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Christiana Z. Peppard: Invasive Procedu

Before a patient puts on his generic cotton tunic and

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Christiana Z. Peppard: Invasive Procedures


Before a patient puts on his generic cotton tunic and hops onto a gurney in any United States hospital, he has talked through the benefits and costs of his surgery and has probably considered the long-term, indirect effects on his family or his company, too. For good reason, federal law mandates that a physician or medical researcher must inform her patient about all potential risks and benefits before an invasive procedure. The patient must sign a consent form. These processes of informed consent were developed in the wake of atrocious 20th-century moral failings in medical research such as Nazi medical experimentation and the infamous Tuskegee syphilis study. The rise of informed consent for invasive procedures demonstrates that, as a society, we take moral considerations seriously. And it is through federal regulation that these moral insights become legal requirements. So it's a pity that our federal regulations for the invasive procedure of hydraulic fracturing continue to fall so short. On May 4 , the Obama administration announced a "compromise" on procedures for extracting natural gas via horizontal hydraulic fracturing on public lands. What's new about the rule? Among other things, the requirement that energy companies disclose what's in the

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