ERIC Number: EJ1211212
Record Type: Journal
Publication Date: 2019-Apr
Pages: 17
Abstractor: As Provided
ISBN: N/A
ISSN: ISSN-1747-0161
EISSN: N/A
A Partial Defense of Clinical Equipoise
Research Ethics, v15 n2 Apr 2019
In this essay, I suggest that a slightly modified version of Freedman's formulation of the clinical equipoise requirement is justified. I begin this essay with a brief discussion of the equipoise requirement. In the second and third sections, I discuss several objections to the clinical equipoise requirement as well as two attempts to justify the equipoise requirement. In the fourth section, in order to gain some insight into what it means to say that a physician has an obligation to act in the best interest of her patient, I examine a similar obligation, namely, a parent's obligation to act in her child's best interest. I claim that there are several uncontroversial exceptions to this obligation, and these exceptions arise when a parent occupies a role more complex than the role of parent "simpliciter." In the fifth section, I explore whether the exceptions to a parent's obligation to act in her child's best interest may shed light on some exceptions to a physician-researcher's obligation to act in the best interest of her patient. These exceptions, I suggest, arise when a physician occupies a role more complex than physician "simpliciter," and they ground a permission to conduct randomized clinical trials, even if doing so is not in the best interest of a physician-researcher's patients. I furthermore claim that these exceptions provide justification for a modified formulation of the clinical equipoise requirement.
Descriptors: Ethics, Medical Research, Physician Patient Relationship, Parent Child Relationship, Parent Role, Parent Responsibility, Responsibility, Physicians, Researchers, Randomized Controlled Trials
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Publication Type: Journal Articles; Reports - Descriptive
Education Level: N/A
Audience: N/A
Language: English
Sponsor: N/A
Authoring Institution: N/A
Grant or Contract Numbers: N/A