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Medical Ethics





This remark was made during the Baby Doe controversy of the Regan administration. However, in Germany an organization called Lebanshilfe, an organization for parents of intellectually disabled infants has adopted a set of Ethical Foundational Statements one of which is, ?The uniqueness of human life forbids any comparison - or, more specifically, equation - of human existence with other living beings, with their forms of life or interests? (Singer 202.) The revised counterpart to this commandment states, ? Do not discriminate on the basis of species? (Singer 202). This revised ethic is the one most rejected; it contradicts the fact all human life is of worth and is more sensitive in most people. This sets forth the same message that a sexist or racist would hate, because you are not part of my group you are inferior. These ethical commandments or dictates provide a framework for today?s unstable society. The American Medical Association has devised a set of codes designed to guide researchers in their conduct during experimentation. The American Medical Association?s Ethical Guidelines for Clinical Investigation include:1. The voluntary consent of the human subject is absolutely essential.2. The experiment should be such as to yield fruitful results for the good of society, unprocurable by other methods or means of study, and not random or unnecessary in nature. 3. The experiment should be so designed and based on the results of animal experimentation and a knowledge of the natural history of the disease or other problem under study that the anticipated results will justify the performance of the experiment.4. The experiment should be so conducted as to avoid all unnecessary physical and mental suffering and injury.5. No experiment should be conducted when there is an a priori reason to believe that death or disabling injury will occur; except, perhaps, in those experiments where the experimental physicians also serve as subjects.6. The degree of risk to be taken should never exceed that determined by the humanitarian importance of the problem to be solved by the experiment.7. Proper preparations should be made and adequate facilities provided to protect the experimental subject against even remote responsibilities of injury, disability or death. 8.

 

The experiment should only be conducted by scientifically qualified persons. the highest degree of skill and care should be required through all stages of the experiment of those who conduct or engage in the experiment. 9. During the course of the experiment the human subject should be at liberty to bring the experiment to an end if he has reached the physical or mental state where continuation of the experiment seems to him to be impossible.10. During the course of the experiment the scientist in charge must be prepared to terminate the experiment at any stage, if he has probable cause to believe, in the exercise of good faith, superior skill, and careful judgment required of him, that a continuation of the experiment is likely to result in injury, disability, or death to the experimental subject (Levine 171-74)Such codes form a conceptual framework for the protection of human subjects. However, these guidelines are very vague for use in actual practice; clearly human experimentation includes much more than just the technical aspects. It includes mental, physical and emotional perspectives that can not be covered on a sheet of paper; the purpose of a structured written set of guidelines is totally to provide a rulebook by which researchers follow in order to be ethically correct. A researcher gains information through experimentation and they must have these guidelines (McKenzie 287). An example of how these guidelines can assist, but not be of complete structure would be the cancer injections. The Sloan-Kettering Institute in New York is one of the country?s preeminent cancer centers. During the 1950?s and 1960?s they conducted a series of experiments to determine if there was a relationship between cancer and the immune system. The experimental hypothesis was that, ? the immune system of cancer patients is depressed with respect to that specific disease? (Levine 172). The scientists developed a program to test the hypothesis; it was to inject malignant cancer cells into human subjects. We do not know whether the volunteers were really being experimented on under strictly voluntary conditions or not, but that is the problem with written guidelines, they work on paper, but not necessarily in life (Levine 173). Must we experiment on human beings?

 



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