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JWWt qUMWiMii V COLUMBIA, MO. 65211 75th Year No. 249 Good Morning! It's Saturday, July 2, 1983 2 Sections 12 Pages 25 Cents New charges aimed at Reagan campaign tactics United Press International Ronald Reagan's campaign staff set up an " intelligence operation" to avoid being sur-prised if President Carter made a last- minu- te deal to free US. hostages in Iran, a for-mer Reagan campaign aide said Friday. But former Reagan campaign aides dis-counted a Washington Post report that the campaign received parts of daily staff re-ports prepared for Zbigniew Brzezinski, Car-ter's national security adviser. The charge is the most senous yet leveled in the controver-sy over Carter campaign materials that found their wayto the Reagan camp. The FBI, the Justice Department and a congressional committee are investigating the matter. And Rep. Don Edwards, D- Cal-- if., said that if Attorney General William French Smith does not request a special prosecutor, he will ask the House Judiciary Committee to do so. Edwards, chairman of the committee's constitutional rights subcommittee, said in Washington a briefing book allegedly ob-tained from a mole in the Carter campaign " may be the tip of an iceberg" because no one knows what other material might have been stolen from the Carter White House. But Justice Department spokesman Thom-as DeCair said there is no need for a special prosecutor " at this tune." Robert Gamck, a retired rear admiral who joined the Reagan campaign in August 1980 as an aide to chief of staff Edwin Meese, said an intelligence operation was launched in mid- Septemb- er after the campaign learned Carter had a potential bargaining chip in $ 800 million in undelivered material paid for by the shah. He said the objective was to prevent Car-ter from parlaying a last- minu- te release of the hostages into an election victory A day's notice of the release would be im-portant, he said. " What we were hopeful of doing was buying time and being less sur- - pnsed." " The intelligence operation was very sun- pi- e if we determined that if all this materi-al all of the sudden got loaded into Air Force C-- 5s and headed toward Iran it was quite ob-vious a deal had been made that Carter wou'd very cleverl bring home the hostages in late October," Garnck said m a telephone interview from his Pasadena, Calif , office Garnck, who retired from the Navy in 1980, said he telephoned some " friends" and asked them to monitor C-- 5s in bases across the country- - He said active military officials who may have had access to confidential in-formation were not contacted Gamck said Meese, now White House counselor, William Casey, head of the CIA, Daryl Trent, now with the Transportation Department, and Martin Anderson, former Reagan domestic affairs adviser, knew about the intelligence operation " We used to have meetings spasmodically in Dick Wirthlm's apartment Each of us put in what we could about the October surprise as we suspected it would be," Garnck said. Wirthlin is Reagan's chief pollster In Santa Barbara, Calif , White House spokesman Larry Speakes said Reagan was " not aware" of any intelligence- gatherin- g operation in his campaign The controversy over the Carter papers was sparked by ' Gambling with History," a new book by Time magazine correspondent Laurence Barrett, which made a bnef refer-ence to the Reagan's campaign's use of a briefing book used to prepare Carter for the 1980 presidential debate The White House has turned more than 850 pages of such material over to the Justice Department for its investigation The FBI said it expects to start interviews next week into how Carter's 1980 debate bnefing material fell into the hands of Rea-gan's campaign. Officials said top Reagan aides likely will undergo questioning A former high- lev- el adviser to Reagan's campaign told The Washington Post that Richard Allen. Reagan's former national se-curity adviser, received parts of dail staff reports prepared for Brzezinski Several other Reagan campaign officials said the had nev er heard about the copies of the staff reports and one former Reagan ad- vis- er denied the campaign had access to such materials The Reagan campaign adv ter not identi-fied in the Post account baid the documents given Mien contained mostn atmosphe-rics stuff abmt poor inhale at the NSC ( National Secuntv Council i That sort of thing " But Brzezinski told the Post that dailv re-ports sometimes contained extraordmarv . sensitn e material of the highest nature A former senior official in Reagan s cam-paign, also not identified, was quoted in The New York Times as saying he remembert-- d some of his colleagues boasting that they had an inside track to the Carter campaign it l " - '- - v V 5 I -- - Scott WUCems Minaret in C Roy Moms pours concrete in the base of a minaret at the mosque under construction at Fifth and Locust streets. An " onion dome" will be