Abstract
The last 20 years have seen a staggering growth in the practice of off-shoring clinical research to low-and middle-income countries (LICs and MICs), a growth that has been matched by the neoliberal policies adopted by host countries towards attracting trials to their shores. A recurring concern in this context is the charge of exploitation, linked to various aspects of off-shoring. In this paper, I examine Alan Wertheimer's approach and offer an alternative view of understanding exploitation in this context. I will suggest that the justification for the enterprise of research is largely dependent on its integration within a health system from which participants regularly benefit and I argue that an attention to a principle of reciprocity will enable us to better recognize and address exploitation in international research.
Original language | English |
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Pages (from-to) | 111-18 |
Journal | Developing World Bioethics |
Volume | 13 |
Issue number | 3 |
Early online date | 18 Jun 2012 |
DOIs | |
Publication status | Published - 2013 |
Keywords / Materials (for Non-textual outputs)
- bioethics
- clinical trials
- developing world
- research ethics