Download Double Standards in Medical Research in Developing Countries by Ruth Macklin PDF

By Ruth Macklin

This e-book examines the moral controversies that experience surrounded the layout and behavior of overseas scientific learn backed via industrialized nations or undefined, and conducted in constructing nations. Is it appropriate to reduce the moral criteria followed within the industrialized international whilst accomplishing study in constructing, or resource-poor, nations? Ruth Macklin concludes that double criteria in scientific study are ethically unacceptable.

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Some people maintain that exactly the same standards should be employed the world over, whereas others contend that different standards are required because different circumstances obtain. But does “different” necessarily mean “lower”? ” Debates about the justification for allowing different standards or requiring a single standard have arisen in two main contexts in international research. The first concerns what should be provided to a control group in clinical trials. Testing experimental medicines typically involves a comparison between the experimental product and an approved drug.

And What specific mechanisms for prior review of research protocols and monitoring of studies already in progress can best protect the research participants? In seeking to identify the underpinnings of the debates surrounding these points, I contend that like the earlier items, these are unlikely to be easily resolved. ” question. Who should have the ultimate authority to decide what is ethically acceptable in the design of clinical trials and in post-trial obligations: the developing country that 22 Double Standards in Medical Research hosts the trials?

5249, Sec. 2, 107th Congress, 2d session, House of Representatives, July 26, 2002. 18. gov/cgi-bin/bdquery/, accessed February 13, 2003. 19. R. Krishnakumar, “Clinical Trials Should Promote Health Care,” interview with Dr. M. S. Valiathan, Frontline, India’s National Magazine 18:17 (August 18–31, 2001), no page numbers. 20. Karin B. Michels and Kenneth J. Rothman, “Update on Unethical Use of Placebos in Randomised Trials,” Bioethics, 17:2 (2003), 188–204. 21. Ibid. 22. Shah, “Globalizing Clinical Research,” 23.

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