put on top next week. WASHINGTON ( UPI) People using a key federal civil nghts law to stop racial dis-crimination by aties or agencies that get federal money need only prove they were victims of bias, not that it was intentional, the Supreme Court ruled Fnday. The divided court, ruling in a bias suit in-volving the New York City police force, said that proving a disputed practice has had a discriminatory effect is enough to persuade a judge to order the practice stopped and even to strip such groups of federal support. However, if a victim wants money benefits such as back pay, he must prove there was intentional discrimination behind the dis-puted practice Splitting at least five ways, the majonty upheld a federal appeals court ruling, 5-- 4, de-nying back pay and other benefits to Hispan-ic and black policemen who sued the city af-ter they were laid off m 1975 The court's conclusions were so frag-mented that Justice Lewis Powell, who agreed with the outcome, noted, " Our opin-ions today will further confuse rather than guide." The ruling is not likely to be the final word on the controversy surrounding Title VI of the 1964 Civil Rights Act, which bans racial bias in any program receiving federal funds Seven justices, including three dissenters, appeared to feel v lolations of Title VI require minonties prove discriminatory purpose But the court endorsed regulations on the books that make it easier for minorities to win suits based on discnminator effect Justice Byron White, who wrote the major-ity opinion, said a federal appeals court in Manhattan " erred in requiring proof of dis-criminatory intent" But unless such discriminatory animus is proved," individuals suing may only get non- cnmpensato- ry relief" no back pa or retroactive senionty for unintentional v 10-- lations of Title VI, he held The mandate of Title VI is very simple stop the discrimination, get the money , con-tinue the discrimination, do not get the mon-ey," White said In other actions Fnday. the court v Vindicated Wall Street analyst Ray-mond Dirks, who uncovered one of the big-gest business frauds in history, ruling 6-- 3 he did not deserve 10 be punished for tipping stockholders about the 1S73 Equity Funding Corp scandal y Handed the Reagan administration a victory over environmental activists in a 5-- 4 ruling denying legal fees, a decision that may discourage suits demanding tough en- - torcement of pollution laws - Splitting 6-- 3 opened the doer for states to play a bigger role in determining water nghts of Indians living on reservations with-in state borders - Also on a 6-- 3 vote, upheld the applica-tion of state liquor laws on Indian reserva-tions and ruled California may require an In-dian shopkeeper to get a state license to sell alcohol on tnbal land In the civil rights case, Powell, joined b Chief Justice Burger, upheld the appeals court because Congress had not authorized pnvate suits to enforce Title VI Otherwise, thev would have upheld the 2nd U S Circuit Court of Appeals because proof of intentional discrimination is essential to pro'. e a Title VI claim Justice Sandra Day O Connor also wrote separately that she would affirm the appeals court judgment Although he agreed that proof of discrimi-nating purpose is not required, Justiqe Thur- goo- d Marshall dissented, saying he would have reversed the lower court and awarded back pay and other relief to the policemen Wnting separately in dissent. Justice John Paul Stevens joined by Justices William Brennan and Harry B'a'- kr-' u- n also said he would hav e rev ersed the lower court Celebrate! Mid- Missou- ri explodes with July Fourth festivities By Tracy Bamett Missounan staff writer Columbia's Fourth of July bands, fireworks and turtles gets off to a fast start early Monday evening when the Blind Boone Drill team marches onto Faurot Field to begin amghtofpatnotic celebration. The drill team will perform at 5 . 50 p m., followed by a senes of bands Don May ' s andtheRivertownSoundat6.30p m., Jerome Wheeler and the Catnip Mouse Band at 7. 25 p m., and the Columbia Summer Civx: Band's flag- raisi- ng concert at 8: 15 p. m. Following the concert is the annual fireworks display, which will begin at about 9 p. m. Refreshments will be available at the stadium. The event will be sponsored by the Parks and Recreation Department the Columbia Cosmopolitan Club and the University of Missoun. The discharging of fireworks within the aty is prohibited, except for the special display at Faurot Field. The holiday gets off to an early start and a slower one, as well with today's second Missoun State Frog and Turtle Race The races will be held in the east parking lot of Shelter Insurance, 1817 W Broadway Acbon begins at 10 a m There will be categones for all age groups ages of people, that is, who are sponsoring their pet turtles ard frogs South of Columbia, " Jefferson City Celebration ' ' 83," a community- wid- e Fourth of July observance, will