents	1
Contributors	1
Communities Matter	1
Hope and Exploitation in Commercial Provision of Assisted Reproductive Technologies	1
Hidden Ethical Challenges in Health Data Infrastructure	1
Complex Decisions	1
Hope to the End	1
Pediatric Authenticity: Hiding in Plain Sight	1
A Call for Solidarity in Bioethics: Confronting Anti‐Black Racism Together	1
Covid‐19: Medical Decisions, Mandates, and High‐Risk Minors	1
Industry Technicians Embedded in Clinical Teams: Impacts on Medical Knowledge	1
Xenotransplantation Clinical Trials and the Need for Community Engagement	1
A “Surprise” Health Policy Legislative Victory	1
Digital Health Care Disparities	1
A Man of Vision: Daniel Callahan on the Nasty Problem and the Noxious Brew	1
Gene Editing: How Can You Ask “Whether” If You Don't Know “How”?	1
Rethinking Decision Quality: Measures, Meaning, and Bioethics	1
Herstory as an Important Force in Bioethics	1
Words Matter	1
Activism and Bioethics: Taking a Stand on Things That Matter	1
Why Clinical Ethicists Are Not Activists	1
What Has Covid‐19 Exposed in Bioethics? Four Myths	1
DEI Is Not Enough	1
About The Hastings Center and Knight Foundation	1
The Pitfalls of Genomic Data Diversity	1
Can I Hold That Thought for You? Dementia and Shared Relational Agency	1
Toward Critical Bioethics Studies: Black Feminist Insights for a Field “Reckoning” with Anti‐Black Racism	1
A Pandemic Diary	1
Examining the Ethics and Impacts of Laws Restricting Transgender Youth‐Athlete Participation	1
Health Research and Social Justice Philosophy	1
Facilitating Ukrainian Refugees’ Continued Participation in Clinical Trials	1
Contributors	1
Heart and Soul	1
Clinician Moral Distress: Toward an Ethics of Agent‐Regret	1
Moral Status and the Oversight of Research Involving Chimeric Animals	1
Death in a Cold Climate: Medical Aid in Dying in Vermont	1
Prescription Requirements and Patient Autonomy: Considering an Over‐the‐Counter Default	1
Vulnerable Children in a Dual Epidemic	1
Envisioning Complex Futures: Collective Narratives and Reasoning in Deliberations over Gene Editing in the Wild	1
Congee for the Soul	1
Rethinking the Ethics of the Covid‐19 Pandemic Lockdowns	1
Errata	1
Racism, Not Race: A Physician Perspective on Anti‐Black Racism in America	1
Dementia and Concurrent Consent to Sexual Relations	1
Divided Loyalties: Fire and ICE	1