Need For Blood In Orlando Raises Questions About Wisdom Of Banning Donors Due To Sexual Orientation

Forbes, June 14, 2016
by Rita Rubin, reviewing article by I. Glenn Cohen (Faculty Director), Jeremy Feigenbaum, and Eli Y. Adashi

Excerpt from the article:

[...] In a 2014 “viewpoint” article in the Journal of t...

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FDA Regulations Limit Blood Donations From Gay Men

CBS San Francisco, June 14, 2016
by Holly Quan, featuring I. Glenn Cohen (Faculty Director)

Excerpt from the article:

On World Blood Donation Day and in the wake of the Orlando mass shooting...

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After The Orlando Massacre, Many In The LGBTQ Community Are Turned Away From Giving Blood

Greater Boston (WGBH), June 14, 2016
by Nikki Blank, interviewing I. Glenn Cohen (Faculty Director)

Excerpt from interview:

Early in the 1980's, there was a lifetime ban or deferral for any man...

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Preventing Mitochondrial DNA Diseases: One Step Forward, Two Steps Back

Journal of the American Medical Association, June 9, 2016
by I. Glenn Cohen (Faculty Director) and Eli Y. Adashi

From the article:

On February 3, 2016, the Institute of Medicine (IOM) released its Ethical a...

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Football Players Health Study at Harvard University

Friday, June 03, 2016 3:45 - 4:45 PM
Conferences
2015-2016
Boston University School of Law, Room 103
765 Commonwealth Ave., Boston, MA

Part of the 39th Annual ASLME Health Law Professors Conference. In order to attend this panel,...

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150 experts say Olympics must be moved or postponed because of Zika:

Washington Post, May 27, 2016
by Featuring I. Glenn Cohen (Faculty Director) and Holly Fernandez Lynch (Executive Director)

More than 100 prominent physicians, bioethicists and scientists from around the world posted a...

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The Relationship Between Bioethics and U.S. Health Law:

In The Oxford Handbook of U.S. Healthcare Law, I. Glenn Cohen, Allison K. Hoffman, and William M. Sage, eds., May 2016
by I. Glenn Cohen (Faculty Director)

Abstract: This chapter explores the way bioethics is taught as part of U.S. health law. It beg...

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From Medical Experimentation to Non-Medical Experimentation:

Charles Fried, Medical Experimentation: Personal Integrity and Social Policy, New Edition (Oxford University Press), May 2016
by I. Glenn Cohen (Faculty Director) and D. James Greiner

First published in 1974, Charles Fried's Medical Experimentation is a classic stateme...

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Dead man’s sperm

Mosaic: The Science of Life, April 26, 2016
by Jenny Morber, quoting I. Glenn Cohen (Faculty Director)

Excerpt from article:

[...] Where a man has made his wishes clear, the rights of the dead almost a...

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Petrie-Flom, 10 years on:

Harvard Law Today, April 14, 2016

On March 29, current and former affiliates of the Petrie-Flom Center for Health Law Policy, Biotech...

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Book Review: FDA in the Twenty-First Century:The Challenges of Regulating Drugs and New Technologies

Journal of Law and the Biosciences, Vol. 3, Issue 1 (April 1, 2016)
by Ryan Abbot, reviewing book edited by Holly Fernandez Lynch (Executive Director) and I. Glenn Cohen (Faculty Director)

From the review: 

FDA in the 21st Century is an excellent edited volume based on th...

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Chinese Market Offers New Life to Many Drugs

Dow Jones Business News, March 29, 2016
by Fanfan Wang, quoting I. Glenn Cohen (Faculty Director)

Excerpt from Article:

[...] But the new trend also raises the question of whether China has become...

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The Future of Health Law and Policy:
The Petrie-Flom Center’s 10th Anniversary Conference Celebration

Tuesday, March 29, 2016 8:00 AM - 5:00 PM
Conferences
2015-2016
Wasserstein Hall, Milstein East ABC
Harvard Law School, 1585 Massachusetts Ave., Cambridge, MA

The Petrie-Flom Center celebrated its first decade and kicked off the next by looking at...

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Feeling Better: What is the FDA doing, and how is it doing it?

The Weekly Standard, March 21, 2016
by by Devorah Goldman, reviewing FDA in the 21st Century by Holly F. Lynch (Executive Director) and I. Glenn Cohen (Faculty Director)

Excerpt from the article:

[...] In his last State of the Union address, Barack Obama asked, &...