be held Monday on the Missoun nverfront in Jefferson City The Jefferson City celebration will feature arts and craft sales, a flea market frog and turtle races, hot air balloons, singing, dancing, ndes and puppet shows all planned from 4 to 10pm A20- minu- te fireworks display will begin at about 9 45 p m from a barge in the Missoun River For more information on the activities, call the Jefferson City Area Chamber of Commerce at 634- 38- 13 There's a senous side to the holiday , too The Missoun Highway Patrol will conduct Operation CARE Combined Accident Reduction Effort ov er the weekend Interstate 70 from St Louis to Kansas City will be the pnmarv focus of the accident reducbon operation with extra officers on duty to enforce the traffic laws They will be particularly watchful for drinking drivers, a Highway Patrol spokesman said The holiday death count begins at 6 p m I Fnday and ends at midnight Monday. Government offices and most businesses will be closed Mondav The Columbia Area Transit Sv stem will not operate, the landfill will be closed and parking meter regulations will not be enforced. Refuse collection will be delayed one day throughout the week, beginning Tuesday when collection will be made along Monday's route. The Parks and Recreation Department w ill cancel its swimming lessons and day camp Monday. The office will be closed. The Columbia Missounan will not be published Tuesday morning Regular ipsusbulei. cation will resume with Wednesday'' s I By Erein Shradsr Missoarisn staff writer To treat or not to treat the severely im-paired newborn. That choice confronted Co-lumbia doctors fewer than 10 tunes last year. But if actual cases are mercifully rare, the larger issue remains a persistent ethical concern. If an infant has a terminal defect or if the prognosis for a " meaningful" life without ex-treme suffering is poor, can nontreatment be justmed' The question is not new. Bat medical pro-gress has made it more complex. New tech-niques and technology have helped save and sustain infants with lower levels of physical and mental capability than ever before. Parents and doctors are faced with in-creasingly difficult judgments about the quality of hfe to be " enjoyed" by a severely handicapped newborn kept alive only through extraordinary medical measures. The problem is hardly black and white, says William Bondeson, University professor of philosophy aad mwfccme. " Our skin at sustaining biological human life will get bet-ter," he says. " Bat it does not necessarily follow that we should sustain it" DGaDCaTF This issue surfaced last year in a much- publiciz- ed Bloosmngton, Ind., case involving a newborn with Down's Syndrome and a malfunctioning esophagus. For medical rea-sons, the parents decided against an opera-tion to correct the esophagus. Without food, the baby died after a week. The parents' decision, made en the advice of physicians and with court approval, was pursued by a third party to the Indiana Su- pre- me right cSCtLoteurpt. arIennMtsatorcdhe, ntyhetrecaotumrteunpt. held the However, the Indiana controversy dubbed the Baby Doe Case did not stop then or there. In the same month, the UJS. Department of Health and Human Services sent a directive to the nation's hospitals as a reminder that withholding medical treat- ment fnnna handicapped rinhi rfneM corerti- tnt- c discrimination and could result in the tdoistchoanttienfufeacntcewaosf tfoedbeeraplosatsesdistiannicnef. anAt csaigrne wards and was to include the telephone num- ber of a 24- bo- ar hotline to handle tips on pos-sible violations. Closer to home, a bill introduced in the Missoun Senate stated that, except in ex-treme cases, any person with custody over a baby could be prosecuted for child neglect if the child were denied food or medical treat-ment A similar tall was introduced in the State House of Representatives. The HHS directive and the Senate proposal named the Baby Doe bill proved no more successful than the Indiana suit In April, a federal judge struck down the HHS order, in part for procedural reasons, in court action initiated by the Amencan Aca-demy of Pediatncs. The Baby Doe bill never left the State Senate's budget committee The Reagan administration, however, has not given up On Thursday, it proposed a re-vised HHS directive, whicn includes some concessions to the medical community. The rele will go into effect, with possible revi-sions, following a 60- da- y public comment pe- no- d. At University Hospital and Boone Hospital Center the two Columbia hospitals with obstetrical services administrators and doctors remain wary. For despite philosoph-ical differences on the to- treat- or- nct- t-o- treat question, most agree that the matter should remain primarily a medical and ethical problem not a legal one Each case roust be judged individually, they say Parents, in consultation with physi-cians, should decide. Ethics, not laws, should hold sway An HHS hotline would be