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3
The Hastings Center 
Connecting
 AMERICAN
Values with
HEALTH
Reform
 A Publication of The Hastings Center
 
Editor: Mary Crowley Copyeditor: Joyce GriffinEditorial Director: Gregory Kaebnick Designer: Nora Porter
Connecting American Values with HealthReform
 was made possible by generous sup-port from the Adelson Family Foundationand the Cranaleith Foundation.
 About The Hastings Center
The Hastings Center is a nonpartisan bioethics research institute dedicated since 1969 to exploring issues inmedicine, public health, and science as they affect individuals, society, and the public interest.
Published by The Hastings Center21 Malcolm Gordon RoadGarrison, NY 10524845-424-4040 www.thehastingscenter.org© 2009, The Hastings Center All rights reserved. No part of this book may be reproduced, storedin a retrieval system, or transmitted in any form or by any means(electronic, mechanical, photocopying, recording, or otherwise), without the prior written permission from the publisher, except forthe inclusion of brief quotations in a review. We have attempted to provide complete and accurate informationregarding the individuals, organizations, and agencies described inthis book. However, we assume no liability for errors, omissions, ordamages arising from the use of this publication.Printed in the United States of America
 
VALUES: The Beating Heart of Health Reform  Thomas H. Murray /
ii 
 A Letter from New Jersey Governor Jon S. Corzine /
iv 
LIBERTY: Free
and 
Equal • Bruce Jennings /
1
 JUSTICE AND FAIRNESS: Mandating Universal Participation • Paul T. Menzel /
4
RESPONSIBILITY: Shane
and 
 Joe • Jim Sabin /
7
SOLIDARITY: Unfashionable, But Still American • William M. Sage /
10
MEDICAL PROGRESS: Unintended Consequences • Daniel Callahan /
13
PRIVACY: Rethinking Health Information Technology and Informed Consent •Lawrence O. Gostin /
15
PHYSICIAN INTEGRITY: Why It Is Inviolable • Edmund D. Pellegrino /
18
QUALITY: Where It Came From and Why It Matters • Frank Davidoff /
21
EFFICIENCY: Getting Clear on Our Goals • Marc J. Roberts /
24
HEALTH: The Value at Stake • Erika Blacksher /
27
STEWARDSHIP: What Kind of Society Do We Want? • Len M. Nichols /
30
C O N T E N T S
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