People
Glenn Cohen
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Simmons vs. Gladwell: The Future of Football
December 1, 2016
...Gladwell: I would actually go further: Players should be limited to 15 of 17 games. Football has lent itself to complication, and two “bye” games for every player just doubles the fun. Also, surely the goal here is to materially decrease the injury burden. Which leads me to my first issue: In mid-November, a group at Harvard University issued a 493-page report on health care in the NFL. Their main recommendation was that the physicians who take care of injured players should no longer report to the clubs. That’s a clear conflict of interest.
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Should We Ban Anonymous Sperm Donation?
December 1, 2016
There’s a push underway to change the way that most sperm is donated in the United States — which is to say, anonymously. That’s largely because anonymity can prevent donor-conceived kids from getting important information about their genetic heritage, and any predispositions to medical conditions. But a new study suggests that banning anonymous sperm donation could have the unintended effect of dramatically reducing the pool of donors, hiking up prices, and, potentially, forcing sperm banks to become less selective. “Donor-conceived children across the world have clamored for the right to have identifying information on their sperm and egg donors,” said co-author Glenn Cohen, a professor at Harvard Law School, in a press release. “To understand whether systems requiring the sharing of that information are a good policy, we need considerable data on the effects of such law changes and our study fills that gap.”
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The Football Players Health Study at Harvard University today released a set of legal and ethical recommendations to address a series of structural factors that affect NFL player health. The Football Players Health Study is a research initiative composed of several ongoing studies examining the health and wellbeing of NFL players.
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When NFL calls the doctor
November 17, 2016
An op-ed by I. Glenn Cohen, Holly Fernandez Lynch, and Christopher R. Deubert. From major media outlets to federal research funding to conversations among concerned spectators and parents, the nation is at a moment of unprecedented focus on the potential health consequences of playing football, especially at the professional level. There is a clear need to develop better preventative, diagnostic, and therapeutic interventions for individual players. However, to truly protect and promote player health, it is essential to address individual factors and structural features simultaneously. One such structural feature is the relationship between players and the club doctors from whom they receive care. The system must do more to ensure that players receive excellent health care they can trust from providers who are as free from conflicts of interest as possible.
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NFL doctors’ conflicts of interest could endanger players, report says
November 17, 2016
Doctors that work for professional football teams have conflicts of interest that could jeopardize players’ health, according to a report by Harvard researchers...“[Players] are treated by people who are well-meaning, don’t get me wrong, but operate in a structure that’s infected with a structural conflict of interest,” said I. Glenn Cohen, a Harvard Law School professor who coauthored the report. “That conflict of interest is that they serve two people — they serve the player and the serve the [team].” The report quotes an unnamed player who says that some players don’t trust doctors because they work for the team. Coauthor and Harvard Medical School professor Holly Fernandez Lynch said investigating individual instances of jeopardized decision-making fell outside of the scope of the report.
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NFL doctors should not report to teams, Harvard study recommends
November 17, 2016
A new report from Harvard Law School proposes drastic changes in the way health care is administered in the NFL, urging the nation’s most popular sports league to upend its system of medicine and untangle the loyalties of the doctors and trainers charged with treating players...In interviews, the Harvard researchers say they were surprised by the league’s response. “I had expected we’d maybe be quibbling around the margins of how it would actually be implemented,” said Holly Fernandez Lynch, the executive director of the Petrie-Flom Center and one of the report’s authors. “I did not expect that we would have to have this conversation about whether there is, in fact, a conflict because it’s so obvious on its face.” “Admitting you have a problem is the first step to get over,” added Harvard law professor Glenn Cohen, another of the report’s authors, “and while we think many of the people who serve as club medical staff are wonderful doctors and excellent people — this is not to besmirch them or their reputation — it is not going to produce a good system if you’re operating under an inherent structural conflict of interest and one that is corrosive to player trust.”
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First-generation college students are coming in last
November 13, 2016
An op-ed by Glenn Cohen, Dan Pedrotty, Jason Schmitt and Mario Nguyen `17. Midway through the first semester of the school year is a time when many college students begin struggling with exams, roommate disputes, and career plans. But the one-third of college students who are first in their families to attend college (“first-gens”) face a different formidable set of challenges. For two-thirds of these first-gens, college reality likely involves living at home and working while commuting to local community colleges or earning online degrees. Only 40 percent of first-gens will graduate from four-year colleges within six years, earning that critical degree that helps open doors to higher earnings and good jobs. This trend can be reversed but requires addressing challenges faced specifically by first-gens.
