29 found
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  1.  16
    Brain Death at Fifty: Exploring Consensus, Controversy, and Contexts.Robert D. Truog, Nancy Berlinger, Rachel L. Zacharias & Mildred Z. Solomon - 2018 - Hastings Center Report 48 (S4):2-5.
    This special report is published in commemoration of the fiftieth anniversary of the “Report of the Ad Hoc Committee of the Harvard Medical School to Examine the Definition of Brain Death,” a landmark document that proposed a new way to define death, with implications that advanced the field of organ transplantation. This remarkable success notwithstanding, the concept has raised lasting questions about what it means to be dead. Is death defined in terms of the biological failure of the organism to (...)
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  2.  18
    Realizing Bioethics' Goals in Practice: Ten Ways "Is" Can Help "Ought".Mildred Z. Solomon - 2005 - Hastings Center Report 35 (4):40.
    A familiar criticism of bioethics charges it with being more conceptual than practical—having little application to the “real world.” In order to answer its critics and keep its feet on the ground, bioethics must utilize the social sciences more effectively. Empirical research can provide the bridge between conceiving a moral vision of a better world, and actually enacting it.
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  3.  42
    Bioethics and Populism: How Should Our Field Respond?Mildred Z. Solomon & Bruce Jennings - 2017 - Hastings Center Report 47 (2):11-16.
    Across the world, an authoritarian and exclusionary form of populism is gaining political traction. Historically, some populist movements have been democratic and based on a sense of inclusive justice and the common good. But the populism on the rise at present speaks and acts otherwise. It is challenging constitutional democracies. The polarization seen in authoritarian populism goes beyond the familiar left-right political spectrum and generates disturbing forms of extremism, including the so-called alternative right in the United States and similar ethnic (...)
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  4.  20
    Trust in Health Care and Science: Toward Common Ground on Key Concepts.Lauren A. Taylor, Mildred Z. Solomon & Gregory E. Kaebnick - 2023 - Hastings Center Report 53 (S2):2-8.
    This essay summarizes key insights across the essays in the Hastings Center Report's special report “Time to Rebuild: Essays on Trust in Health Care and Science.” These insights concern trust and trustworthiness as distinct concepts, competence as a necessary but not sufficient input to trust, trust as a reciprocal good, trust as an interpersonal as well as structural phenomena, the ethical impermissibility of seeking to win trust without being trustworthy, building and borrowing trust as distinct strategies, and challenges to trustworthiness (...)
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  5.  19
    Recalibrating Bioethics for the Reality of Interdependence: The Challenge of Collective‐Impact Problems.Mildred Z. Solomon - 2023 - Hastings Center Report 53 (3):3-5.
    Bioethics in the twenty‐first century is confronting what one might call “collective‐impact problems.” The ethics guidance and policies that are developed to address these kinds of problems will affect not only individuals but everyone living and future generations too. With many collective‐impact problems, all parties will eventually be worse off if there is a failure to develop solutions to head off damage to the shared environment. However, the effects are not felt equally throughout and across societies; some groups are hit (...)
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  6.  46
    How Physicians Talk about Futility: Making Words Mean Too Many Things.Mildred Z. Solomon - 1993 - Journal of Law, Medicine and Ethics 21 (2):231-237.
    “There's glory for you!”“I don't know what you mean by ‘glory,’ ” Alice said.Humpty Dumpty smiled contemptuously. “Of course, you dont—till I tell you. I meant ‘there's a nice knock-down argument.’”“But ‘glory’ doesn't mean a ‘nice knock-down argument,” Alice objected.“When I use a word,” Humpty Dumpty said, in rather a scornful tone, “it means just what I choose it to mean—neither more nor less.”“The question is,” said Alice, “whether you can make words mean so many different things.”“The question is,” said (...)
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  7.  29
    (1 other version)Ethical Oversight of Research on Patient Care.Mildred Z. Solomon & Ann C. Bonham - 2013 - Hastings Center Report 43 (s1):2-3.
    The Institute of Medicine has called on health care leaders to transform their health systems into “learning health care systems,” capable of studying and continuously improving their practices. Learning health care systems commit to carrying out numerous kinds of investigations, ranging from clinical effectiveness studies to quality improvement research and implementation science. There has been progress in realizing the IOM's vision, but also many challenges. One of these challenges has been lingering uncertainty about whether the data collection and monitoring central (...)
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  8.  52
    Toward An Expanded Vision of Clinical Ethics Education: From the Individual to the Institution.Mildred Z. Solomon, Bruce Jennings, Vivian Guilfoy, Rebecca Jackson, Lydia O'Donnell, Susan M. Wolf, Kathleen Nolan, Dieter Koch-Weser & Strachan Donnelley - 1991 - Kennedy Institute of Ethics Journal 1 (3):225-245.
    This paper advances a new paradigm in clinical ethics education that not only emphasizes development of individual cli but also focuses on the institutional context within which health care professionals work. This approach has been applied to the goal of improving the care provided to critically and terminally ill adults. The model has been adopted by about thirty hospitals and nursing homes; additional institutions will soon join the program, entitled Decisions Near the End of Life. Here, we describe the history (...)