an un-necessary intrusion. Physicians with misgivings about a beat- at- all- co- sts approach to neonatal care are es-pecially outspoken on the issue of legal re- stnebo- ns. " We should not make blanket decisions about any land of a defect" says Dr. Sandra Davenport, head of University Hospital's birth defect clinic. Extraordinary measures to treat or sustain the life of a chad with a minimal chance for survival might serve only to prolong the suffering of the child and family, and, m a sense, " prolong dying, she says. Sue Shalhoub, special assistant to the di-rector of BBS's cava nghts division, denies that the department's original directive would require a physician to prolong death Nor was its intent to interfere with valid medical decisions " .,. " Hospitals should be trusted And inlabs- - tract that's fine " But, says Ms Shalhoub, ' there are some medical decisions based on prejudice, ignorance or discrimination i against the handicapped Some doctors, when treating a child with a severe defect, go on what tltey learned m medical school 20 or 30 years ago, she says " And with some, if you tell them a Down's Syndrome person can be taught to read, they say you're crazy Dr. Charles Abromovich, chairman of the perinatal committee at Boone Hospital Cen-ter, says he will never totally withhold treat-ment from a newborn and rejects the con-cept of prolonging death. Clarification of the law could be helpful, he says, for the time when parents insist that their child not be treated m cases Abromovich considers not completely hopeless " I would like some le-gal foundation to fall back on, because of my own feelings towards whether to treat or not to treat" But says Abromovich, any law not bene-fiting from extensive and specific commen-tary from medical experts more than likely would prove a disservice. Just as wary, but on a slightly different tack, is Dr Calvin Woodruff, a pediatrician at University Hospital. He says some groups argue that the child has a sanctity of life and that nothing else matters. " But I would hate Se TO TREAT, Paga 8A
Object Description
Title | Columbia Missourian Newspaper 1983-07-02 |
Description | Vol. 75th Year, No. 249 |
Subject |
Columbia (Mo.) -- Newspapers Boone County (Mo.) -- Newspapers |
Coverage | United States -- Missouri -- Boone County -- Columbia |
Language | English |
Date.Search | 1983-07-02 |
Type | Newspaper |
Format | |
Collection Name | Columbia Missourian Newspaper Collection |
Publisher.Digital | The Office of Library Systems of the University of Missouri |
Contributing Institution |
State Historical Society of Missouri University of Missouri School of Journalism |
Copy Request | Contact the State Historical Society of Missouri at: (800) 747-6366 or (573) 882-7083 or email contact@shsmo.org. Some fees apply:http://shsmo.org/research/researchfees |
Description
Title | Full Page |
Date.Search | 1983-07-02 |
Type | page |
Item.Transcript | JWWt qUMWiMii V COLUMBIA, MO. 65211 75th Year No. 249 Good Morning! It's Saturday, July 2, 1983 2 Sections 12 Pages 25 Cents New charges aimed at Reagan campaign tactics United Press International Ronald Reagan's campaign staff set up an " intelligence operation" to avoid being sur-prised if President Carter made a last- minu- te deal to free US. hostages in Iran, a for-mer Reagan campaign aide said Friday. But former Reagan campaign aides dis-counted a Washington Post report that the campaign received parts of daily staff re-ports prepared for Zbigniew Brzezinski, Car-ter's national security adviser. The charge is the most senous yet leveled in the controver-sy over Carter campaign materials that found their wayto the Reagan camp. The FBI, the Justice Department and a congressional committee are investigating the matter. And Rep. Don Edwards, D- Cal-- if., said that if Attorney General William French Smith does not request a special prosecutor, he will ask the House Judiciary Committee to do so. Edwards, chairman of the committee's constitutional rights subcommittee, said in Washington a briefing book allegedly ob-tained from a mole in the Carter campaign " may be the tip of an iceberg" because no one knows what other material might have been stolen from the Carter White House. But Justice Department spokesman Thom-as DeCair said there is no need for a special prosecutor " at this tune." Robert Gamck, a retired rear admiral who joined the Reagan campaign in August 1980 as an aide to chief of staff Edwin Meese, said an intelligence operation was launched in mid- Septemb- er after the campaign learned Carter had a potential bargaining chip in $ 800 million in undelivered material paid for by the shah. He said the objective was to prevent Car-ter from parlaying a last- minu- te release of the hostages into an election victory A day's notice of the release would be im-portant, he said. " What we were hopeful of doing was buying time and being less sur- - pnsed." " The intelligence operation