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Recording 15 : PPT 7 - Globalizing Human Subjects (Das and Das (pattern of…
Recording 15 : PPT 7 - Globalizing Human Subjects
Exam
MCQ, SA, Essay - cumulative
p48 - Nigeria
off label abuses
p49 chain of complecency .
importance of which moral agents
identify their guiding ??
these codes cannot be used in US courts
Commercialized Clinical Trials
“A dangerous break” between bioethics and the realities of local moral worlds (Ch.2 – pp.33-35)
Ethical imperialism vs. ethical relativism
Scarcity/vulnerability of subjects
Treatment naiveté (unequal Standard of Care) – pp.40-46.
Ethical codes vs. ethical regulations (pp.46-52) and enforcement
Biological Citizenship
Key Ideas: 4 items
Target certain communities because it is a cheap to do (lower standard of care). Difference in standard of care of people doing the research and where are doing the research.
Informed consent. People are illiterate.
after the research - residual obligation
Pharmaceutical Citizenships
all laws are enforced by states. in a globalized world.
your access to this is limited to citizenship
chenobyl - what is the long term moral obligation of different moral agent
??
Liability - p58 - note 24 - great example of moral obligation is not contained in the start and end date of the experiment.
ethical variability
clinical trials as social good. for under resourced communities - if you are balancing good - favor knowledge because it benefits all of humanity. but not on their own grounds.
Das and Das
pattern of resort
india
going to pharmacist. diagnosis through dispensation (instead of treatment based on diagnosis). not looking for diagnosis, they are looking to treat symptoms. Based on their culture someone who just give a diagnosis and no treatment is a quack.
ton of indigenous knowledge.
Sickness vs ailment
local pattern of employment
p183 - efficacy of treatment
Decentralize. Pharmacist know they are being judged.