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    Forum Posts by
    Joseph J. Fins

    • When Pat and Bob Nearly Saved Health Care Reform: A Lesson in Senatorial Bedside Manner

      Posted on July 28, 2017

      With Senator John McCain’s heroic return and Vice President Mike Pence’s tie-breaking vote on a health care bill July 25, Senate Republicans managed to cobble together 51 votes simply to agree to debate health care reform. This razor’s edge victory is diagnostic. Hyperpartisan debate is convulsive. It endangers the body politic and needs to give way to more… Read more

    • Who “Persists” in Opposing DNR Orders? Demographics Matter

      Posted on May 18, 2017

      Reading “After DNR: Surrogates who persist in requesting cardiopulmonary resuscitation” in the Hastings Center Report, I was reminded of Senate Majority Leader Mitch McConnell’s chastisement of Senator Elizabeth Warren’s opposition to Jeff Sessions’ nomination as Attorney General. McConnell called for Warren’s censure by the Senate because she quoted a 1986 letter by Coretta Scott King… Read more

    • Lincoln’s Promise: Congress, Veterans, and Traumatic Brain Injury

      Posted on June 21, 2016

      Perhaps we were naïve. Our plan was relatively simple: we would chart the legislative evolution of programs for veterans with traumatic brain injuries (TBI) to identify policy gaps for this underserved and vulnerable population. With recent media attention highlighting the U.S. Department of Veteran Affairs (VA) shortfalls for TBI – the “signature injury” of the… Read more

    • Responding to Ebola: Questions about Resuscitation

      Posted on October 10, 2014

      While details of the deaths of patients in Dallas and Madrid from Ebola are not public, their passing prompts questions about resuscitation in individuals infected with the virus. To date, this question has not been raised in clinical ethics. We must now consider whether unilateral do-not-resuscitate orders are justified in this discrete clinical circumstance. To… Read more

    • Orphans to History: A Response to the Bucharest Early Intervention Project Investigators

      Posted on January 29, 2014

      I appreciate the thoughtful responses to my essay on the ethics of the Bucharest Early Intervention Project (BEIP), from its investigators, Drs. Fox, Zeanah and Nelson and from Dr. Millum, one of the bioethicists who had defended their study design. Let me begin by considering how Zeanah, Koga, Simion, Stanescu, Tabacaru and Nelson for the BEIP Core Group responded [1], in… Read more

    • Romanian Orphans: A Reconsideration of the Ethics of the Bucharest Early Intervention Project

      Posted on October 15, 2013

      Recently I had a Susan Reverby moment. Reverby is the Wellesley historian best known for unearthing the revelations of the Guatemalan syphilis and gonorrhea studies conducted by the United States Public Health Service and the Pan American Health Organization in the late 1940s. As the now famous story goes, Reverby was doing archival work on the Tuskegee… Read more

    • Givers Beware: Medical Charities and Deceptive Fundraising

      Posted on December 10, 2012

       On a bright Sunday morning in New York’s Central Park, as October leaves bid a variegated farewell to green, nascent golds and auburns yielded for a few short hours to vibrant pink, the American Cancer Society held a fundraising walk for breast cancer.  The local TV news anchors were outfitted in matching pink for the… Read more

    • When Endemic Disparities Catch the Pandemic Flu: Echoes of Kubler-Ross and Rawls

      Posted on March 30, 2009

      Over the past several years, I have served on a couple of panels considering the clinical and ethical challenges posed by pandemic flu. Our concern was the threat posed by the avian variety brewing in China; not once did we discuss an alternative viral vector. Nonetheless, in light of the current fears that pandemic swine… Read more

    • Science as Civic Education

      Posted on June 20, 2008

      This primary season was a vindication of democracy, especially among the young. Not since the primaries of 1968, when Gene McCarthy and Bobby Kennedy battled for the Democratic nomination, have university-age voters come out in such force. A new class of voters is coming of age and doing so in a hurry. Motivated by heady… Read more

    • From Four Freedoms to Four Challenges

      Posted on February 28, 2008

      Unfortunately, the problems of global health and poverty are almost impossible to grasp unless one has seen them for oneself. I first saw them as a Cornell medical student working in Ecuador during the summer of 1984. I was working at the premier children’s hospital in Quito, Hospital Baja Ortiz, a concrete shell of a… Read more