Our Life Depends on This Drug: Competence, Inequity, and Voluntary Consent in Clinical Trials on Supervised Injectable Opioid Assisted Treatment

American Journal of Bioethics 17 (12):32-40 (2017)

Abstract
Supervised injectable opioid assisted treament prescribes injectable opioids to individuals for whom other forms of addiction treatment have been ineffective. In this article, we examine arguments that opioid-dependent people should be assumed incompetent to voluntarily consent to clinical research on siOAT unless proven otherwise. We agree that concerns about competence and voluntary consent deserve careful attention in this context. But we oppose framing the issue solely as a matter of the competence of opioid-dependent people and emphasize that it should be considered in the context of inequities in access to siOAT as a medical treatment. Consequently, we suggest that bioethics literature on nonexploitation, which focuses on clinical research in low-income countries, is helpful due to locating ethical issues within systemic social conditions. Finally, we consider the implications of our argument for the ethics of clinical research on siOAT.
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DOI 10.1080/15265161.2017.1388449
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References found in this work BETA

Rethinking Research Ethics.Rosamond Rhodes - 2005 - American Journal of Bioethics 5 (1):7 – 28.
Exploitation.Michael Gorr & Alan Wertheimer - 1998 - Philosophical Review 107 (2):296.
Cynthia's Dilemma: Consenting to Heroin Prescription.Louis C. Charland - 2002 - American Journal of Bioethics 2 (2):37 – 47.
Undue Inducement: Nonsense on Stilts?Ezekiel J. Emanuel - 2005 - American Journal of Bioethics 5 (5):9-13.

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Cynthia's Dilemma: Consenting to Heroin Prescription.Louis C. Charland - 2002 - American Journal of Bioethics 2 (2):37 – 47.

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