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It has been understood by some for a long time, but not all. Especially when morbid curiosity is what brings visitors to your museum; without that morbid curiosity, you likely can't make enough to stay open.
NAGPRA was renegotiated by a Native American Secretary of the Interior and, wouldn't you know, having diverse voices helps people understand things differently, thus the massive change this year in the way museums display human remains. That's a good thing. Be mad about the past so it doesn't happen again, but also be glad that the display stops now.
As for using a cast, I'm sure they have one. But I don't know if using one affects how medical research is conducted.
Oh yeah ETA: until the advent of the Internet, doctors coming to a place to examine collections of medical specimens was indeed the only way to do certain kinds of medical research.