was very sun- pi- e if we determined that if all this materi-al all of the sudden got loaded into Air Force C-- 5s and headed toward Iran it was quite ob-vious a deal had been made that Carter wou'd very cleverl bring home the hostages in late October," Garnck said m a telephone interview from his Pasadena, Calif , office Garnck, who retired from the Navy in 1980, said he telephoned some " friends" and asked them to monitor C-- 5s in bases across the country- - He said active military officials who may have had access to confidential in-formation were not contacted Gamck said Meese, now White House counselor, William Casey, head of the CIA, Daryl Trent, now with the Transportation Department, and Martin Anderson, former Reagan domestic affairs adviser, knew about the intelligence operation " We used to have meetings spasmodically in Dick Wirthlm's apartment Each of us put in what we could about the October surprise as we suspected it would be," Garnck said. Wirthlin is Reagan's chief pollster In Santa Barbara, Calif , White House spokesman Larry Speakes said Reagan was " not aware" of any intelligence- gatherin- g operation in his campaign The controversy over the Carter papers was sparked by ' Gambling with History," a new book by Time magazine correspondent Laurence Barrett, which made a bnef refer-ence to the Reagan's campaign's use of a briefing book used to prepare Carter for the 1980 presidential debate The White House has turned more than 850 pages of such material over to the Justice Department for its investigation The FBI said it expects to start interviews next week into how Carter's 1980 debate bnefing material fell into the hands of Rea-gan's campaign. Officials said top Reagan aides likely will undergo questioning A former high- lev- el adviser to Reagan's campaign told The Washington Post that Richard Allen. Reagan's former national se-curity adviser, received parts of dail staff reports prepared for Brzezinski Several other Reagan campaign officials said the had nev er heard about the copies of the staff reports and one former Reagan ad- vis- er denied the campaign had access to such materials The Reagan campaign adv ter not identi-fied in the Post account baid the documents given Mien contained mostn atmosphe-rics stuff abmt poor inhale at the NSC ( National Secuntv Council i That sort of thing " But Brzezinski told the Post that dailv re-ports sometimes contained extraordmarv . sensitn e material of the highest nature A former senior official in Reagan s cam-paign, also not identified, was quoted in The New York Times as saying he remembert-- d some of his colleagues boasting that they had an inside track to the Carter campaign it l " - '- - v V 5 I -- - Scott WUCems Minaret in C Roy Moms pours concrete in the base of a minaret at the mosque under construction at Fifth and Locust streets. An " onion dome" will be put on top next week. WASHINGTON ( UPI) People using a key federal civil nghts law to stop racial dis-crimination by aties or agencies that get federal money need only prove they were victims of bias, not that it was intentional, the Supreme Court ruled Fnday. The divided court, ruling in a bias suit in-volving the New York City police force, said that proving a disputed practice has had a discriminatory effect is enough to persuade a judge to order the practice stopped and even to strip such groups of federal support. However, if a victim wants money benefits such as back pay, he must prove there was intentional discrimination behind the dis-puted practice Splitting at least five ways, the majonty upheld a federal appeals court ruling, 5-- 4, de-nying back pay and other benefits to Hispan-ic and black policemen who sued the city af-ter they were laid off m 1975 The court's conclusions were so frag-mented that Justice Lewis Powell, who agreed with the outcome, noted, " Our opin-ions today will further confuse rather than guide." The ruling is not likely to be the final word on the controversy surrounding Title VI of the 1964 Civil Rights Act, which bans racial bias in any program receiving federal funds Seven justices, including three dissenters, appeared to feel v lolations of Title VI require minonties prove discriminatory purpose But the court endorsed regulations on the books that make it easier for minorities to win suits based on discnminator effect Justice Byron White, who wrote the major-ity opinion, said a federal appeals court in Manhattan " erred in requiring proof of dis-criminatory intent" But unless such discriminatory animus is proved," individuals suing may only get non- cnmpensato- ry relief" no back pa or retroactive senionty for unintentional v 10-- lations of Title VI, he held The mandate of Title VI is very simple stop the discrimination, get the money , con-tinue the discrimination, do not get the mon-ey," White said In other actions Fnday. the court v Vindicated Wall Street analyst Ray-mond Dirks, who uncovered one