Lowering Testing Standards in Third World Countries
ABSTRACT: Recently, Sidney Wolfe, director of Public Citizen’s Health Research Group (PCHRG), charged the National Institute of Health (NIH) and Center for Disease Control (CDC) with sponsoring fifteen immoral HIV studies in sub-Saharan Africa. The trials are being conducted to determine if certain alternate medical procedures or a short course of treatment with AZT, zidovudine or other drugs prevent some mother-child HIV transmissions. (1) Since the control group receives only placebos rather than AZT, Wolfe claims that the tests give suboptimal treatment that will result in more children contracting HIV and AIDS. (2) Public Citizen’s Health Research Group and others are calling for an immediate cessation of these important experiments. Public Citizen raises an important moral question. (3) Is it morally permissible to lower testing standards for the Third World? Unlike PCHRG, I contend that the answer to this question is yes, if the trials meet certain conditions. I explain both the First Best and Second Best Method (FBM and SBM, respectively) of testing new drugs and then compare the two. Next, I show the FBM’s impracticality in developing countries releases researchers from the moral obligation to use it. I then propose a new set of criteria — the Second Best Criteria (SBC) — that show if a test is moral or not. Finally, I argue that imposing a developed country’s moral standards for clinical trials in the Third World is immorally insensitive to the needs and conditions present in the latter area.
Section 1
In clinical trials there are two different standard protocols for testing new drugs. The First Best Method tests the effects of a known drug (a benchmark), rathe...
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...Biotechnology, vol. 11, pp. 135-143.
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In Alexander Kern’s “Emerson and Economics,” Kern draws attention to the economical aspects found in Ralph Waldo Emerson’s texts. Specifically, Kern discusses the lack of attention that Emerson’s economical notions receive. Emerson is not associated with being an economist writer, but Kern draws attention to how “he so frequently touched the subject than an understanding of his economic ideas is a prerequisite to the evaluation of his entire thought on any relative or absolute scale” (Kern 678). Kern’s theory that readers must extract the economics out of Emerson in order to comprehend his texts is extremely useful because it sheds insight on the difficult problem of viewing Emerson as an economist, yet he views Emerson as a moral philosopher because of the author’s views towards society. Alexander Kern’s call to view Emerson as an economist is yet to be answered. Moreover, it is crucial to evaluate Emerson as an economist in order to analyze his texts differently. Consequently, using economics to evaluate Emerson’s “Self Reliance” in a new way will show it is meant to be a call for social reformation. More specifically, by considering the economic panic of 1837 and its effects on Emerson’s views towards society, a new way to interpret “Self Reliance” is achieved.
Bolman, L. D., & Deal, T. E. (2013). Reframing Organizations: Artistry,Choice, & Leadership (5th ed.). San Francisco, California, United States of America: Jossey-Bass.
The formation of the team is the first stage of the model. A person’s behavior is driven by the desire for acceptance, and to avoid conflict or controversy with other people (Judge & Bono, 2000). Grave feelings and issues are avoided, with people focusing on keeping themselves occupied with routines such as duty allocations, team organization and the venues of the meetings during this period. At this stage, individuals gather impressions and information about each other, and the aims of the group and how to advance towards them. This stage is comfortable, but the avoidance of conflict translates to little being done. The team learns about opportunities and challenges, reaches a consensus on goals and starts to handle the task. The team may be motivated, but usually, they are ...
Spink, Gemma. "AIDS." AVERTing HIV and AIDS. 23 Dec 2009. Web. 11 Jan 2010. .
This paper presents an ethical analysis of the mandatory newborn HIV testing law enacted in New York State. The law was passed as an effort to decrease maternal transmission of HIV, by treating infants born to HIV positive mothers immediately after birth with AZT. Newborn testing was promoted by the legislative and medical community following the overwhelmingly positive response from HIV infected pregnant women who were given AZT in the ACTG 076 clinical trials. Pregnant mothers who were given AZT had a markedly lower transmission rate than mothers who had not received it. This paper examines this newborn testing policy from a Utilitarian perspective to ascertain if the goals of the policy are feasible. The potential advantages, as well as the failures of using this policy are discussed. Implementations to improve the policy are also presented.
Ethical violations committed on underprivileged populations first surfaced close to 50 years ago with the discovery of the Tuskegee project. The location, a small rural town in Arkansas, and the population, consisting of black males with syphilis, would become a startling example of research gone wrong. The participants of the study were denied the available treatment in order further the goal of the research, a clear violation of the Belmont Report principle of beneficence. This same problem faces researchers today who looking for an intervention in the vertical transmission of HIV in Africa, as there is an effective protocol in industrialized nations, yet they chose to use a placebo-contro...