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Consensus Statement on Electronic Health Predictive Analytics: A Guiding Framework

eGEMs (Generating Evidence & Methods to improve patient outcomes), 2016, Vol. 4, Issue 1
by I. Glenn Cohen (Faculty Director) et al.

Abstract

Context: The recent explosion in available electronic health record (EHR) data is mo...

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Fertility Tourism: Options and Ethics

Creating A Family Radio, February 24, 2016
by Dawn Davenport, interviewing I. Glenn Cohen (Faculty Director)

Description:

What should you consider when going abroad (or coming to the United States) for ferti...

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Going Germline: Mitochondrial Replacement as a Guide to Genome Editing

Cell, February 25, 2016, Vol. 164, Issue 5
by By Eli Y. Adashi & I. Glenn Cohen (Faculty Director)

Mitochondrial replacement (MR) serves as a crucial test case and learning guide for the scientific,...

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Expert Committee: FDA Should Allow Mitochondrial Replacement Trials Under Certain Conditions

Regulatory Affairs, February 3, 2016
by Zachary Brennan, quoting I. Glenn Cohen (Faculty Director)

From the article:

Glenn Cohen, faculty director of the Petrie-Flom Center for Health Law Policy, B...

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NAM Releases Report on Mitochondrial Replacement Therapy

Bill of Health Blog, February 3, 2016
by I. Glenn Cohen (Faculty Director)

From the Part II post: 
 
My last post was a summary of the NAM’s Reco...
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Fourth Annual Health Law Year in P/Review

Friday, January 29, 2016 8:00 AM - 5:00 PM
Conferences
2015-2016
Wasserstein Hall, Milstein West AB
Harvard Law School, 1585 Massachusetts Ave., Cambridge, MA

Couldn't attend in person? Learn more about the event:

  • Learn more about the presentations...

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Confronting Biospecimen Exceptionalism in Proposed Revisions to the Common Rule

Hastings Center Report, January/February 2016, Vol. 46, Issue 1
by By Holly F. Lynch (Executive Director), Barbara E. Bierer and I. Glenn Cohen (Faculty Director)

Abstract:

On September 8, 2015, the Department of Health and Human Services issued a Notice of Pro...

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Predicting The FDA’s Future

Health Affairs , January 2016, Vol. 35 No. 1
by Jessica Bylander, reviewing book edited by I. Glenn Cohen (Faculty Director) and Holly F. Lynch (Executive Director)

From the review:

What will regulation of drugs and medical devices by the Food and Drug Administra...

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The Ethical Conundrum of The Martian, According to a Harvard Bioethicist

Boston Magazine, January 14, 2016
by Chris Sweeney, quoting I. Glenn Cohen (Faculty Director)

From the article:

Glenn Cohen liked The Martian, which this morning earned itself seven nomi...

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“FDA in the 21st Century: A Panel Discussion”:

MAGI, May 2, 2016, 8:30 - 10:00 AM
by Holly Fernandez Lynch (Executive Director) and I. Glenn Cohen (Faculty Director)

On Monday, May 2, 2016, from 8:30 to 10:00am, Petrie-Flom Executive Director Holly Fernandez Lynch...

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Symposium on “Ethical Risk Assessment in Biomedical Big Data”

Organised by the Oxford Internet Institute, University of Oxford, in association with the Brocher Foundation., March 14-15, 2016
by Featuring I. Glenn Cohen (Faculty Director)

Please register via the event website.

Description

In biomedical research, the analysis of large...

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Clinical Decision Making Regarding Suicide Risk: Effect of Patient and Clinician Age

Death Studies, December 17, 2015 (ePub ahead of print)
by I. Glenn Cohen (Facutly Director), et al.

Abstract:

To ascertain how patient age influences suicide risk asses...

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FDA Says Gay Men Can Give Blood — But Only If They Don’t Have Sex for a Year

VICE News, December 22, 2015
by VICE News Staff, quoting I. Glenn Cohen (Faculty Director)

From the article:

[...] Harvard Law School bioethics and the law professor I. Glenn Cohen told VIC...

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FDA eases blood donation ban on gay men

CBS News, December 21, 2015
by Interview with I. Glenn Cohen (Faculty Director)

The FDA is easing its restrictions on gay and bisexual men who want to make a blood donation. But t...

