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The Hastings Center

From Wikipedia, the free encyclopedia
Nonprofit bioethics research institute based in the United States
The Hastings Center for Bioethics
Woodlawn, the center's headquarters
Formation1969
TypeBioethicsresearch institute
Location
President
Vardit Ravitsky
Revenue$4,249,740[1] (2022)
Expenses$4,469,935[1] (2022)
Websitewww.thehastingscenter.org

The Hastings Center for Bioethics is an independent, nonpartisanbioethics research institute inGarrison, New York.[2]

Its mission is to address ethical issues in health care, science, and technology.[3] Through its projects and publications and its public engagement, the Center aims to influence the ideas of health policy-makers, regulators, health care professionals, lawyers, journalists, educators, and students.[4]

The Center is funded by grants and private donations.[5][6] It was known asThe Hastings Center before 2025.[7]

Founding

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The Hastings Center for Bioethics was founded in 1969 byDaniel Callahan[8] andWillard Gaylin, originally as the Institute of Society, Ethics, and the Life Sciences. It was first located inHastings-on-Hudson, New York, and is now inGarrison, New York, on the former Woodlawn estate designed byRichard Upjohn.[9]

In the early years, the Center identified four core issues as its domain:population, including respect for procreative freedom;behavior, which responded to early discoveries about the brain-behavior link and efforts to find ways to modify behaviors and prompted reassessment of what is "normal";death and dying, including the ongoing controversy over defining death; andethical issues in human genetics.[10] The Hastings Center for Bioethics continues to work on these issues and has expanded to other areas, including the human impact on nature, governance of emerging technologies such as artificial intelligence, genomics,CRISPR gene editing, and wise and compassionate health care.

Publications

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The Hastings Center for Bioethics publishes two journals, theHastings Center Report,[11][12] andEthics & Human Research (formerlyIRB: Ethics & Human Research, founded in 1979).[13][14] Each journal is published six times per year. TheHastings Center Report, founded in 1970, features scholarship and commentary in bioethics. It also periodically features special reports, published as supplements, many of which grow out of the Center's research projects.Ethics & Human Research aims to foster critical analysis of issues in science and health care that have implications for human biomedical and behavioral research.[15]

Hastings Bioethics Forum is the Center’s online publication that publishes individual commentaries on current issues in bioethics.[16]

Bioethics Briefings[17] is a free online Hastings Center for Bioethics resource for students, journalists, and policymakers on bioethics issues of high public interest, such as abortion, brain injury, racism and health equity, organ transplantation, physician-assisted death, and stem cell research. The chapters are written by leading ethicists and are nonpartisan, describing topics from a range of perspectives that are grounded in scientific facts.[18]

Research

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The Hastings Center for Bioethics' projects, many of which are carried out by interdisciplinary research teams, focus on four areas: the human lifespan, health and health care, science and technology, and the environment.[19]

Research projects consist of seminar-style meetings that bring together people with diverse views and expertise to address issues that pose dilemmas and challenges to society. Recent projects produced reports that includeEnvisioning a More Just Genomics, which explores how individuals will benefit equitably from advances in human genomics,The Ethical Implications of Social and Behavioral Genomics, which makes recommendations for responsibly conducting and communicating controversial research on the genetic contributions to human social and behavioral characteristics;Time to Rebuild: Essays on Trust in Health Care and Science, looks at trust and trustworthiness in science and health care.A Critical Moment in Bioethics: Reckoning with Anti-Black Racism through Intergenerational Dialogue, calls on the field of bioethics to take the lead in efforts to remedy racial injustice and health inequities in the United States.[20]

New Hastings Center for Bioethics research focuses on the ethical implications of artificial intelligence in health care. Hastings Center for Bioethics President Vardit Ravitsky is a principal investigator on twoBridge2AI research projects funded by the National Institutes of Health. One project is looking at the use of AI to help diagnose and treat diseases such as cancer and depression by analyzing the sound of a patient’s voice. The other project seeks to improve understanding of the relationship between genetics and disease expression. The Hastings Center for Bioethics website lists AI-related research projects, and articles and essays published by the Center’s journals and written by its scholars, as well as events held to explore this issue.[21]

The Robert S. Morison Library, located at the Center's offices in Garrison, New York, serves as a resource for Hastings' scholars, fellows, and visitors.[22]

