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Essays on Ethical Research
Code of ethics for research
Research paper on tuskegee syphilis study
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Respect of persons, beneficence, and justice are three principles that are relevant to research (LoBiondo-Wood & Haber, 2014). In this discussion board post, I will be discussing the “Bad Blood” case study, which started in 1932 and ended in 1972. I will give my thoughts on why the participants agreed to participate in the study. I will state the violations of ethical principles and whether an experiment of this kind would be conducted today. The men in this study were from Macon County, in 1932, who lived in poverty and had likely never been treated for any reason by a medical doctor. The nick name “bad blood” came from the doctors stating that they were testing people for “bad blood”. Thirty-six percent of the African American population in Macon County, tested positive for syphilis. Many of these men agreed to be a part of a control study for syphilis. With funding being discontinued for this study to continue the study was transformed into the Tuskegee Study of Untreated Syphilis. The African American participants were not informed that the study had changed to a non-therapeutic study (Fourtner, Fourtner, & Herreid, 2000). …show more content…
The first reason is because they were receiving free treatment. Medical treatment was not a practicality for this population of people. They lived in poverty and did not have the means to pay for medical care. The second reason that they agreed to be a part of this study is their belief in the doctors to not do harm to them. I think they believed that the treatment given to them was going to make them better. Trust was gained by using African American doctors and nurses to provide the medical care (Fourtner et al., 2000). This trust was used to persuade the men to continue with the study over the course of many
Bad blood is a book that was written James H. Jones who is an associate professor of History. The book narrates on how the government through the department of Public Health service (PHS) authorized and financed a program that did not protect human values and rights. The Tuskegee Syphilis Experiment which was conducted between 1932 and 1972 where four hundred illiterate and semi-illiterate black sharecroppers in Alabama recently diagnosed with syphilis were sampled for an experiment that was funded by the U.S Health Service to prove that the effect of untreated syphilis are different in blacks as opposed to whites. The blacks in Macon County, Alabama were turned into laboratory animals without their knowledge and the purpose of the experiment
The book, Bad Blood: The Tuskegee Syphilis Experiment, by James H. Jones, was one of the most influential books in today’s society. The Tuskegee Syphilis Experiment study began in 1932 and was terminated in 1972. This book reflects the history of African Americans in the mistrust of the health care system. According to Colin A. Palmer, “James H. Jones disturbing, but enlightening Bad Blood details an appalling instance of scientific deception. This dispassionate book discusses the Tuskegee experiment, when a group of physicians used poor black men as the subjects in a study of the effects of untreated syphilis on the human body”(1982, p. 229). In addition, the author mentioned several indications of discrimination, prejudice,
The study was called Tuskegee Study of Untreated Syphilis in the Negro Male. The original study which was proposed for 9 months went on to 40 year study. Impoverished African American males were enrolled, patient’s informed consent was not obtained, and
It is only natural to dismiss the idea of our own personal flaws, for who with a healthy sense of self wanders in thoughts of their own insufficiency? The idea of hypocrisy is one that strikes a sensitive nerve to most, and being labeled a hypocrite is something we all strive to avoid. Philip Meyer takes this emotion to the extreme by examining a study done by a social psychologist, Stanley Milgram, involving the effects of discipline. In the essay, "If Hitler Asked You to Electrocute a Stranger, Would You? Probably", Meyer takes a look at Milgram's study that mimics the execution of the Jews (among others) during World War II by placing a series of subjects under similar conditions of stress, authority, and obedience. The main theme of this experiment is giving subjects the impression that they are shocking an individual for incorrectly answering a list of questions, but perhaps more interesting is the results that occur from both ends of the research. Meyer's skill in this essay is using both the logical appeal of facts and statistics as well as the pathetic appeal to emotion to get inside the reader's mind in order to inform and dissuade us about our own unscrupulous actions.