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Professor offers basics of bioethics and the law in 90 minutes
September 22, 2016
Professor Glenn Cohen breaks down complex topic for Ed Portal and online audience.
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Professor offers basics of bioethics and the law in 90 minutes
September 21, 2016
Bioethics, the law, and how they pertain to health information technologies, reproduction, and research have raised questions, and often hackles, since humans began to debate the boundaries of life. Should physicians assist in the death of a patient? Or create embryos and destroy them in the service of creating stem cell lines? Under what circumstances should the state be allowed to involuntarily hospitalize individuals, and what procedures are in place to protect the rights of those individuals? Harvard Law School Professor Glenn Cohen brought those questions, and an approach to consider them, to an interactive, one-night class at the Harvard Ed Portal that delved into the intricacies surrounding the legal, medical, and ethical aspects of bioethics. The Sept. 13 lecture, attended by nearly 60 people and audited online by more than 100 viewers from all over the world, was held in conjunction with Cohen’s HarvardX course, “Bioethics: The Law, Medicine, and Ethics of Reproductive Technologies and Genetics.”
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Is This the Way to Get Rid of the Ridiculous Health Conspiracy Theories?
September 1, 2016
In August, this often-silly presidential campaign became a medical theatre of the absurd. After Donald Trump campaign surrogates raised questions about Hillary Clinton’s physical stamina—and circulated photos of her propped up by pillows—she demonstrated her strength … by opening a pickle jar on late-night TV. Meanwhile, wild speculation about Trump’s mental fitness led New York Times columnist Maureen Dowd to imagine up an entire scenario where Trump is institutionalized post-election...Ethicists point out that a mandatory medical review might not be feasible. While some important jobs—think airline pilot—do require medical approval, it would be harder to make the case for a politician and would raise complicated legal questions. So “let’s assume it is not a government panel,” muses Harvard ethicist I. Glenn Cohen, “but rather something that candidates voluntarily undertake.” He points to how the American Bar Association, for instance, has historically rated the qualifications of Supreme Court nominees. Many lawmakers say they consider the ABA’s assessment as one factor among many when vetting a judicial appointee. Yes, it’s possible for candidates to buck a voluntary expectation—Trump’s doing it right now with his tax returns—but it reframes the focus, Cohen argues.
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The FDA is prohibited from going germline
August 15, 2016
An article by I. Glenn Cohen and Eli Y. Adashi. A potentially renewable provision of the Consolidated Appropriation Act of 2016 forestalling the prospect of human germline modification was signed into law on 18 December 2015. The provision...stipulates that “none of the funds made available by this Act [to the FDA] may be used to review or approve an application for an exemption for investigational use of a drug or biological product… in which a human embryo is intentionally created or modified to include a heritable genetic modification”. Destined to expire at the conclusion of this fiscal year (30 September 2016), the rider has since been incorporated yet again into the House and Senate appropriation bills for the fiscal year ending 30 September 2017. Subject to ongoing annual renewal, this congressionally legislated ban undermines ongoing conversations on the possibility of human germline modification, its likely distant time horizon notwithstanding. Also affected are ongoing efforts of the FDA to review the prevention of mitochondrial DNA diseases through germline modification of human zygotes or oocytes at risk.
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The Coalition to Transform Advanced Care (C-TAC), a non-profit organization with a vision of improving advanced illness care for all Americans, and the Petrie-Flom Center for Health Law Policy, Biotechnology, and Bioethics at Harvard Law School co-hosted the inaugural event for their new collaboration: The Project on Advanced Care and Health Policy.
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Harvard Law School Professor I. Glenn Cohen, faculty director of the School's Petrie-Flom Center for Health Law Policy, Biotechnology & Bioethics spoke with the Harvard Gazette about Monday's ruling by the Supreme Court that overturned a Texas law requiring that abortion clinics maintain hospital-like standards at their facilities as well as admitting privileges at local hospitals.
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Strong statement on abortion access
June 29, 2016
The Supreme Court issued a historic decision Monday, weighing in again in the nation’s fractious abortion debate. In a 5-3 ruling, the court overturned a Texas law requiring that abortion clinics maintain hospital-like standards at their facilities as well as admitting privileges at local hospitals. Pro-life activists argued that the rules were aimed at protecting women’s health, but those in the pro-choice camp countered that the law left many abortion clinics with no choice but to shut down and infringed on women’s constitutional rights...Harvard Law School’s I. Glenn Cohen, a professor of law and faculty director at the School’s Petrie-Flom Center for Health Law Policy, Biotechnology & Bioethics, spoke with the Gazette about the ruling. Cohen filed an amicus brief in support of the court’s decision.