Influence

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The Hastings Center for Bioethics is recognized as having established bioethics as a field of study.[23]

The Hastings Center for Bioethics' 1987 "Guidelines on the Termination of Life-Sustaining Treatment and the Care of the Dying" was foundational in setting the ethical and legal framework for U.S. medical decision-making.[24][25] It was cited in the 1990 Supreme Court ruling inCruzan v. Director, Missouri Department of Health, which established patients' constitutional right to refuse life-sustaining treatment and affirmed that surrogates could make decisions for patients lacking that capacity. An updated, expanded edition,The Hastings Center Guidelines for Decisions on Life-Sustaining Treatment and Care Near the End of Life, was published in 2013.[26]

In April 2024, new ruling by the U.S. Department of Health and Human Services that requires teaching hospitals to get written consent from patients before undergoing intimate medical exams was informed byfindings published in the Hastings Center Report.[27]

Hastings Center for Bioethics research scholars are frequently called upon for policy advice by committees and agencies at both the federal and state levels.[23] Recent examples include Hastings Center for Bioethics President Vardit Ravitsky, who is serving on the National Academy of Medicine’s Leadership Consortium, theHealth Care Artificial Intelligence Code of Conduct (AICC), The National Academies of Sciences, Engineering, and Medicine'sGene Drives on the Horizon report, which was produced by a committee that included Hastings Center for Bioethics senior research scholar Gregory Kaebnick,[28] and the National Academies Physician-Assisted Death workshop, whose planning committee included Hastings Center for Bioethics senior research scholar Nancy Berlinger.[29]

Early in theCOVID-19 pandemic, The Hastings Center for Bioethics convened a national team of health care experts to produce three timely guidance documents for health care institutions to use when making difficult decisions about scarce resource allocation during the pandemic. Theguidelines were used as references for health care organizations, lawyers, and journalists.

The Hastings Center for Bioethics has taken a lead in addressing racial injustice in the field of bioethics with two key educational initiatives, the Sadler Scholars, and the Summer Bioethics Program for Underrepresented Undergraduates. The Sadler Scholars are a select group of doctoral students with research interests in bioethics who are from racial or ethnic groups underrepresented in disciplines relevant to bioethics. The Summer Bioethics Program for Underrepresented Undergraduates is a paid, five-day online program for undergraduate students from groups that are underrepresented in bioethics.

Notable fellows, past and present

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Hastings Center for Bioethics fellows are elected for their contributions to informing scholarship or public understanding of the complex ethical issues in health, health care, and life sciences research.[30]

Awards

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The Bioethics Founders' Award

The Hastings Center for Bioethics' Bioethics Founders' Award (formerly called the Henry Knowles Beecher Award)[31] recognizes people who have made a lifetime contribution to ethics and life sciences. A committee of Hastings Center for Bioethics Fellows convenes to nominate candidates for the award. Its inaugural recipient wasHenry K. Beecher.

The Hastings Center Cunniff-Dixon Physician and Nursing Awards

The Hastings Center for Bioethics and the Cunniff-Dixon Foundation established The Hastings Center Cunniff-Dixon Physician and Nursing Awards, which recognize doctors and nurses who give exemplary care to patients nearing the end of life.[32]

