Question

en in placebo-cont outweigh any sons for your answers ntrolled trials. Would the virus are unavailable bjections to such trials? and are not included in Cornell's promise to pr rticular vulner Chapter& Human Researeh 35s except to the very wealthy only very usceptible he said in an i medicine Nea to Test Drugs on Children Hasten , http:/www.nytines.com/ooolog/ta/ o years after Cornell opened the clinic, es some of the best AIDS treatment avail- s a country devastated by the epidemic, fight- myriad illnesses that result from AIDS. But t is a lower standard of care than patients receive jetcs wh Guidelines, New York Thmes, Weijer, a bioethicis dicine at Dalh THI html (6 March 20os) routinely at American institutions, including the ks while providing hospital affiliated with Cornell in New York City If the research were done in the United States Research and Medicine Collide in Haiti New n ought to be t ents," Dr. Weijer experts agree, the physicians would be obligated to prescribe the anti-retrovirals and deliver the most effective possible counseling against unprotected sex. The ethical questions posed by Cornell's work at met today in urope who are ds for clinical Times) -The impoverished patients who among Haiti's poor are at the heart of a global debate dirt sidewalk into the modern AIDS about AIDS research that is roiling international linic run by Cornell Medical College in health organizations from Geneva to Thailand, chal- step from e, Haiti, are offered a seemingly lenging ethics formulations established decades ago. in Europe and ley, chairman mple arnanla like to test your blood because you rea where AIDS may be common," the It's really like a Faustian bargain," said Mare Fleisher, a member of the committee at Cornell that reviews research on humans. "It's like, since we re ctor for pedi- g Evaluation ive h version of the clinics consent form reads. making this a better place, we're going to exp in a way we could never get away with in the We will provide with and canthe transaction is not as straightforward board made up mostly of university e .it sounds. Many Haitians who visit the clinic are doctors. ae at once patients and subjects of United States- Cornell doctors defended the couples study as nanced medical research, and circumstances that vitally important and stressed that its subjects re de you with medicine if you fall sick not afford such care. States," said Mr. Fleisher, the outside member on a don't do it, time and e them a ceive the same counseling about the dangers of AIDS and the same care as other patients at the had for their health are sometimes best for re- are Haitian clinic. at conflict is especially true in Cornell's most United States standards for research on humans tantalizing research in Haiti, a study of sex part Un one of whom is infected with the AIDS were strongly influenced by outrage over the Tuske- gee syphilis study earlier this century, which misled ners, es. hildren ression, Researchers, seeking clues to developing a virus. ing their disease, and withheld treatment even after penicillin was discovered. vaccine, study the blood of both partners, particu- larly the uninfected ones who continue to be ex- posed to the virus through unprotected sex. They are trying to find out whether some people have natural protections against infection with the AIDS s, largely Today's subjects are not to be pressured to par ticipate in research, according to Federal regula- tions. They are to be fully informed about the virus that could be replicated in a vaccine. research's purposes and risks. They must receive tions trial effec the best available therapy for their illnesses and be because they are not receiving the kind of care now standard in the world's developed countries. Condom use is low in Haiti, for cultural and other reasons. Anti told about any findings relevant to their health. In theory, the same rules apply to federally fi nanced studies overseas. But an examination of suppressing retroviral drugs that are successful at

Answer 1

1. The Cornell research is not ethical because its not doing what it is saying in the legal documents. They are taking consents from the subjects by telling them in written and orally that they will provide all the care to the patient if they are sick with AIDS ,but actually they are not giving the antiretroviral drugs to all the patient's ,they are giving it to the wealthy ones only . It's just totally injustice to the subjects who are participating in the study . Also they are breaking the ethics of veracity and fidelity.

2. Yes, the patient's in the study should get the same AIDS treatment that is available to the people in united states because standard treatment is same all over the world ,it should be available for all the population as it is the right of an individual to get the treatment .

3. Yes, the researcher should provide stronger warning to subjects about the danger of not using condoms because unprotected sex is one of the common and leading cause of sexually transmitted disease mainly AIDS . If condoms are not used during sex ,there is high chances of getting infected with AIDS. In Haiti ,condoms are not used due to cultural and some other reasons , the health care people should provide health education and counselling about the use of condoms and should make them think practically and logically.

4. No, the informed consent process is not morally accepted because what it is said in the informed consent is not being followed . They are taking the consents for providing treatment for AIDS but not promising to give antiretroviral drugs which is the major treatment for AIDS .