of the big-gest business frauds in history, ruling 6-- 3 he did not deserve 10 be punished for tipping stockholders about the 1S73 Equity Funding Corp scandal y Handed the Reagan administration a victory over environmental activists in a 5-- 4 ruling denying legal fees, a decision that may discourage suits demanding tough en- - torcement of pollution laws - Splitting 6-- 3 opened the doer for states to play a bigger role in determining water nghts of Indians living on reservations with-in state borders - Also on a 6-- 3 vote, upheld the applica-tion of state liquor laws on Indian reserva-tions and ruled California may require an In-dian shopkeeper to get a state license to sell alcohol on tnbal land In the civil rights case, Powell, joined b Chief Justice Burger, upheld the appeals court because Congress had not authorized pnvate suits to enforce Title VI Otherwise, thev would have upheld the 2nd U S Circuit Court of Appeals because proof of intentional discrimination is essential to pro'. e a Title VI claim Justice Sandra Day O Connor also wrote separately that she would affirm the appeals court judgment Although he agreed that proof of discrimi-nating purpose is not required, Justiqe Thur- goo- d Marshall dissented, saying he would have reversed the lower court and awarded back pay and other relief to the policemen Wnting separately in dissent. Justice John Paul Stevens joined by Justices William Brennan and Harry B'a'- kr-' u- n also said he would hav e rev ersed the lower court Celebrate! Mid- Missou- ri explodes with July Fourth festivities By Tracy Bamett Missounan staff writer Columbia's Fourth of July bands, fireworks and turtles gets off to a fast start early Monday evening when the Blind Boone Drill team marches onto Faurot Field to begin amghtofpatnotic celebration. The drill team will perform at 5 . 50 p m., followed by a senes of bands Don May ' s andtheRivertownSoundat6.30p m., Jerome Wheeler and the Catnip Mouse Band at 7. 25 p m., and the Columbia Summer Civx: Band's flag- raisi- ng concert at 8: 15 p. m. Following the concert is the annual fireworks display, which will begin at about 9 p. m. Refreshments will be available at the stadium. The event will be sponsored by the Parks and Recreation Department the Columbia Cosmopolitan Club and the University of Missoun. The discharging of fireworks within the aty is prohibited, except for the special display at Faurot Field. The holiday gets off to an early start and a slower one, as well with today's second Missoun State Frog and Turtle Race The races will be held in the east parking lot of Shelter Insurance, 1817 W Broadway Acbon begins at 10 a m There will be categones for all age groups ages of people, that is, who are sponsoring their pet turtles ard frogs South of Columbia, " Jefferson City Celebration ' ' 83," a community- wid- e Fourth of July observance, will be held Monday on the Missoun nverfront in Jefferson City The Jefferson City celebration will feature arts and craft sales, a flea market frog and turtle races, hot air balloons, singing, dancing, ndes and puppet shows all planned from 4 to 10pm A20- minu- te fireworks display will begin at about 9 45 p m from a barge in the Missoun River For more information on the activities, call the Jefferson City Area Chamber of Commerce at 634- 38- 13 There's a senous side to the holiday , too The Missoun Highway Patrol will conduct Operation CARE Combined Accident Reduction Effort ov er the weekend Interstate 70 from St Louis to Kansas City will be the pnmarv focus of the accident reducbon operation with extra officers on duty to enforce the traffic laws They will be particularly watchful for drinking drivers, a Highway Patrol spokesman said The holiday death count begins at 6 p m I Fnday and ends at midnight Monday. Government offices and most businesses will be closed Mondav The Columbia Area Transit Sv stem will not operate, the landfill will be closed and parking meter regulations will not be enforced. Refuse collection will be delayed one day throughout the week, beginning Tuesday when collection will be made along Monday's route. The Parks and Recreation Department w ill cancel its swimming lessons and day camp Monday. The office will be closed. The Columbia Missounan will not be published Tuesday morning Regular ipsusbulei. cation will resume with Wednesday'' s I By Erein Shradsr Missoarisn staff writer To treat or not to treat the severely im-paired newborn. That choice confronted Co-lumbia doctors fewer than 10 tunes last year. But if actual cases are mercifully rare, the larger issue remains a persistent ethical concern. If an infant has a terminal defect or if the prognosis for a " meaningful" life without ex-treme suffering is poor, can nontreatment be justmed' The question is not new. Bat medical pro-gress has made it more complex. New tech-niques and technology have helped save and sustain infants with lower levels of physical and mental