Genetic discrimination: Huntington's disease and the Americans with Disabilities Act

This Note discusses the potential for genetic discrimination, current views as to whether genetic conditions will be covered by the Americans with Disabilities Act ("ADA"), and the specific issue of whether presymptomatic persons who test positive for Huntington's disease should be classified as persons with a "disability" within the meaning of the ADA. In considering whether presymptomatic Huntington's individuals have a disability under the ADA, an analogy is made between Huntington's disease and HIV-positive status. Inter alia, Huntington's disease and HIV-positive status are analogous in that, at the time of diagnosis, victims of both diseases may have no symptoms and may remain healthy for a number of years; but even though the exact time of onset of both diseases is unascertainable, death of both victims within a given range of years is highly likely. Further, both Huntington's disease and HIV are transmitted to offspring at a relatively high rate. Given these similarities, the author argues that Huntington's individuals should be afforded the protections of the ADA for the same reasons that HIV-positive persons are protected.     

MEDGuide and patient package inserts--again?

This article will trace the history and effects of the PPI from the time of its original concept by the FDA in the early 1970's to its current status. It will also address the response to this FDA initiative by the industry, medical community and consumer groups. Initiatives in other countries and future issues will also be discussed.     

The government's best offense is deference: the decision of the Supreme Court in Shalala v. Guernsey Memorial Hospital

The United States Supreme Court agreed with the Secretary of Health and Human Services that Guernsey Memorial Hospital's advance refunding transaction costs would be subject to a medicare reimbursement policy that is not based upon generally accepted accounting principles. According to the sharp dissent in this case, this policy, set forth in a manual provision, contradicts federal regulations.     

Physician recruitment after Hermann Hospital

The state of physician recruitment changed after the Internal Revenue Service required Hermann Hospital to publish its closing agreement with the IRS. The closing agreement released the long-awaited IRS "Hospital Physician Recruitment Guidelines." The IRS' recently proposed revenue ruling provides additional insight on acceptable physician recruitment practices as well.     

Book reviews

The New Geopolitics of Central Asia and its Borderlands Ali Banuazizi and Myron Weiner (editors) London: I. B. Tauris, 1994, 284 pp, £39.50

The Central Asian Republics. Fragments of Empire, Magnets of Wealth Charles Undeland and Nicholas Platt New York: The Asia Society, 1994, 143 pp

Does Russian Democracy Have a Future? Stephen J. Blank and Earl H. Tilford, Jr. (editors) Pennsylvania: US Army War College, 1994, 162 pp

Between Marx and Muhammad. The Changing Face of Central Asia Dilip Hiro London: Harper Collins, 1994, 402 pp

The Boundaries of Modern Iran Keith McLachlan (editor) University College London: 1994, 150 pp

Islam and Romantic Orientalism. Literary Encounters with the Orient Mohammed Sharafuddin London: I. B. Tauris, 1994, 296 pp, £34.50

Critical Terrains. French and British Orientalisms Lisa Lowe Ithaca, New York: Cornell University Press, 1991, 216 pp, $31.85

The Art and Architecture of Islam 1250–1800 Sheila S. Blair and Jonathan M. Bloom Yale University Press, New Haven and London: 1994, biblio, 280 pp, £45

Culinary Cultures of the Middle East Sami Zubaida and Richard Tapper (editors) London: I. B. Tauris, 302 pp, biblio, index, £34.50