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Thesis on medical ethics
Thesis on medical ethics
Personal reflection on medical ethics
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Medical research involving human subjects is historically riddled with unethical experiments leading to harmful and even fatal consequences for participants. In order to avoid this in modern medical research, a system of medical ethics has been created. To properly review these standards for experimentation proposals, Institutional Review Boards (IRBs) were established in the United States. Although this system of ethics and review processes is tedious and difficult to appeal to, it is fundamental to ensuring the safety of all human participants consenting to medical research. Continuing medical research on human subjects, while conforming to the medical ethics and review processes deemed necessary by the government and the Internal Review …show more content…
Boards, is imperative to protecting human participants involved in experimentation. Historical events, such as the Tuskegee Syphilis Experiment and the Nazi Experiments both prove the necessity of medical ethics and IRBs in the United States. The medical ethics laws, review processes, and oversight of Institutional Review Boards are all essential to safeguarding from the unethical treatment of human participants. Without utilizing this system of defense for human subjects, unethical experiments will continue in the present and future of the United States. The Tuskegee Syphilis Experiment is a prime example of the consequences of not obeying medical ethics laws, which have been established in the United States.
When the study began the men involved in the study were misled and not given enough information to provide legal consent to the experimentation. They were told they were being treated for “Bad blood” (“The Tuskegee Timeline” 2016). James H. Jones, author of an article called “Bad Blood,” stated, “The Tuskegee Study had nothing to do with treatment. No new drugs were tested; neither was any effort made to establish the efficacy of old forms of treatment.” (Coleman, et al. 41). The participants were not treated to cure their illness, they were not given the option to leave the study, and when penicillin became the drug commonly used to treat syphilis, the participants were not given the drug as a treatment. Coleman states, “…However, they deliberately denied treatment to the men with syphilis and they went to extreme lengths to ensure they would not receive therapy from other sources” (Coleman, et al. 41). The study was only supposed to last for six months, but instead lasted for forty years, beginning in 1932 and ending in 1972. The men who participated in the study were misled, left untreated and were unable to leave the study when a working cure for syphilis had been found. The way these men were treated is the very definition of unethical and thus the Tuskegee Syphilis Experiment serves as an important historical example of the necessity of medical ethics and IRB review processes, even though they may seem
tedious. Historically, the Holocaust is seen as one of the most tragic events in history. Although it is generally considered to be a time of horrendous treatment of humankind, the most pivotal and upsetting events to occur during the Holocaust were the Nazi Experiments. The Nazi Experiments were a series of medical research studies done on prisoners of concentration camps in order to further knowledge in multiple medical fields and find cures for illnesses and infections which the German military faced (Coleman et al. 16). These experiments were done without the consent of the participants, which consisted of camp prisoners that were Jewish, homosexual, and even prisoners of war. Not only were the prisoners forced to participate, they were physically harmed or even killed by German doctors who wanted to further their experimental studies. These experiments ranged from testing cures for malaria to breaking bones of prisoners in order to test reconstruction surgery methods being developed. The victims of these inhumane experiments suffered severe injuries, illnesses, and even faced death after experiencing the torturous conditions that they were subjected to. The immoral treatment of prisoners within the camps serves as a warning against continuing human participation in medical research without Institutional Review Boards and standard medical ethics.
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...
Southam’s practice, beginning with the Code’s number 1 rule, “The voluntary consent of the human subject is absolutely essential.” Other rules under the Nuremberg Code were broken as well, however all of these egregious behaviors of researchers, more so than just Southam, have influenced the tight research protocols in place today. As Dr. Hardy shared information on research protocols, she consistently referred back to a strict system of regulations that, at times, may seem a little extreme. The alternative, a system permitting researchers like Southam, would be a far harder bullet to bite. In the end, I am glad these systems are in place to try to ensure a trust between patients and
1. Capp, Marshall B. "Ethical and Legal Issues in Research Involving Human Subjects: Do You Want a Piece of Me? -- Kapp 59 (4): 335 -- Journal of Clinical Pathology." BMJ Journals. J Clin Pathol, 18 Jan. 2006. Web. 11 Feb. 2012.
IRBs review all aspects of the researchers' project: the study design, the recruitment process, the participant population, the informed consent document and process, the risk/benefit ratio, privacy and confidentiality, data storage and protection, and safeguards for vulnerable participants (University of St. Francis, n.d.). In this way, participants' rights are protected because the effort is made even before the research begins. The review process ensures that participants are chosen fairly and adequately and the information collected during research is safeguarded through collection, use, and storage. Research using human participants is such an important part of medicine that it is imperative it is performed in a way that its intrigue is not compromised. The Institutional Review Board Process Applying for exempt research study approval from the IRB at the University of St. Francis involves submitting a copy of the work, an application, and a statement explaining why the researcher believes the study would be exempt from expedited or full-level IRB review approval.
The first half of the 20th century was plagued by actions that are revealed to be unethical and frightening in today’s society. Poor medical practices during this time period were often overlooked. Many doctors, without advanced equipment or proper safety guidelines would perform procedures on living bodies to see what had happened to them. These experiments were often completed without informed consent. One of the most unethical studies that came from the 1900’s was the Tuskegee Syphilis Study, that took place in Macon County, Alabama.