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  9.  16
    The Center's Highest Award.Bradford H. Gray & Mildred Z. Solomon - 2021 - Hastings Center Report 51 (4):inside_front_cover-inside_front_.
    Prompted by a 2019 essay by Jonathan Moreno in the Hastings Center Report, the Center's board of directors undertook a careful examination of the name of its preeiminent award, the Henry Knowles Beecher Award, which has been given to twenty‐nine individuals who have made lifetime contributions to bioethics. citing new research that revealed that Beecher's earlier experimentation on drugs had involved nonconsenting adults, Moreno urged the Center to reevaluate honoring Beecher through this award. After reviewing the relevant published evidence and (...)
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  10.  25
    Civic Learning for a Democracy in Crisis.Bruce Jennings, Michael K. Gusmano, Gregory E. Kaebnick, Carolyn P. Neuhaus & Mildred Z. Solomon - 2021 - Hastings Center Report 51 (S1):2-4.
    This essay introduces a special report from The Hastings Center entitled Democracy in Crisis: Civic Learning and the Reconstruction of Common Purpose, which grew out of a project supported by the John S. and James L. Knight Foundation. This multiauthored report offers wide‐ranging assessments of increasing polarization and partisanship in American government and politics, and it proposes constructive responses to this in the provision of objective information, institutional reforms in government and the electoral system, and a reexamination of cultural and (...)
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  11.  20
    Can Our Schools Help Us Preserve Democracy? Special Challenges at a Time of Shifting Norms.Meira Levinson & Mildred Z. Solomon - 2021 - Hastings Center Report 51 (S1):15-22.
    Civic education that prepares students for principled civic participation is vital to democracy. Schools face significant challenges, however, as they attempt to educate for democracy in a democracy in crisis. Parents, educators, and policy‐makers disagree about what America's civic future should look like, and hence about what schools should teach. Likewise, hyperpartisanship, mutual mistrust, and the breakdown of democratic norms are perverting the kinds of civic relationships and values that schools want to model and achieve. Nonetheless, there is strong evidence (...)
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  12.  79
    Scarcity in the Covid‐19 Pandemic.Mildred Z. Solomon, Matthew Wynia & Lawrence O. Gostin - 2020 - Hastings Center Report 50 (2):3-3.
    As we write, U.S. cities and states with extensive community transmission of Covid‐19 are in harm's way—not only because of the disease itself but also because of prior and current failures to act. During the 2009 influenza pandemic, public health agencies and hospitals developed but never adequately implemented preparedness plans. Focused on efficiency in a competitive market, health systems had few incentives to maintain stockpiles of essential medical equipment. Just‐in‐time economic models resulted in storage of only those supplies needed then. (...)
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  13.  18
    On Patient Well‐being and Professional Authority.Mildred Z. Solomon - 2017 - Hastings Center Report 47 (1):26-27.
    Two papers in this issue address the limits of surrogates’ authority when making life-and-death decisions for dying family members or friends. Using palliative sedation as an example, Jeffrey Berger offers a conceptual argument for bounding surrogate authority. Since freedom from pain is an essential interest, when imminently dying, cognitively incapacitated patients are in duress and their symptoms are not manageable in any other way, clinicians should be free to offer palliative sedation without surrogate consent, although assent should be sought and (...)
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  14.  34
    The Ethical Urgency of Advancing Implementation Science.Mildred Z. Solomon - 2010 - American Journal of Bioethics 10 (8):31-32.
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  15.  24
    Becoming Good Citizens of Aging Societies.Nancy Berlinger & Mildred Z. Solomon - 2018 - Hastings Center Report 48 (S3):2-9.
    The ethical dimensions of an aging society are larger than the experience of chronic illness, the moral concerns of health care professionals, or the allocation of health care resources. What, then, is the role of bioethics in an aging society, beyond calling attention to these problems? Once we’ve agreed that aging is morally important and that population‐level aging across wealthy nations raises ethical concerns that cannot be fixed through transhumanism or other appeals to transcend aging and mortality through technology, what (...)
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  16.  15
    The Pedagogical Challenges of Teaching High School Bioethics: Insights from the Exploring Bioethics Curriculum.Mildred Z. Solomon, David Vannier, Jeanne Ting Chowning, Jacqueline S. Miller & Katherine F. Paget - 2016 - Hastings Center Report 46 (1):11-18.
    A belief that high school students have the cognitive ability to analyze and assess moral choices and should be encouraged to do so but have rarely been helped to do so was the motivation for developing Exploring Bioethics, a six-module curriculum and teacher guide for grades nine through twelve on ethical issues in the life sciences. A multidisciplinary team of bioethicists, science educators, curriculum designers, scientists, and high school biology teachers worked together on the curriculum under a contract between the (...)
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  17.  24
    Teaching Bioethics.Lisa M. Lee, Mildred Z. Solomon & Amy Gutmann - 2014 - Hastings Center Report 44 (5):10-11.
