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June 7, 1985

After Barney Clark: Reflections on the Utah Artificial Heart Program

Author Affiliations

The Hastings Center Hastings-on-Hudson, NY

JAMA. 1985;253(21):3173. doi:10.1001/jama.1985.03350450149041

This book is the outcome of a conference held in October 1983, seven months after the death of Dr Barney Clark. The conference was organized in order to provide an opportunity for Dr Clark's caregivers and a number of invited experts to reflect about some of the ethical, legal, economic, and social issues that arose as a result of the effort to permanently implant a total artificial heart into Dr Clark's chest.

Since the Clark experiment, the clinical component of the artificial heart program at Utah has shifted to the Humana-Audubon Hospital in Louisville, Ky. This shift and the subsequent implantation by Dr William DeVries and his colleagues of a second device in William Schroeder, devices in two other patients (Murray Haydon and the late Jack Burcham), and implantation of a device in Sweden, have stimulated a renewed debate about the desirability and feasibility of undertaking implants of a pneumatically