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Le tourisme médical, entre risques et espoirs

ICI Radio-Canada (in French), December 6, 2015
by Anne-Diandra Louarn, quoting I. Glenn Cohen (Faculty Director)

From the article: 

« Les Canadiens sont en général fiers de leur sys...

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NPRM on the Common Rule

The Week in Health Law Podcast, November 7, 2015
by Nicolas Terry, interviewing I. Glenn Cohen (Faculty Director) and Holly F. Lynch (Executive Director)

Excerpt from podcast summary:

[...] This week we are joined by Glenn Cohen, Professor of Law...

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U.S. Supreme Court could decide today whether to take Texas abortion case

Houston Chronicle, November 6, 2015
by Brian M. Rosenthal, quoting I. Glenn Cohen (Faculty Director)

Excerpt from Article:

[...] Glenn Cohen, a former U.S. Department of Justice lawyer and current la...

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Law Report - California: Euthanasia

by Damien Carrick, interviewing I. Glenn Cohen (Faculty Director)

Excerpt from Transcript:

[...] Well, it's quite likely that California has again irreversibly...

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Blood Illuminated: Panel Discussion of FDA Blood Ban From Gay and Bisexual Men

YouTube Video of Event at Katzen Arts Center, American University, October 6, 2015
by I. Glenn Cohen (Faculty Director)

From a description of the event on Out Magazine:

Dating back to a policy enacted during the height...

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The Non-Spaces of Medical Tourism

Harvard Design Magazine, S/S 2015, No. 40
by I. Glenn Cohen (Faculty Director)

From the article:

I spent the last six years as a strange kind of tourist. I traveled the globe vi...

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FDA in the 21st Century:

Columbia University Press, September 2015
by Holly Fernandez Lynch (Executive Director) and I. Glenn Cohen (Faculty Director), eds.

Just out from Columbia University Press, FDA in the Twenty-First Century: The Challenges...

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Complexifying Commodification, Consumption, ART, and Abortion

Journal of Law, Medicine and Ethics , July 2015, Vol. 43, Issue 2
by I. Glenn Cohen (Faculty Director)

Abstract: 

This commentary on Madeira's paper complicates the relationships between commo...

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Florida rejects mother’s complaint about baby’s death after heart surgery

CNN Health, July 31, 2015
by Elizabeth Cohen, quoting I. Glenn Cohen (Faculty Director)

From the article: 

I. Glenn Cohen, a bioethicist at Harvard Law School, said inspections like...

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Inbound medical tourism to Barbados:

BMC Health Services Research, July 2015, Vol. 15
by I. Glenn Cohen (Faculty Director) et al.

Abstract: 

Background

Enabled by globalizing processes such as trade liberalization, medical...

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Research, Regulation, and Ethics: Discussion of Human Subjects Research Regulation Book

Science for the People Podcast, July 2015, No. 327
by Desiree Schell

About the podcast:

This week we're learning about the regulatory frameworks that try to balanc...

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How Champion-Pony Clones Have Transformed the Game of Polo

Vanity Fair, August 2015
by Haley Cohen, quoting I. Glenn Cohen (Faculty Director)

From the article: 

[...] In horses, as in other species, certain experiences and conditions c...

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Review of Human Subjects Research Regulation: Perspectives on the Future

IRB: Ethics & Human Research, July-August 2015, Vol. 37, No. 4
by Christine Grady

Christine Grady, MSN, PhD, the chief of the Department of Bioethics in the Clinical Center of the N...

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California’s Obamacare exchange to collect insurance data on patients

LA Times, June 21, 2015
by Chad Terhune, quoting I. Glenn Cohen (Faculty Director)

From the article:

With 1.4 million people enrolled, the state-run marketplace is embarking on an a...

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A New Chapter by Faculty Director I. Glenn Cohen,

Edward Elgar Publishing, 2015
by Edited by Neil Hunt, Daniel Horsfall and Johanna Hanefeld

Faculty Director I. Glenn Cohen has authored a new chapter on medical tourism in the...

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Insurer Uses Personal Data To Predict Who Will Get Sick

National Public Radio (NPR), June 8, 2015
by Todd Bookman, quoting I. Glenn Cohen (Faculty Director)

From the article:

[...] Carol, who is sitting next to her husband, explains that John's s...

