Double standards medical research developing countries by Ruth Macklin

By Ruth Macklin

This ebook examines the moral controversies that experience surrounded the layout and behavior of foreign clinical examine subsidized via industrialized nations or undefined, and conducted in constructing international locations. Is it applicable to reduce the moral criteria followed within the industrialized global whilst conducting learn in constructing, or resource-poor, international locations? Ruth Macklin concludes that double criteria in clinical study are ethically unacceptable.

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If the consideration just discussed is the reason why the African country insists that the phase of the research to determine the vaccine’s safety be conducted in the United States, then it could count as a legitimate exception to the “responsiveness” rule. However, if the African country offers no justification, or contends that residents of the sponsoring country should be exposed to the risks of early phases of research before residents of developing countries are exposed to those same risks, that would not constitute a sufficient reason to treat developing and developed countries differently in this context.

In this meaning, “standard practice” in some countries – such as reusing syringes or other disposable equipment – would not be acceptable to US researchers and would not constitute a justification to employ the local, unsafe practice. 5 The distinction between these two senses of “standard” is critical. In the first sense, the meaning is purely descriptive, stating what is routinely done. ” The ability to slide imperceptibly between these two senses of “standard” lends credence to the view that Maintaining ethical standards in research 41 the existing standard (the first meaning) is acceptable as a prescriptive standard (the second meaning).

Should it be the industrialized country that sponsors or conducts the trials? If the relevant provisions of the Declaration of Helsinki or the CIOMS international guidelines should be the operative governing rules, who should make determinations of the key elements that require interpretation? When agreement cannot be reached by an appeal to substantive ethical principles, one way to reach a resolution is to look for a fair method of resolving differences. This requires identifying and agreeing on a just procedure, a process that all parties agree is fair.

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