    From accessible and affordable health care to old or new reproductive technologies, human or animal research, and beyond, the justice and well‐being of our society depends on the ability of key groups—such as scientists and health care providers—along with members of the public to identify the key issues, articulate their values and concerns, deliberate openly and respectfully, and together find the most defensible ways forward.The Presidential Commission for the Study of Bioethical Issues and The Hastings Center are committed to improving (...)
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  18. Ethical oversight of learning health care systems.Mildred Z. Solomon & Ann Bonham (eds.) - 2013 - [Malden, Mass.]: Wiley-Blackwell.
     
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  19.  17
    Seeking the unseen.Mildred Z. Solomon - 2012 - Hastings Center Report 42 (4):inside front cover-inside front.
    When Dan Callahan and Will Gaylin began The Hastings Center, they saw and sought to study the unseen. They were among the very first to recognize that remarkable advances in biomedical technology were generating questions our society had never before faced. As I take the helm of The Hastings Center forty‐plus years later, it's now my job to be sure we see, name, grapple with, and act on today's questions. Over the next two years, the Center will engage its scholars, (...)
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  20.  25
    Looking Closely at Health Inequities.Mildred Z. Solomon - 2022 - Hastings Center Report 52 (2):inside_front_cover-inside_front_.
    Hastings Center Report, Volume 52, Issue 2, Page inside_front_cover-inside_front_cover, March‐April 2022.
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  21.  17
    Annual Award for an Essay by an Early‐Career Scholar.Mildred Z. Solomon - 2019 - Hastings Center Report 49 (2).
    As part of the celebrations of The Hastings Center’s fiftieth anniversary, we are launching an annual prize, The David Roscoe Award for an Early‐Career Scholar’s Essay on Science, Ethics, and Society. The award is named in honor of David Roscoe, an accomplished essayist and recent past chair of the Hastings board. The award is intended to highlight the good scholarship that will take the field of bioethics forward into the next fifty years. It will recognize an early‐career scholar—someone who either (...)
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  22.  17
    A Last Gift.Mildred Z. Solomon - 2019 - Hastings Center Report 49 (4).
    Here at the Center, we had the privilege of seeing how Dan Callahan lived out his last days and weeks. True to his nature, Dan never stopped thinking or writing. Indeed, his wife Sidney told me that he finished his last essay one day before his death, on July 16th, insisting that she help him get to the computer so he could discuss it with a colleague. “It's my last one,” he told her with his characteristic self‐awareness. Dan also chose (...)
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  23.  16
    Crossing Boundaries.Mildred Z. Solomon - 2019 - Hastings Center Report 49 (5):10-11.
    I met Dan Callahan in 1986—when I came to pitch him. Coming from a sleek office setting near Boston, I was intrigued by The Hastings Center's higgledy‐piggledy environment where so many smart people got to work in a relaxed, inviting atmosphere. I had noticed that the Center was producing a great deal of policy work on a wide range of topics but didn't seem to go further than publishing the highly valuable guidance developed under Dan Callahan's leadership. I ended my (...)
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  24.  31
    From What’s Neutral to What’s Meaningful: Reflections on a Study of Medical Interpreters.Mildred Z. Solomon - 1997 - Journal of Clinical Ethics 8 (1):88-93.
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  25.  14
    Looking up: Views from our fellows’ retreat.Mildred Z. Solomon - 2015 - Hastings Center Report 45 (6):inside front cover-inside front.
    Together this August, Hastings Center fellows and staff scholars left their respective studies to look up. Over a three-day period, we engaged with one another, renewing ties with beloved old friends and welcoming new ones. We asked what each other was passionate about. We asked how our field could be better. We shared works-in-progress and imagined how we might work together across institutions, across miles to accomplish things we couldn't do alone.
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  26.  10
    The Examined Life. A Tribute to Edmund Pellegrino.Mildred Z. Solomon - 2013 - Hastings Center Report 43 (5):inside front cover-inside front.
    Edmund Pellegrino was a huge figure who leaves a huge legacy. Since his death on June 13, 2013, much has been written to honor his prodigious accomplishments in scholarship, public policy, and institution‐building and to express gratitude for his kindness, humility, and sense of humor. I want to honor his commitment to living a life in which ideas mattered. For him, ideas were not just the stuff by which to build an academic career or rocks to hurl at opposing scholars (...)
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  27.  11
    The Enormity of the Task: SUPPORT and Changing Practice.Mildred Z. Solomon - 1995 - Hastings Center Report 25 (6):28-32.
  28.  15
    What Is Bioethics Worth?Mildred Z. Solomon - 2016 - Hastings Center Report 46 (5):44-46.
    What is bioethics to do when it strives to assess the quality of its research and scholarship and when it needs to justify its work to prospective funders, especially a funder like the National Institutes of Health that privileges empirical discovery? In “A Conceptual Model for the Translation of Bioethics Research and Scholarship,” Debra Mathews and colleagues take an important first step at advancing an answer. The authors describe what they call a translational process, whereby bioethics “outputs” are translated into (...)
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  29.  15
    The Ethics and Efficacy of Behavior Change ResearchAn Ethic for Health Promotion. [REVIEW]Mildred Z. Solomon & David R. Buchanan - 2001 - Hastings Center Report 31 (1):43.
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