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Abortion: Law, Choice and MoralityCallahan published this wide-ranging study before Roe v. Wade, when state abortion laws and reform proposals were under intense debate.
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Fabricated Man: The Ethics of Genetic ControlWritten as genetics and reproductive technologies were becoming subjects of public controversy, Fabricated Man asks what limits should govern deliberate efforts to shape future human beings. Ramsey treats artificial insemination, genetic selection, cloning, and related interventions as moral problems involving parenthood, responsibility, and the integrity of human procreation.
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National Bioethics Advisory Commission Executive Order 12975 established the National Bioethics Advisory Commission in 1995 as genetics, cloning, and other biomedical developments pressed federal agencies for ethical guidance. The Commission first met in 1996 and continued through a period of rapid debate about research involving human participants and human biological materials. Its reports addressed cloning, research involving people with mental disorders, stem-cell research, international clinical trials, and protections for human participants. Among them were Cloning Human Beings (1997), Ethical Issues in Human Stem Cell Research (1999), and two 2001 reports on international research and human-participant protections. -
Advisory Committee on Human Radiation Experiments Disclosure of Cold War human radiation experiments raised questions about consent, secrecy, health risks, and federal accountability. President Clinton established the Advisory Committee on Human Radiation Experiments in January 1994 to examine that record and consider what government owed the people affected. The Committee investigated past experiments, evaluated historical and contemporary standards, and issued a 1995 final report addressing disclosure, remedies, and protections for research participants. Its archival inquiry made the ethical assessment of government-sponsored experimentation a matter of public record. -
Office for Human Research Protections In June 2000, the US Department of Health and Human Services established the Office for Human Research Protections after federal oversight of human-subject research had grown beyond the earlier NIH Office for Protection from Research Risks. The move placed responsibility for these protections at a higher level within HHS. OHRP administers assurance and institutional review board registration programs, oversees compliance, and issues guidance and education on federal human-subject protections. Such administrative work gives research-ethics rules a continuing means of implementation. -
NIH Clinical Center Department of Bioethics The NIH Clinical Center launched a dedicated bioethics department in late 1996 within a federal research hospital. Its location matters: investigators and clinicians there encounter ethical questions as research and care take place, not only when an external commission is convened. Ezekiel J. Emanuel became the department's first Chief in 1997. The department conducts conceptual, empirical, and policy research; trains bioethicists; and provides ethics consultation and advice to investigators and review bodies. These activities make ethical analysis part of the continuing practice of clinical research at NIH. -
Johns Hopkins Berman Institute of Bioethics A cross-university faculty interest group developed into a formally established Johns Hopkins bioethics institute in 1995, with Ruth Faden as founder and director. The Berman Institute brought ethical inquiry across the university's schools as questions of public health, research, justice, and clinical care increasingly met. The Institute supported interdisciplinary research, education, and public engagement across research ethics, population health, justice, and clinical practice. Its cross-school structure gave bioethics a university-wide institutional setting rather than confining it to one professional program. -
American Society for Bioethics and Humanities Three professional societies consolidated in January 1998 after their members approved a merger the previous year. The American Society for Bioethics and Humanities brought established communities in bioethics, health humanities, and ethics consultation into one national association. Its creation followed decades in which these interests had developed through separate organizations. ASBH provided a shared professional forum and developed resources for health-care ethics consultation, including Core Competencies for Healthcare Ethics Consultants and a professional code. Those materials addressed the practice and responsibilities of consultation as bioethics became more established in health-care institutions. -
Society for Health and Human ValuesHealth professionals and humanists formed the Society for Health and Human Values in 1969 to give questions of human value a clearer place in professional health education. It provided a membership network while medical humanities and bioethics were still developing their institutional identities. In 1998 it joined two other societies in the merger that created the American Society for Bioethics and Humanities. The Society supported exchange, teaching, and scholarship across professions concerned with medicine and human values. Its contribution lay in connecting people and educational settings before a single national association brought bioethics, health humanities, and ethics consultation together.
