Discussion:
  1. Trevor Smith (1999). Ethics in Medical Research: A Handbook of Good Practice. Cambridge University Press.
    This is a comprehensive and practical guide to the ethical issues raised by different kinds of medical research, and is the first such book to be written with the needs of the researcher in mind. Clearly structured and written in a plain and accessible style, the book covers every significant ethical issue likely to be faced by researchers and research ethics committees. The author outlines and clarifies official guidelines, gives practical advice on how to adhere to these, and suggests procedures (...)
    Direct download  
     
    My bibliography  
     
    Export citation  
Back    All discussions

2009-12-23
Subject payments & insurance in medical research

Many medical research protocols pay for medical care for subjects who do not have insurance but bill insurance companies if they do. Is this ethical?



e.g. 2 subjects in a cancer chemo protocol, each has an annual income of $100,000:

A Has chosen to pay for insurance. His insurance is billed for care.

B Has no insurance. He pays nothing.

 Is this ethical?




2010-11-08
Subject payments & insurance in medical research
Reply to Jim Krug
Yes it is. Both subjects are sick. Both subjects are ill. Both cases have a cure or treatment. The knowledge and means for both treatments exist. Both SHOULD be treated.

Now..! How does society organize itself to use resources that do exist to meet needs that also exist? Is private individual inurance the adequate form of organization in healcare? What is the ethical way for a society to care for its ill and sick?

Now... Why does A pay for insurance? To be treeated? Or to make sure he holds exclusivity in the treatment? In other words, why does A have to do with B's illness? What do You call people who live looking at what their neighbours have and have not?

Now... Is treatment a status thing? Should it be? Is it ethical for A to want to have exclusive access to treatment? If A demands that B does not receive healthcare because he hasn't paid for insurance, would that be ethical?

And especially... is it ethical that insurance companies preclude that society cares for its ill and sick because they are ill and sick? Is it ethical that B's treatment should be denied with the sole objective to force the purchase of a private and exclusive service?

«This is my truth, tell me yours.»
Aneurin Bevan