When penicillin was discovered in 1940 and was the only cure for syphilis at that time. The participants form Tuskegee Syphilis Experiment were excluded from many campaigns that were taking place in Macon County, Alabama to eliminate venereal diseases (Person Education, 2007). This experiment lasted forty years and by the end 28 of the men had died directly of syphilis, 100 were dead of related complications, 40 of their wives had been infected, and 19 of their children had been born with congenital syphilis (info please, 2007). The directors of this experiment used ethical, interpersona... ... middle of paper ... ...
The Tuskegee Study, which lasted 40 years, reveals the steadfast beliefs and little knowledge within the 20th century medical community about the African American people, the nature of sex, and how venereal diseases spread. The Tuskegee Study’s negative impacts reached beyond just the poor African American men who were used as the experiment’s subjects, but to their partners and children as well. Not only was the entire health of a community jeopardized by the United States Public Health Service (USPHS) by leaving a communicable disease untreated, but the heavy use of deceit towards the study’s unknowing test subjects illustrates how the race concept and Social Darwinism was so influential in public health during the time. Thankfully, the treatment of human beings like laboratory animals is highly implausible in this day and age.
The first research issue raised was that the Tuskegee study subjects were unaware that they were participating in the study and they were not being treated, but they were just used as guinea pig. In addition, subjects were not given the choice of whether they want to participate in the study or not. The second research issue raised by research was that the study was performed one hundred percent African American people only. This shows government health care profes-sionals biased behaviour towards minority and violation of the public rights. Finally, the third research issue raised was that Syphilis was untreated among the African American subjects for 40 years, and no comprehensive report was published accept the study was reported in medical journals. In addition, for 40 years no one ever protested in the medical community for treating study subjects. Observers of the study felt that there was no
It also highlights the position of the medical staff and gives them the power to terminate a research study effort if participants are put in danger or suffering takes place. An additional conclusion of the Tuskegee Syphilis Study was that the creation of The National Commission for the Protection of Human Subjects of Biomedical and Behavioral Research. In 1974 this organization was started for the purpose of approving regulations which guarantee that the trial participants were fully informed and consent was given legally and ethically. They also require that the studies that involve human test subjects should be reviewed by the Institutional Review boards in order to make sure that all procedures and events taking place during the study
The student's video about says that the Tuskegee Syphilis Experiment was wrong and I agree. It violated the patient's rights because the government violated the trust people had ensued in it. According to many of the ethical theories, we have studied so far in class, this action was extremely wrong. Kant's Ethical theory says that the Tuskegee Syphilis Experiment was wrong because it violated the two main principles Kant's ethical theory is based on. The first principle is, "Act only on that maxim which you can will to be a universal law" (page 911). Similarly, Kant's second principle is, "Always act so as to treat humanity, either in yourself or in others, always as an end and never only as a means" (page 912).
In a world where public health has only recently been widened to incorporate global health and epidemiology, there is still distrust among society based on previous ethical misconduct in the field of health research. The article about the Tuskegee provided insight into some of the ethical misconduct in research related to HIV/AIDS and STIs. These men freely agreed to participate in the study, but were not given information related to the study’s purpose. In addition, the study was only supposed to last six months, and ended up going on for 40 years. Throughout this long study, there was no evidence to prove whether or not the participants were given the chance to leave the study. This ethical misconduct led to some mistrust in researchers and
The purpose of the Tuskegee Syphilis Study was to observe syphilis when left untreated in black men. Although the intentions were benevolent at the beginning of the study, many began to express concerns that the study was unethical. Throughout the study subjects were not informed of the true purpose of the study, but were lied to and told it was to observe bad blood. Although it was seemingly unethical, this allowed for the results of the study to remain unaltered by the subjects which avoided any falsified documentation. Despite deceiving the subjects having an advantage, it also raised many questions among the community as to whether the intentions of the study were justifiable. In fact, the study angered not only the United States as a whole,
The IRB, or institutional review board, serves to either approve or deny biomedical and behavioral research. The IRB was created after several cases of inhumane treatment or improperly conducting or performing experiments. Therefore the IRB was created to help regulate and prevent such catastrophes from happening again. However, much has changed now. I believe that there is an issue with regulations and procedures that govern research regarding human subjects. There needs to be smart, streamlined regulation rather than numerous regulations that prevent creative experiments or tests that may push the boundaries, within reason, to provide knowledge. Furthermore, certain regulations by the IRB are extraneous. This is why there needs to be a change to smarter regulation within the IRB.
In December 1946, the War Crimes Tribunal at Nuremberg indicted 20 Nazi physicians and 3 administrators for their willing participation in carrying out the harmful research on unwilling human subjects. Thus, Nuremberg code was the first international code for the ethics to be followed during human subject research. It was permissible medical experiments implemented in August 1947. The code also provides few directives for clinical trials (3). Syphilis study at Tuskegee in 1974 was the most influential event that led to the HHS Policy for Protecti...
...to find out something when they use children. The Tuskegee experiment exhibit how cruel researcher can also be, and how racial society was in 1932. The experiments show what can happen without regulations. There should be values and regulations to guide research in these experiments. Concluding, some experiments have the tendency to destroy the lives of the humans that have been experimented on.