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  Annals of Health Law
  Volume 13, Issue 2, Summer 2004
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  • Foreword
        i                                                                                          +cite    

  • ARTICLES
  • Federal Tax-Exemption Requirements For Joint Ventures Between Nonprofit Hospital Providers and For-Profit Entities: Form Over Substance?
        GARY J. YOUNG
        p.327                                                                                      +cite        
        This article discusses the IRS rule on hospital joint ventures and related legal developments. The central thesis is that the IRS's emphasis on operational control is misplaced from both a legal and a policy perspective, and reflects a decidedly strong preference for the form of a joint venture's governance over the substance of its charitable and community service activities. More specifically, the article challenges the IRS position that the rule is a corollary of existing tax law principles. Additionally, social science research is presented to demonstrate that the rule is not likely to promote, and may in fact undermine, United States health policy objectives.
  • A Dutch Perspective: The Limits of Lawful Euthanasia
        UBALDUS DE VRIES
        p.365                                                                                      +cite        
        Dutch author Ubaldus de Vries reviews the current state of the euthanasia law in the Netherlands. The legislation, enacted in 2001, creates a medical exception that allows for euthanasia in cases where patients experience "hopeless and unbearable suffering." A brief history of the Dutch approach to euthanasia is set forth, case law is reviewed, and the unique role of the doctor is examined in seeking to understand the extent of one's right to euthanasia in the Netherlands. Because the courts must determine what constitutes "hopeless and unbearable suffering," Professor de Vries analyzes the judicial interpretation of "suffering" and concludes that judicial interpretation has reached its limits, and thus by implication, the limits of lawful euthanasia have been reached.
  • Breaking Through the Silence: The Illegality of Performing Resuscitation Procedures on the Newly Dead
        DANIEL SPERLING
        p.393                                                                                      +cite        
        Israeli author Daniel Sperling brings to a light a disturbing practice that is taking place in some teaching hospitals throughout the world—the practice of resuscitation procedures on newly dead patients without the consent of the next-of-kin. Mr. Sperling examines some of the policies and procedures in place to prevent such practice and also looks at the ethical principles that should guide such procedures. The paper also reviews the general issue of consent in the context of medical decision-making and discusses potential legal claims that might be available to persons who have not been consulted or informed before such procedures are performed. The evolving jurisprudence surrounding the treatment of the newly dead is analyzed and Mr. Sperling concludes by suggesting ways to improve upon the procedures currently in place at some teaching facilities.
  • Will the Supreme Court Finally Eliminate ERISA Preemption?
        DAVID L. TRUEMAN
        p.427                                                                                      +cite        
        David Trueman's article reviews the history of ERISA preemption by analyzing seminal Supreme Court cases and predicts the future of ERISA preemption in his analysis of recent federal case law. Traditionally, the ability to hold a managed care entity responsible for its actions has been hampered by a strict interpretation of the preemption clauses of ERISA but as the Supreme Court's jurisprudence has evolved and loosened, several federal courts have allowed suits against managed care companies to go forward. Conflict among the federal circuits has arisen and the Supreme Court has granted certiorari to two cases from Texas in order to clarify ERISA preemption. Mr. Trueman discusses the future of ERISA preemption in light of these decisions.
  • Is There an Acceptable Answer to Rising Medical Malpractice Premiums?
        WILLIAM P. GUNNAR
        p.465                                                                                      +cite        
        This article explores the key issues involved in the attempts at reform of the present medical malpractice system. Investigating the effects that federal tort reform legislation would have on physicians, patients, lawyers, and the medical malpractice insurers, Dr. Gunnar succinctly outlines the issues surrounding the present "crisis in healthcare" and explores the separate interests involved. The article examines the economic forces influencing the medical malpractice insurance industry, reviews previous tort reform, and predicts the future of federal tort reform legislation. Dr. Gunnar concludes by proposing alternatives for malpractice reform.
  • Third Annual Health Law Colloquium: The Medical Malpractice Crisis: Federal Efforts, States' Roles and Private Responses - TRANSCRIPT
        p.501                                                                                      +cite    
  • The Current Medical Liability Insurance Crisis: An Overview of the Problem, Its Catalysts and Solutions
        CHRISTINA O. JACKIW
        p.505                                                                                      +cite        
  • Session One: Professors Barry Furrow and David Hyman - Transcribed Speeches of Professors Barry Furrow and David Hyman
        p.521                                                                                      +cite    

  • Session Two: Private Responses to the Crisis
  • Medical Societies' Self-Policing of Unprofessional Expert Testimony
        RUSSELL M. PELTON
        p.549                                                                                      +cite        
  • Transcribed Speech of Mr. Russell M. Pelton
        p.563                                                                                      +cite    
  • An Institutional Perspective on the Medical Malpractice Crisis
        SARAH GUYTON
        p.571                                                                                      +cite        
  • Transcribed Speech of Ms. Barbara Youngberg
        p.581                                                                                      +cite    
  • The Patient Perspective: Focusing on Compensating Harm
        VALERIE WITMER
        p.589                                                                                      +cite        
  • Transcribed Speech of Ms. Susan Schwartz
        p.601                                                                                      +cite    
  • An Insurance Perspective on the Medical Malpractice Crisis
        NICOLE WILLIAMS KOVIAK
        p.607                                                                                      +cite        
  • Transcribed Speech of Mr. Robert Mulcahey
        p.617                                                                                      +cite    
  • A Physician's Perspective on the Medical Malpractice Crisis
        AMANDA CRAIG
        p.623                                                                                      +cite        
  • Transcribed Speech of Dr. Joseph Murphy
        p.633                                                                                      +cite    
  • List of Attendees
        p.647                                                                                      +cite