capability than ever before. Parents and doctors are faced with in-creasingly difficult judgments about the quality of hfe to be " enjoyed" by a severely handicapped newborn kept alive only through extraordinary medical measures. The problem is hardly black and white, says William Bondeson, University professor of philosophy aad mwfccme. " Our skin at sustaining biological human life will get bet-ter," he says. " Bat it does not necessarily follow that we should sustain it" DGaDCaTF This issue surfaced last year in a much- publiciz- ed Bloosmngton, Ind., case involving a newborn with Down's Syndrome and a malfunctioning esophagus. For medical rea-sons, the parents decided against an opera-tion to correct the esophagus. Without food, the baby died after a week. The parents' decision, made en the advice of physicians and with court approval, was pursued by a third party to the Indiana Su- pre- me right cSCtLoteurpt. arIennMtsatorcdhe, ntyhetrecaotumrteunpt. held the However, the Indiana controversy dubbed the Baby Doe Case did not stop then or there. In the same month, the UJS. Department of Health and Human Services sent a directive to the nation's hospitals as a reminder that withholding medical treat- ment fnnna handicapped rinhi rfneM corerti- tnt- c discrimination and could result in the tdoistchoanttienfufeacntcewaosf tfoedbeeraplosatsesdistiannicnef. anAt csaigrne wards and was to include the telephone num- ber of a 24- bo- ar hotline to handle tips on pos-sible violations. Closer to home, a bill introduced in the Missoun Senate stated that, except in ex-treme cases, any person with custody over a baby could be prosecuted for child neglect if the child were denied food or medical treat-ment A similar tall was introduced in the State House of Representatives. The HHS directive and the Senate proposal named the Baby Doe bill proved no more successful than the Indiana suit In April, a federal judge struck down the HHS order, in part for procedural reasons, in court action initiated by the Amencan Aca-demy of Pediatncs. The Baby Doe bill never left the State Senate's budget committee The Reagan administration, however, has not given up On Thursday, it proposed a re-vised HHS directive, whicn includes some concessions to the medical community. The rele will go into effect, with possible revi-sions, following a 60- da- y public comment pe- no- d. At University Hospital and Boone Hospital Center the two Columbia hospitals with obstetrical services administrators and doctors remain wary. For despite philosoph-ical differences on the to- treat- or- nct- t-o- treat question, most agree that the matter should remain primarily a medical and ethical problem not a legal one Each case roust be judged individually, they say Parents, in consultation with physi-cians, should decide. Ethics, not laws, should hold sway An HHS hotline would be an un-necessary intrusion. Physicians with misgivings about a beat- at- all- co- sts approach to neonatal care are es-pecially outspoken on the issue of legal re- stnebo- ns. " We should not make blanket decisions about any land of a defect" says Dr. Sandra Davenport, head of University Hospital's birth defect clinic. Extraordinary measures to treat or sustain the life of a chad with a minimal chance for survival might serve only to prolong the suffering of the child and family, and, m a sense, " prolong dying, she says. Sue Shalhoub, special assistant to the di-rector of BBS's cava nghts division, denies that the department's original directive would require a physician to prolong death Nor was its intent to interfere with valid medical decisions " .,. " Hospitals should be trusted And inlabs- - tract that's fine " But, says Ms Shalhoub, ' there are some medical decisions based on prejudice, ignorance or discrimination i against the handicapped Some doctors, when treating a child with a severe defect, go on what tltey learned m medical school 20 or 30 years ago, she says " And with some, if you tell them a Down's Syndrome person can be taught to read, they say you're crazy Dr. Charles Abromovich, chairman of the perinatal committee at Boone Hospital Cen-ter, says he will never totally withhold treat-ment from a newborn and rejects the con-cept of prolonging death. Clarification of the law could be helpful, he says, for the time when parents insist that their child not be treated m cases Abromovich considers not completely hopeless " I would like some le-gal foundation to fall back on, because of my own feelings towards whether to treat or not to treat" But says Abromovich, any law not bene-fiting from extensive and specific commen-tary from medical experts more than likely would prove a disservice. Just as wary, but on a slightly different tack, is Dr Calvin Woodruff, a pediatrician at University Hospital. He says some groups argue that the child has a sanctity of life and that nothing else matters. " But I would hate Se TO TREAT, Paga 8A |