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Finding a Forum for Bioethics in U.S. Public Policy

Advances in biomedical research and health care simultaneously create practical benefits and ethical dilemmas. These bioethical dilemmas are the subject of intense social and political debate. Recent attempts in the United States to address these issues in a national, public policy setting have had mixed success. The absence of a single national voice has resulted in many voices at many levels. This article describes and analyzes past national bioethics bodies in an effort to find commonalities for both success and failure. It concludes that reconstitution of an Ethics Advisory Board within the Department of Health and Human Services and the formation of a President's Bioethics Commission are needed as the nation confronts new and difficult choices in research ethics and the delivery of health care.