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This is Your Brain on Human Rights: Moral Enhancement and Human Rights

Law and Ethics of Human Rights, Vol 9, Issue 1, pp. 1-41 (2015) Symposium, Human Rights and Human Minds, 2015
by I. Glenn Cohen (Faculty Director)

Faculty Director I. Glenn Cohen has authored a new paper on the use of moral enhacement t...

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Regulating Bodies Across Borders:

Bodies Across Borders: The Global Circulation of Body Parts, Medical Tourists and Professionals (Bronwyn Parry, Beth Greenhough, Tim Brown and Isabel Dyck, eds. Ashgate 2015)
by I. Glenn Cohen (Faculty Director)

Faculty Director I. Glenn Cohen has authored a new chapter on medical tourism.

Abstract:

&ls...

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Faculty Director I. Glenn Cohen: New Blood-Donor Policy, Same Gay Stigma

New York Times, May 21, 2015
by I. Glenn Cohen (Faculty Director) and Eli Y. Adashi

Faculty Director I. Glenn Cohen has co-authored an op-ed for the New York Times on the FD...

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Identified Versus Statistical Lives - Book talk and discussion

Harvard Chan School of Public Health, Building 1, room 1208, Thursday, May 7, 12:30 - 1:30 PM
by Featuring co-editors I. Glenn Cohen (Faculty Director), Nir Eyal, and Norman Daniels

The essays in Identified versus Statistical Lives: An Interdisciplinary Approach address the identi...

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Are All Abortions Equal?

Journal of Law, Medicine and Ethics, Vol. 43, No. 1, 2015
by I. Glenn Cohen (Faculty Director)

Faculty Director I. Glenn Cohen has a new article on the criminalization of abortions.

Abstra...

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Review of Human subjects research regulation: perspectives on the future

Theoretical Medicine and Bioethics, Vol. 36, Issue 2, April 2015
by Lydia Stewart Ferreira (Visiting Scholar)

Petrie-Flom Visiting Scholar Lydia Stewart Ferreira, currently Adjunct Professor at...

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Predicting the sick through personal trails of health data

News Works, April 14, 2015
by Todd Bookman, quoting I. Glenn Cohen (Faculty Director)

[...] "I think there is a lot of interest in the area right now, and it is a great coming together...

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NOW ONLINE: I. Glenn Cohen Discusses Modern Fertility Technologies and Benefits

Chronicle (WCVB/ABC Boston), April 13, 2015
by Shayna Seymour, interviewing I. Glenn Cohen (Faculty Director)

Show Abstract: The birds and the bees are still important – but today's couples eage...

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Transatlantic Lessons in Regulation of Mitochondrial Replacement Therapy:

Science, April 10, 2015
by I. Glenn Cohen (Faculty Director), with Eli Adashi and Julian Savulescu

Cambridge, Mass., April 9, 2015 – A paper forthcoming on Friday in Science discusses the regu...

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Trio contrast approaches taken by Britain versus the US concerning mitochondrial replacement therapy

MedicalXpress, April 10, 2015
by Bob Yirka, citing I. Glenn Cohen (Faculty Director) et al.

Glenn Cohen, with Harvard University, Julian Savulescu, with the University of Oxford and Eli Adash...

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Is UK evaluation of reproductive tech a model for US?

MedicalXpress, April 10, 2015
by David Orenstein, citing I. Glenn Cohen (Faculty Director) et al.

When the United Kingdom resoundingly approved mitochondrial replacement therapy in Februa...

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Johns Hopkins Faces Lawsuit Over Global STD Research

The Kojo Nnamdi Show, April 7, 2015
by Kojo Nnamdi, interviewing Holly F. Lynch (Executive Director)

Between 1945 and 1956, American researchers knowingly exposed hundreds of Guatemalan villagers to s...

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Johns Hopkins Sued For $1 Billion Over Unethical STD Study

BuzzFeed News, April 2, 2015
by Azeen Ghorayshi, quoting I. Glenn Cohen (Faculty Director)

More than 780 people filed a $1 billion lawsuit Wednesday against Johns Hopkins University over exp...

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Johns Hopkins Sued for Guatemala Experiments

The Scientist, April 2, 2015
by Tracy Vence, quoting I. Glenn Cohen (Faculty Director) and Holly F. Lynch (Executive Director)

From the article:

Johns Hopkins University and other institutions are facing an up-to-$1 billion l...