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On World Blood Donation Day and in the wake of the Orlando mass shooting, a leading bioethicist Tuesday called for a change in the FDA’s policy regulating blood donations from gay men. Professor Glenn Cohen who studies bioethics and the law at Harvard told KCBS radio that the policy in place since December is based in fear and not facts...“We are talking about a policy more based on fear than a policy based that makes sense based on the facts,” he said. Annually, the Harvard bioethicist said the policy is robbing blood banks around the country of more than 300,000 pints of much needed blood. Cohen said the one-year restriction tells gay men “not to donate blood.”
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After The Orlando Massacre, Many In The LGBTQ Community Are Turned Away From Giving Blood (video)
June 17, 2016
Early in the 1980's, there was a lifetime ban or deferral for any man who had everhad sex with another man. Even once. But in May, the FDA released new recommendations that would allow gay men to donate blood with a big 'if'- if those men had been celibate for a year. Critics charge these restrictions have no scientific bearing and are discriminatory. Harvard Law Professor Glenn Cohen (@CohenProf) joined Adam on Tuesday night to discuss these restrictions.
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An op-ed by Glenn Cohen and Eli Y. Adashi. On February 3, 2016, the Institute of Medicine (IOM) released its Ethical and Social Policy Considerations of Novel Techniques for Prevention of Maternal Transmission of Mitochondrial DNA Diseases report...Expansive in its purview and thorough in its scrutiny, the report concludes that it is “ethically permissible” to embark on clinical trials involving human beings, subject to rigorous safety and efficacy imperatives. The report further recommends that initial clinical trials be limited to male embryos whose mitochondria cannot be transmitted to their progeny. In so doing, the IOM is seeking to preclude transmission of unintended outcomes to the progeny. In an unforeseen turn of events, the release of the IOM report was preceded by the enactment of a federal statute that prohibits the FDA from considering research applications for the conduct of this therapy. This Viewpoint seeks to contextualize the IOM report by describing the drive to bring mitochondrial replacement therapy to the clinic and the statutory constraints blocking its adoption.
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As Harvard Law School admissions officers finalize next year’s class, they do so with an eye toward a group of fields that deviate from the traditional path to legal studies: STEM. Law School chief admissions officer Jessica L. Soban said the percentage of admitted students with backgrounds in STEM—science, technology, engineering, and mathematics—will remain in the double digits for the second year in a row, reflecting a deliberate effort by Law School admissions officers in recent years to increase the number of students with such backgrounds...Law School clinical professor Christopher T. Bavitz said he thinks students with STEM backgrounds possess skills well-suited to the law. “There are a lot of reasons why people with tech backgrounds can do well in the law,” he said. “A lot of law practice is explaining complicated concepts to people...and people with science and tech backgrounds do that well. I think they’re great analytical thinkers in ways that kind of map on to the thinking lawyers do.” The Law School has pioneered programs bridging science and the law. The school’s Petrie-Flom Center for Health Law Policy, Biotechnology, and Bioethics—which was established a decade ago—was the first of its kind among law schools, according Faculty Director and Law professor I. Glenn Cohen, putting Harvard ahead of peer institutions.
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Faculty Books In Brief—Spring 2016
May 4, 2016
“FDA in the 21st Century: The Challenges of Regulating Drugs and New Technologies,” edited by Holly Fernandez Lynch and I. Glenn Cohen ’03 (Columbia). Stemming from a 2013 conference at HLS, the book features essays covering major developments that have changed how the FDA regulates; how the agency encourages transparency; First Amendment issues; access to drugs; and evolving issues in drug-safety communication. These issues, the editors write, lie “at the heart of our health and health care.”
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Yelena Sablina was stunned when she came across the forensic record of her late 19-year-old daughter, who died days after a speeding car hit her at a Moscow pedestrian crossing. Going through the file she discovered that her daughter Alina's heart, kidneys and a number of other organs had been removed -- without her family's knowledge or consent. Since making the grim discovery in February 2014, one month after Alina's death, Sablina has made it her mission to challenge a Russian law that allows doctors to remove the organs of dead people without needing permission...Harvard law professor Glenn Cohen said that concerns over such laws usually focus on “the cost and infrastructure as well as pragmatic political considerations”.
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On March 29, the Petrie-Flom Center for Health Law Policy, Biotechnology, and Bioethics at Harvard Law School celebrated its first decade and kicked off the next with a conference that focused on the future of health law and policy.