The Sleeping Sickness and Tuskegee Syphilis experiment are examples of the government targeting men who were socially disconnected with the majority of society. Whether it was the prisoners, who were separated to serve out their sentence, or the African-American males, who were separated economically and educationally, they were both targeted based on their social standings. Therefore, the conductors ideally would receive no criticism if harm were to happen to subjects because they did not contribute, monetarily or economically, to the modern
Healthcare providers have an ethical obligation to tell their patients the truth about their conditions as well as all possible treatment options. In the Tuskegee Study, this obligation was blatantly disregarded. The characters Dr. Sam Brodus, Dr. Douglas, and Eunice Evers, RN are prime examples of this disregard for transparency between the provider and the patient.
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 study took advantage of an oppressed and vulnerable population that was in need of medical care. Some of the many ethical concerns of this experiment were the lack of informed consent, invasion of privacy, deception of participants, physical harm, mental harm, and a lack of gain versus harm. One ethical problem in this experiment was that the benefits did not outweigh the harm to participants. At the conclusion of the study there were virtually no benefits for the participants or to the treatment of syphilis. We now have
In 1987, there was a Syphilis outbreak in a small town Alabama, Tuskegee. Ms. Evers went to seek out African Males that had this disease and did not. They were seeking treatment for this disease, but then the government ran out of money and the only way they can get treatment if they studied. They named this project “The Tuskegee Study of African American Man with Syphilis”, so they can find out where it originated and what will it do to them if go untreated for several months.
Even though the United States government was already making improvements to the healthcare system, they excluded African Americans from all the progress that they made. Most believed that African Americans brought it upon themselves and that they inherited their sicknesses, and diseases. “Richmond's city officials were also aware that the high death rate of the city's African Americans, usually about twice that of whites, inflated the average for the city as a whole and negatively affected the health of all of Richm ” (Hoffman, 2001, p.177). Officials in Richmond Virginia first started to notice at how bad their death rates were when other states started to comment on it. African Americans made up the majority population in Richmond and even when they brought attention to problems they were excluded from the solutions, and the government was mostly worried about how the state looked overall. Eventually the government did have to step in and help them some. “Only in those programs administered by the Health Department's nurses did Richmond's African Americans receive anything like an equitable share ofthe benefits ofthe city's conversion to modern public health policies and practices, and even practices, and even there, the results were limited ” (Hoffman, 2001, p 188). Africans Americans were helped eventually but at a very limited amount compared to
Miss. Evers Boys is a movie based on the real life study called “The Tuskegee Study” that took place in Macon County, Alabama, where 400 black men who had syphilis and 200 black men without this disease participated on this study without knowing the terrible truth behind it. Also the participants were poor and uneducated sharecropper who fell for Miss. Evers persuasions and rewards that doctors were offering to participants. The main results that doctors were trying to obtain from this experiment was to gain information about how African Americans men’s bodies reacted to syphilis. During the 1930’s, society believed that black men were inferior to white men, so diseases were supposed to affect differently black men. This study in particular, the participants were not informed about the capacity that this disease could damage their human system and they were not viewed as a human being and they were used as lab rat. Furthermore, one of the doctors who were involved in this experiment Dr. Raymond Vonderlehr used the term “necropsy” that is an autopsy performed on animals when speaking about the participants of this experiment (Mananda R-G, 2012).
Studies have analyzed how African Americans deal with an enormous amount of disease, injury, death, and disability compared to other ethnic group, and whites, Utilization of health services by African Americans is less frequent than other ethnic groups in the country. This non utilization of services contributes to health disparities amongst African Americans in the United States. Current and past studies have shown that because of discrimination, medical mistrust, racial/ethnic background, and poor communication African Americans tend to not seek medical care unless they are in dire need or forced to seek professional care. African Americans would rather self –medicate than to trust a doctor who might show some type of discriminatory
Blood is a fluid connective tissue that circulated around the body. Blood is primarily used to transport medium for the maintenance of homeostasis (Mader, 2010). Blood transports oxygen and carbon dioxide, nutrients and wastes, metabolic substrates and hormones between organs and tissues. Blood also involves in defending against the pathogens and infections, and blood loss. Blood helps to regulate the body heat, maintain its own water-salt balance, and provides a buffer for acid-base balance.
He remembered someone giving out the drinks earlier that day. He couldn’t remember who or when. And that was his last thought as the final wave of reactions killed him.
Freedman B. Equipoise and the ethics of clinical research. N Engl J Med. 1987; 317(3): 141-145