Memorandum from John A. Casciotti, United States Department of Health and Human Services to C. Everett Koop [on proposed "Infant
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1982-11-15 (November 15, 1982)
Casciotti, John A.
United States Department of Health and Human Services
Koop, C. Everett
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Medical Subject Headings (MeSH):
Refusal to Treat
Congenital Birth Defects and the Medical Rights of Children: The "Baby Doe" Controversy
Memorandum from Juan A. del Real to the Secretary of the United States Department of Health and Human Services [on proposed
"Infant Doe" guidelines] (Draft) [November 1982]
"Guidelines Applicable to Health Care and Child Protective Services for Infants with Life-Threatening Congenital Impairments
Pursuant to Section 504 of the Rehabilitation Act of 1973 and the Child Abuse Prevention and Treatment Act" (draft) [November
Notice to Health Care Providers [on] Discriminating against the Handicapped by Withholding Treatment or Nourishment (May 18,
From: John A. Casciotti, Associate General Counsel for Enforcement
Subject: Proposed "Infant Doe" Guidelines
In connection with our Infant Doe initiative, I have completed
a first draft of possible guidelines for the Department to
issue concerning responsibilities of hospitals and state child
protective agencies in providing treatment to handicapped infants.
Before proceeding with any other Departmental coordination or
clearance, I would like to have your thoughts on this approach.
I would particularly like your views on the description contained
in the draft of the circumstances when nontreatment decisions
are justified (Section III-A-3 of the guidelines).
Please let me know (245-6321) when we can get together to
discuss this. Thanks for your help.