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Kennedy Institute of Ethics At Georgetown University, physician André E. Hellegers established the Kennedy Institute of Ethics in 1971 with Kennedy family support. Medicine's expanding technical choices had become matters for theologians, philosophers, social scientists, and clinicians to study together. The Institute gave that exchange a university-based research and teaching home. Its scholars and library staff built tools for a field still learning how to locate its own literature: the Bibliography of Bioethics, the Bioethics Research Library, and the Encyclopedia of Bioethics are part of that history. The Institute also sustained interdisciplinary teaching and research across medical ethics and the life sciences. -
The Hastings Center Daniel Callahan and Willard Gaylin founded the Institute of Society, Ethics and the Life Sciences in 1969, when new powers in medicine and biology were outpacing the places available for sustained ethical discussion. Later known as The Hastings Center, the independent institute brought scholars and practitioners from different fields into continuing conversation outside both government and the university. The Center established a durable setting for interdisciplinary research on health care and the life sciences. The Hastings Center Report, first published in 1970, carried that work to scholarly and public audiences. Its institutional contribution was to make such inquiry a continuing practice rather than a response assembled anew for each controversy. -
Thomasine K. Kushner American philosopher and bioethicist whose work helped shape clinical ethics, international bioethics, bioethics education, and the development of global scholarly networks in the field. -
Robert J. Levine American physician and bioethicist whose work helped establish modern research ethics, human-subject protections, and the ethical oversight of clinical research. -
Arthur W. Galston American plant biologist and bioethicist whose opposition to the military use of Agent Orange helped shape debates over scientific responsibility, environmental ethics, and the social consequences of biological research. -
Peter Singer Australian philosopher and bioethicist whose utilitarian approach to animal ethics, global poverty, life-and-death decisions, and applied ethics has significantly influenced American bioethical debate. -
Paul Farmer American physician and medical anthropologist whose work linked structural violence, health and human rights, and global health equity to the ethical obligation to provide high-quality care to people living in poverty. -
Ezekiel J. Emanuel American physician-bioethicist and health-policy scholar whose work has shaped research ethics, end-of-life ethics, health-care reform, and debates over the allocation of medical resources. -
Arthur L. Caplan American bioethicist and philosopher whose work has shaped transplantation ethics, research ethics, health policy, and public engagement with bioethical controversies. -
Jonathan D. Moreno American bioethicist, philosopher, and historian of science whose work has shaped research ethics, neuroethics, science policy, and the ethics of national security. -
The Disability Rights Critique of Prenatal Genetic Testing: Reflections and RecommendationsA Hastings Center project report edited by Erik Parens and Adrienne Asch examining disability-rights critiques of prenatal genetic testing, including concerns about assumptions concerning disability, parental decision-making, selective abortion, and the messages communicated by testing practices.
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Ethical, Legal, and Social Implications Research Program The Ethical, Legal, and Social Implications (ELSI) Research Program was established as an integral component of the Human Genome Project to identify and address ethical, legal, and social issues arising from genomic research. -
Oregon Death with Dignity ActOregon voters approved the Death with Dignity Act in 1994. Litigation delayed implementation, and voters rejected a repeal measure in 1997, after which the statutory framework took effect.
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NIH inclusion requirements for women and minorities in clinical researchThe NIH Revitalization Act of 1993 established statutory requirements concerning inclusion of women and members of minority groups in NIH-supported clinical research. NIH issued implementing guidelines in 1994 that strengthened and superseded earlier inclusion policies.
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Cruzan v. Director, Missouri Department of HealthIn Cruzan v. Director, Missouri Department of Health, the U.S. Supreme Court addressed withdrawal of life-sustaining treatment for an incapacitated patient and upheld Missouri's requirement of clear and convincing evidence of the patient's wishes.
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Community representation incorporated into the AIDS Clinical Trials GroupIn 1990, community representatives were formally incorporated into the AIDS Clinical Trials Group, extending the role of people affected by HIV/AIDS from advocacy outside research institutions toward participation within federally supported clinical-research governance.