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today. In our first meet<strong>in</strong>g or two we had some exchange<br />

about it. I personally feel that it is unsolvable at the<br />

present time. The problem of how to solve confidentiality<br />

<strong>in</strong> medical care and medical records is -- I cannot see how<br />

to get a handle on it.<br />

On the other hand it is possible for us to take<br />

up a problem not so much with a solution <strong>in</strong> view as with a<br />

way of del<strong>in</strong>eat<strong>in</strong>g this is what the problem is, it is <strong>in</strong><br />

these different k<strong>in</strong>ds of situations, and we have done it<br />

when we have laid out the problem. We can now step back<br />

from it and let there be public debate about it as we have<br />

laid it out.<br />

There is an <strong>in</strong>terest<strong>in</strong>g -- opportunity is<br />

offered by the fact that the 20th anniversary of the<br />

Belmont Report is com<strong>in</strong>g up <strong>in</strong> April of 1999. So the topic<br />

that you will f<strong>in</strong>d listed <strong>in</strong> this report is the Belmont<br />

Report Revisited.<br />

An <strong>in</strong>-depth discussion of the adequacy of its<br />

conceptual framework or -- adequacy is not right. The<br />

changes <strong>in</strong> its conceptual framework of the paradigm shift<br />

that has occurred s<strong>in</strong>ce 1979 <strong>in</strong> the latter progress <strong>in</strong><br />

research ethics and the public consciousness. As I note,<br />

it would be a good th<strong>in</strong>g to see this happen and come out at<br />

the same time as the anniversary. I have a personal th<strong>in</strong>g

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