Originally posted by kenshiro2012
[snip]would not imbue him with the expertise to ask the right questions nor completely understand all of the ramifications of the side effects of the
drug.
Nor would it necessarily
impede his capacity to ask the right questions. The right questions are actually kind of basic….
1. Is this going to kill me?
2. Are there any noted potential side effects(that would alter greatly my daily schedule) that have been observed in animals?
3. What do you hope to accomplish?
4. Are you being honest?
And this is an example(kenshiro’s) where the hypothetical guinea pig was informed. Yes, to an extent we must rely on those who have specialized
experience in certain industries, medicine being one of them….
but that does not translate into blind acceptance. Nor should it. We
have many examples where the assumed authority acted in such a fashion that unnecessary death resulted from the imposition of medical experiments upon
otherwise healthy humans…
But what if the ‘experts’ don’t have a particular interest in the subjects’ well being? The Tuskagee Experiment illustrates this point well.
It began in 1932 and didn’t end until 1972….and only then because of bad press (the story was printed in the Washington Star). Penicillin was
available for a shocking 20 years and no effort was made to cure them…indeed, physicians were informed specifically to not administer the drug.
Further, the subjects were not told about the infection and as a result, neither were any of their families.
But, by not treating the men in the study and by not informing the men of the nature of the disease, the PHS permitted many women to become infected
with syphilis and many infants to acquire congenital syphilis. (pp. 104, 165, 215)[1]
Oh what a web we weave when at first we practice to deceive….
The experiment in this case not only ruined the lives of the subject pool, but also infected many other people who were not involved in the initial
process. Remember when I asked above if
all aspects of the scenario were taken into consideration? Applied to this case we can answer
one of two ways:
1. Yes. Many if not all factors were considered. In which case, we can state that the physicians in question willfully introduced a biological
pathogen into a small population and did nothing to rectify the situation. Where are the professional ethics there? Is it OK to allow innocent
people to get in harms way just to study the reactions of a relatively small amount people and apply it as a rule for a bigger population set?
2. No. In which case, we can say that through negligence, other people were allowed to suffer needlessly. A great reason why there should be ways
to prevent this kind of abuse of power.
Either scenario is unacceptable. A long term study done at the expense of human lives, willfully, with innocent people made casualty.
My opponent also states that most people are not educated enough to know the difference anyway…
Originally posted by kenshiro2012
Most of our society do not have enough of an education to understand all of the ramifications of what they agree to even if they were told.
To which I see a different approach….if the subject does not have the capacity to comprehend what is being done to him or her, then
don’t
experiment on them. Someone who lacks the proper education to deal with and progress through the normal trials and tribulations need not be
given another obstacle that further dampens the prospect of their life.
My opponent continues above with the citation of the Code of Federal Regulations and ultimately concludes that, because there are ‘gaping
loopholes’ that the federal literature regarding human experimentation is all right…or does he?
Originally posted by kenshiro2012
Do you trust this branch federal government to actually be able to make the correct decisions in determining what is safe or not. Not I!
So the regulations my opponent has brought to the table has resulted in the recognition that ‘informed consent’ is subject to the standards of
more than one regulating body. It is allowable by title 45, part 46 of the Code of Federal Regulations to administer taste experiments based on the
thumbs up from the FDA or other food authority. Yet I find my opponent absolutely correct when he elaborates to the extent of drawing our attention
to the inadequacies of the FDA in recent past. As such…why would we agree with such a haphazard authority, one that my opponent has gone on record
that he does not trust?
Furthermore, the loopholes are legal in nature. I do not hold well with uninformed human experimentation just because the law has failed to make
absolutely clear where the boundaries are. Indeed, one of the exceptions is such that no personal identity can be traced to the provider of
data….” in such a manner that subjects cannot be identified, directly or through identifiers linked to the subjects.”
…which tells me that, “It ain’t illegal if they don’t get caught.” Why else would the information not be recorded in full, in due fashion?
No, I would not have been better served attempting to wade through an inadequate resource.
For code of conduct, I would prefer to use the Declaration of Helsinki, adopted by the World Medical Association in 1964. The first basic principle
of the Declaration brings to light the several times my opponent has roughly stated that ‘even the experts don’t know all the possibilities…
Biomedical research involving human subjects must conform to generally accepted scientific principles and should be based on adequately performed
laboratory and animal experimentation and on a thorough knowledge of the scientific literature.[2]
If you don’t know all the possibilities based on theoretical study, animal experimentation, etc….
then don’t do it.
Basic Principle Nine shows us exactly what informed consent is:
In any research on human beings, each potential subject mustbe adequately informed of the aims, methods, anticipated benefits and potential hazards
of the study and the discomfort it may entail. He or she should be informed that he or she is at liberty to abstain from participation in the study
and that he or she is free to withdraw visor her consent to participation at any time.[snip]
Meaningless words? The meaning, I am sure is relative to the subject. Informed consent without disclosure of the potential hazards and reasons for
the experiment is grounds for a lawsuit. Maybe an argument for full disclosure to the subject would hinge on covering the liability for the
experimenters….
Further, I would cite the Nurnberg Code as well, a precursor to the Helsinki Declaration…
The voluntary consent of the human subject is absolutely essential.
This means that the person involved should have legal capacity to give consent, should be so situated as to be able to exercise free power of choice,
without the intervention of any element of force, fraud, deceit, duress, over-reaching, or other ulterior form of constraint or coercion; and
should have sufficient knowledge and comprehension of the elements of the subject matter involved as to enable him to make an understanding
and enlightened decision.[3]
The Nurnberg Code was drafted as a response to the atrocities committed by Nazi Germany during World War II. It stipulates directly that the
voluntary consent be mandatory and that the subject be able to comprehend the subject matter.
The two prior resources are ethical standards for medical practitioners. How can we trust our experts, as my opponent has stated, if they do not hold
to an ethical approach that we expect of them. To go against the subjects’ perspective is to negate that trust…
My opponent argues that for scientific progress to endure, we must acquiesce to the limits of our collective knowledge in order to gain more. He also
states quite freely that even the experts don’t have a relevant comprehension of their work. I find that to be an unacceptable argument.
There is no reason to be playing with people’s lives if you don’t know what you are doing. There is no reason to play with people’s lives
if you can’t tell them what you are doing.
[1]
www.rbs2.com...
[2]
www.cirp.org...
[3]
www.ushmm.org...
(edit by Vagabond to fix bold tag)
[edit on 28-1-2008 by The Vagabond]