The team is weak. While the makeup of the team is one that fashions an environment conducive for enhanced effectiveness, it has yet to approach the set mandate in a manner that ensures the realization of its goals. Errors can be identified during the initial stages of forming the group. There are five stages of group formation. During three of these phases, the forming, storming and norming, were characterized by significant errors (Polzer, Vargas & Elfenbein, 2003). The forming stage was spread through some meetings. The core rationale for this is the inability of all members to be included in the first initial meetings. Such a factor impeded on the development of the group dynamic.
The theory of goal setting was developed by Edward Locke and Gary Latham (1990) and states that there is a direct relationship between the setting of specific high goals and task performance. A higher degree of employee performance is obtained when specific goals are set compared to the performance achieved when employees are simply told to do their best (Latham & Locke, 2007). These findings have helped shape leadership styles and improve employee performance and job satisfaction (Posthuma & Al-Riyami, 2012).
In today’s society that we live in, there are countless of environmental problems that we face, such as global warming, fishing, pollution, and many other topics of that matter. These issues have affected our environment for the worse and have caused problems physically and economically. Yet, out of all the issues that effects our world on a daily basis, it is shown that overpopulation is one if not, is our biggest issue in our environment that is only getting worse due time, especially due to the rapid growth of the human population and the limited resources that are left on earth that we absolutely need to tend to our growing population. Even Dr. Charles A. Hall, who is a systems ecologist, states that, “Overpopulation is the only problem, If we had 100 million people on Earth or better yet 10 million, no others would be a problem.” Which helps prove that overpopulation is a major issue that we must act upon if we want to save our world.
Zehner, Ozzie. "The Environmental Politics of Population and Overpopulation." Academia.edu. Academia.edu, n.d. Web. 12 Oct. 2013.
However, after reviewing our interview transcripts, and considering my peer’s issue, I believe that Goal Setting Theory would be the most applicable theory for solving my peer’s problem. In 1960s, Edwin A. Locke first proposed this theory, and then this theory has been developed. Locke and Latham referred (1990) that goal specificity is positively related to subsequent performance, and many following studies also indicate that there are a high correlation between these two variables.
From the above situations and examples, the globalized international society has helped reduce the spread of HIV/AIDS. However, it is because globalized, international organizations have been able to come forward to solve this issue. At the same time, it is important to remember that many international organizations or states act in self interest due to which many developing states like Brazil initially faced problems in solving the issue of HIV/AIDS. Therefore, health issues such as that of HIV/AIDS are not only shaped by the science of biology, but also through policies, decisions and events in this globalized international society.
Alcoholism is a disease that affects many people in the United States today. It not only affects the alcoholic, but also their family, friends, co-workers, and eventually total strangers. The symptoms are many, as are the causes and the effects.
Since the beginning of mankind, we have reached many great achievements. We have developed many technologies and theories to solve and explain many of our questions and to improve human life. Through our years of evolution, we have severely increased our own survivability. This has been a great achievement for us, but in the recent decade, overpopulation is becoming a great issue. In the recent years, the rapid increase in population growth has troubled many in the field of political sciences. Scientists like Ehrlich have calculated and expected our population to grow even faster if we do not act upon the increasing rate of population growth. The birth rate of our planet is increasing exponentially, meaning that the birth rate has surpassed the death rate and that the rate of growth will only increase if left alone. The politics of population is a debate that involves both the fields of sciences and moral and ethical considerations. Science may provide an insight of
Overpopulation is a growing problem all over the world. This is a very important environmental issue and needs to be dealt with. This environmental problem is affecting many countries in the world, but mostly the poor and impoverished countries that don’t have the resources to help deal with these issues. It also affects the environment like plants animal life and air quality. When the population of people expands we need more natural resources from the environment, so we consume more then we can produce. This leads to the lack of resources in many areas. When expanding we create a lot of pollution in the air, water, and land. The pollution affects many humans health. Overpopulation is doing more harm than any other environmental issue. Overpopulation also causes many of the other issues we are dealing with. This is very dangerous to not only us humans but the planet. Even though many wealthy countries are not affected by this overpopulation, I feel like they should help the cause. There is always two sides to an issue like this. Some people don’t think that overpopulation is a big problem and the ones who say it is an issue that needs to be dealt with.