November 15, 1982
Note to: C. Everett Koop, Surgeon General
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.
Attachments:
1) Draft Memo to Secretary
2) Draft of Guidelines
3) Notice to Health Care Providers
"Eyes Only"