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Introduction Why Exploitation? Jennifer S. Hawkins Hawkins, Jennifer S. Ezekiel J. Emanuel Emanuel, Ezekiel J. 1
1 Research Ethics, Developing Countries, and Exploitation: A Primer Jennifer S. Hawkins Hawkins, Jennifer S. 21
2 Case Studies: The Havrix Trial and the Surfaxin Trial 55
3 Exploitation in Clinical Research Alan Wertheimer Wertheimer, Alan 63
4 Testing Our Drugs on the Poor Abroad Thomas Pogge Pogge, Thomas 105
5 Broadly Utilitarian Theories of Exploitation and Multinational Clinical Research Richard J. Arneson Arneson, Richard J. 142
6 Kantian Ethics, Exploitation, and Multinational Clinical Trials Andrew W. Siegel Siegel, Andrew W. 175
7 Exploitation and the Enterprise of Medical Research Alisa L. Carse Carse, Alisa L. Margaret Olivia Little Little, Margaret Olivia 206
8 Exploitation and Placebo Controls Jennifer S. Hawkins Hawkins, Jennifer S. 246
9 Addressing Exploitation: Reasonable Availability versus Fair Benefits Ezekiel J. Emanuel Emanuel, Ezekiel J. 286
Index 315
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Robert Rob
reviewed Exploitation and Developing Countries: The Ethics of Clinical Research on November 28, 2013
Exploitation and Developing Countries
I still can't decide where I fall: while it seems pretty clear exploitation is what's taking place, is it preferable to allow it to proceed given the paternalistic nature of disallowing it and yes, the benefits it can lead to or should it be regulated (resolutioned) against due to the precedent of immorality it sets? Three arguments resonated with me, although one is a daydream.
1) "We should not confuse our moral worries about the objective circumstances in which people find themselves with worries about their capacity or right to make decisions about their lives within those circumstances." (Wertheimer)
2) "The only time we should be conducting clinical research trials among impoverished communities that offer less than the world's best treatment in the control arm is when doing so is needed to help those in similar health circumstances (and not, say, because using this population provides an especially cheap way to collect clean data for those who do not suffer the 'useful' deprivation)." (Carse & Little)
3) A la Kant, "We need to show humility in our condemnations of those who exploit the impoverished, as it is our indifference to the true needs of the poor that sows much of the ground of exploitation. We must also exercise caution when legislating against exploitation, for the perverse reality is that the best prospect some persons currently have for improving their lives is to submit to exploitative exchanges. While our indignation at those who exploit the poor is certainly warranted, it is not until the day arrives that our indignation is accompanied by shame that we can hope for real progress." (Siegel)
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Add Exploitation and Developing Countries: The Ethics of Clinical Research, Exploitation and Developing Countries is an attempt by philosophers and bioethicists to reflect on the meaning of exploitation, to ask whether and when clinical research in developing countries counts as exploitative, and to consider what can be done to m, Exploitation and Developing Countries: The Ethics of Clinical Research to the inventory that you are selling on WonderClubX
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Add Exploitation and Developing Countries: The Ethics of Clinical Research, Exploitation and Developing Countries is an attempt by philosophers and bioethicists to reflect on the meaning of exploitation, to ask whether and when clinical research in developing countries counts as exploitative, and to consider what can be done to m, Exploitation and Developing Countries: The Ethics of Clinical Research to your collection on WonderClub |