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Hopkins faces $1B lawsuit over role in government study that gave subjects STDs

The Baltimore Sun, April 1, 2015
by Scott Dance, quoting Holly F. Lynch (Executive Director) and I. Glenn Cohen (Faculty Director)

From the article: 

Nearly 800 former research subjects and their families filed a billion-dol...

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An Interview with I. Glenn Cohen on Selling Human Organs

Talks on Law, March 2015
by Joel Cohen interviewing I. Glenn Cohen (Faculty Director)

Faculty Director I. Glenn Cohen joins Joel Cohen from Talks on Law to discuss selling human organs....

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“My Body, My Bank”

Texas Law Review, Vol. 93, No. 4, 2015
by I. Glenn Cohen (Faculty Director)

Abstract:      

This essay reviews Kara Swanson’s "Banking on...

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What Working Parents Really Want

Fast Company, March 3, 2015
by Stephanie Vozza, quoting I. Glenn Cohen (Faculty Director)

From the article:

Last year, Apple and Facebook both announced that they would...

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Identified Versus Statistical Lives: An Interdisciplinary Perspective

Social Science Research Network, February 27, 2015
by Edited by I. Glenn Cohen (Faculty Director), Norman Daniels, Nir Eyal

Identified Versus Statistical Lives: An Interdisciplinary Perspective (Oxford University Press...

Read More

Hospital-Based Active Shooter Incidents:

JAMA, February 26, 2015
by Eli Y. Adashi, MD, MS; Hans Gao, BA; I. Glenn Cohen, JD (Faculty Director)

Petrie-Flom Faculty Director I. Glenn Cohen has published a new co-authored article in th...

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Patients with Passports: Medical Tourism, Law, and Ethics

Carnegie Council for Ethics in International Affairs, February 24, 2015
by Robert Klitzman, leading discussion with I. Glenn Cohen (Faculty Director)

Live Webstream

Watch the event live online!

Description

Medical tourism is a growing, multi-bill...

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Effect of Patient and Therapist Factors on Suicide Risk Assessment

Death Stud, February 12, 2015
by Noah C. Berman PhD, Abigail Stark BA, Allison Cooperman BA, Sabine Wilhelm PhD, and I. Glenn Cohen JD (Faculty Director

Abstract:

The present study examined how patient risk factors and clinician demographics predict t...

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A Right to Health?:
A lecture by John Tasioulas

Thursday, February 05, 2015 12:00 PM
Lectures and Panels
2014-2015
Wasserstein Hall, 3019
Harvard Law School, 1585 Massachusetts Ave., Cambridge, MA

Couldn't join us? Watch the full event online!

There have been recent calls to establish a fra...

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Hatch op-ed being used to defend Obamacare in Supreme Court case

Washington Times, January 29, 2015
by Tom Howell Jr.

[...] In cases like these, it is fairly common for interested parties to “use whatever they c...

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Courts wrestle with wave of new state abortion laws

Politico, January 8, 2015
by Paige Winfield Cunningham, quoting I. Glenn Cohen (Faculty Director)

[...] As courts weigh the legal challenges to these laws, they’re being asked to spell out ex...

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Online Launch of Medical Travel Show

International Medical Travel Journal, January 7, 2015
by I. Glenn Cohen (Faculty Director)

The Medical Travel Show is a serial podcast of interviews with international medical and wellness t...

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Interview with Faculty Director I. Glenn Cohen about “Patients with Passports”:

Jefferson Public Radio (Oregon), January 5, 2015
by Geoffrey Riley and Charlotte Duren

If your doctor won't recommend a medical procedure you want, you can go to another doctor. .

.. Read More

I. Glenn Cohen discusses the Ebola crisis

America's Forum, NewsMax TV, December 23, 2014

Harvard Law professor and medical ethics expert talks about how the Ebola crisis is just one exampl...

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FDA plans to end prohibition on blood donation by gay men, with conditions

PBS News Hour, December 23, 2014
by Gwen Ifill, interviewing I. Glenn Cohen (Faculty Director)

"[...] the ban that we had in place was really outdated. It dates back to 1983, the early days of t...

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F.D.A. Easing Ban on Gays, to Let Some Give Blood

New York Times, December 23, 2014
by Sabrina Tavernise, quoting I. Glenn Cohen (Faculty Director)

[...] “This is a major victory for gay civil rights,” said I. Glenn Cohen, a law profes...