References

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  1. ^ab"The Hastings Center Inc"(PDF).Foundation Center.Archived(PDF) from the original on February 27, 2019. RetrievedFebruary 27, 2019.
  2. ^"Charity Navigator Report". Charity Navigator.Archived from the original on February 3, 2015. RetrievedFebruary 2, 2015.
  3. ^"Our Mission – The Hastings Center".The Hastings Center.Archived from the original on March 18, 2017. RetrievedMarch 17, 2017.
  4. ^"Hastings Scholars – The Hastings Center".The Hastings Center.Archived from the original on March 18, 2017. RetrievedMarch 17, 2017.
  5. ^"Hastings Center, Inc. – GuideStar Profile".guidestar.org.Archived from the original on February 29, 2012. RetrievedApril 18, 2018.
  6. ^"Hastings Center Inc in Garrison, New York (NY) – NonProfitFacts.com".faqs.org.Archived from the original on March 4, 2016. RetrievedApril 18, 2018.
  7. ^"Strategic Plan: 2025-2029".The Hastings Center for Bioethics. Retrieved2025-05-20.
  8. ^"Gustavus Adolphus College".Archived from the original on February 20, 2015. RetrievedFebruary 20, 2015.
  9. ^"The Hastings Center Releases Second Edition of Guidelines". July 2, 2013.Archived from the original on February 3, 2015. RetrievedApril 18, 2018.
  10. ^"at Forty: A Look at Its Founding Four Issues".The Hastings Center.
  11. ^"Medical Xpress – medical research advances and health news".medicalxpress.com.Archived from the original on March 14, 2018. RetrievedApril 18, 2018.
  12. ^"Report".The Hastings Center. RetrievedSeptember 7, 2012.
  13. ^"Ethics & Human Research".The Hastings Center.Archived from the original on July 3, 2019. Retrieved2020-03-23.
  14. ^"IRB: Ethics & Human Research". The Hastings Center.Archived from the original on June 18, 2016. RetrievedSeptember 24, 2012.
  15. ^"Ethics & Human Research".The Hastings Center. Retrieved2024-12-12.
  16. ^"Hastings Bioethics Forum Blog – The Hastings Center".The Hastings Center.Archived from the original on March 8, 2017. RetrievedMarch 17, 2017.
  17. ^"Hastings Center Bioethics Briefings".The Hastings Center.Archived from the original on August 22, 2019. RetrievedSeptember 19, 2019.
  18. ^"Bioethics Briefings".The Hastings Center. Retrieved2024-12-12.
  19. ^"Current Projects – The Hastings Center".The Hastings Center.Archived from the original on March 18, 2017. RetrievedMarch 17, 2017.
  20. ^"Current Projects".The Hastings Center.Archived from the original on August 22, 2019. RetrievedSeptember 19, 2019.
  21. ^"Ethics of AI in Health and Biomedical Research".The Hastings Center. Retrieved2024-12-12.
  22. ^"Library Detail: The Hastings Center, Robert S. Morison Library – The NYSCA Literary Map of New York State and The NYSCA Literary Tree".nyslittree.org. RetrievedApril 18, 2018.
  23. ^abCallahan, D. (December 17, 1989). "Two Decades as 'Honest Brokers' for Medicine's Moral Issues".The New York Times. Vol. 33, no. 1. pp. 11–20.doi:10.1007/s11017-011-9202-0.PMID 22198414.
  24. ^Laurie Barclay, MD (May 12, 2013)."End-of-Life Care Guidelines Updated".Medscape.com.Archived from the original on December 2, 2019. RetrievedOctober 15, 2019.
  25. ^Berlinger, Nancy (May 24, 2013).The Hastings Center Guidelines for Decisions on Life-Sustaining Treatment and Care Near the End of Life (1st ed.). Oxford: Oxford University Press.ISBN 978-0-19-997455-9.Archived from the original on November 27, 2018. RetrievedSeptember 19, 2019.{{cite book}}:|work= ignored (help)
  26. ^"FindLaw's United States Supreme Court case and opinions".Findlaw.Archived from the original on April 6, 2022. RetrievedApril 6, 2022.
  27. ^"New Federal Ruling Informed by Hastings Center Report Findings on Intimate Exams".The Hastings Center. 2024-04-04. Retrieved2024-12-12.
  28. ^Committee on Gene Drive Research in Non-Human Organisms: Recommendations for Responsible Conduct; Board On Life, Sciences; Division on Earth Life Studies; National Academies Of Sciences, Engineering (June 8, 2016).Gene Drives on the Horizon: Advancing Science, Navigating Uncertainty, and Aligning Research with Public Values. Nap.edu.doi:10.17226/23405.ISBN 978-0-309-43787-5.PMID 27536751.
  29. ^"Physician-Assisted Death: Scanning the Landscape and Potential Approaches". Nationalacademies.org.Archived from the original on October 25, 2019. RetrievedSeptember 20, 2019.
  30. ^abc"Fellows".The Hastings Center. Retrieved2024-12-12.
  31. ^"Henry Knowles Beecher Award".The Hastings Center.Archived from the original on May 17, 2019. RetrievedSeptember 19, 2019.
  32. ^"Hastings Center Cunniff-Dixon Physician Awards".The Hastings Center.Archived from the original on September 4, 2019. RetrievedOctober 15, 2019.

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