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FDA Announces Plans to End Lifetime Ban on Gay Men Donating Blood

Vice News, December 23, 2014
by Colleen Curry, quoting I. Glenn Cohen (Faculty Director)

[...] Harvard Law School bioethics and the law professor I. Glenn Cohen told VICE News that while h...

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US lifts ban on gay men donating blood — as long as they don’t have sex with other men

Vox, December 23, 2014
by Sarah Kliff and Julia Belluz, quoting I. Glenn Cohen (Faculty Director)

[...] Glenn Cohen, a Harvard Law professor who wrote about the blood donor rule in JAMA: the J...

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Reconsideration of the Lifetime Ban on Blood Donation by Men Who Have Sex With Men

JAMA, July 23, 2014
by I. Glenn Cohen, JD (Faculty Director); Jeremy Feigenbaum, JD; Eli Y. Adashi, MD, MS

Faculty Director I. Glenn Cohen has co-authored a new Viewpoint piece in the July 23/30, 2014 issue...

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Traveling patients, traveling disease:

OUPblog, December 14, 2014
by I. Glenn Cohen (Faculty Director)

Many in the media and academia (myself included) have been discussing the Ebola crisis, and more sp...

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Houston doctor sued for trading prescriptions for sex

Houston Chronicle, December 12, 2014
by St. John Barned-Smith, quoting I. Glenn Cohen (Faculty Director)

[...] Legal experts who specialize in medical ethics said the allegations and actions captured on f...

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The Routledge Companion to Bioethics

Routledge, December 11, 2014
by Edited by John D. Arras, Elizabeth Fenton, Rebecca Kukla, featuring I. Glenn Cohen (Faculty Director)

The Routledge Companion to Bioethics is a comprehensive reference guide to a wide range o...

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Traveling Overseas for Medical Care

WOSU (NPR), December 10, 2014
by All Sides with Ann Fisher, interviewing I. Glenn Cohen (Faculty Director)

From the WOSU:

All-inclusive vacations might feature a stay in a luxury hotel, gourmet meals, and...

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Petrie-Flom Reception at 2014 PRIM&R Annual Conference

Friday, December 05, 2014 7:00 - 8:30 PM
Conferences
2014-2015
Hilton Baltimore, Calloway Room
401 West Pratt St., Baltimore, MD

The Petrie-Flom Center for Health Law Policy, Biotechnology, and Bioethics at Harvard Law Scho...

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FDA Advisors Not Sold on Lifting Ban on Gay Men Giving Blood

Philly.com, December 3, 2014
by Dennis Thomson, quoting I. Glenn Cohen (Faculty Director)

[...] The FDA first adopted the policy at the dawn of the AIDS crisis. However, changing times and...

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Decades-old ban on blood donations from gay men to be revisited

MSNBC, December 1, 2014
by Andrea Mitchell interviewing I. Glenn Cohen (Faculty Director)

Petrie-Flom Faculty Director I. Glenn Cohen, who co-wrote the argument against the ban on gay...

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Will FDA Lift Gay Blood Donor Ban?

NewsMax Health, December 1, 2014
by Quoting I. Glenn Cohen (Faculty Director)

[...] "They really are out of step with the rest of the world," Glenn Cohen, a Harvard Law School p...

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US FDA to Consider Lifting Ban on Gay Men Donating Blood:

International Business Times, November 30, 2014
by Hannah Osborne, quoting I. Glenn Cohen (Faculty Director)

[...] Speaking of the forthcoming discussion, Glenn Cohen, a medical ethics professor at Harva...

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Government could ease 31-year-old ban on blood donations from gay men

Washington Post, November 29, 2014
by Brady Dennis, quoting I. Glenn Cohen (Faculty Director)

[...] “They really are out of step with the rest of the world,” said Glenn Cohen, a Har...

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FDA weighs lifting ban on blood donations from gay men

The Hill, November 28, 2014
by Sarah Ferris, quoting I. Glenn Cohen (Faculty Director)

[...] “The public health rationale for this ban has kind of been packed away,” said Gle...

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No faith in health reform:

Crain's: New York Business, November 23, 2014
by Caroline Lewis, quoting I. Glenn Cohen (Faculty Director)

[...] Under the health-care-sharing ministry model, before coverage kicks in, a household pays a mo...

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