Medical Testing Dilemmas

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“Twenty-one percent of prisoners and 14% of jail inmates reported ever having tuberculosis, hepatitis B or C, or other STDs (excluding HIV or AIDS).” (Bureau of Justice Statistics, 2016). This paper will explore the question: Do you agree with Dr. Albert M. Kligman that prisoners should be again involved in medical trials? This paper will develop a position paper addressing both sides of the issue. This paper will provide a historical overview of the significant benefits and detriments involving medical testing of prisoners. This will also include examples to support your position.
Do you agree with Dr. Albert M. Kligman that prisoners should be again involved in medical trials? Clinical research is adjoining by moral and lawful problems,
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Records such as the Nuremberg Code and Belmont report were prepared to stop the exploitation and mistreatment of research topics. The Belmont Report covers three moral values for human focuses research which are particularly significant to inmate research such as autonomy, beneficence and justice (OPRS, n.d). Previous, in the 1900s, there were no guidelines concerning the moral use of human participants in research. There were no regulations or any program long for behavior and no Institutional Review Board (IRB) (Parasitol, 2011). From the 1940s through the early 1970s, American doctors frequently vaccinated and infected prisoners with “malaria, typhoid fever, herpes, cancer cells, tuberculosis, ringworm, hepatitis, syphilis and cholera in repeatedly failed attempts to “cure” such diseases” (Talvi, 2001). Doctors in jails attracted out inmates’ fingernails and perpetrated flash injuries to estimate the outcomes of atomic bomb attacks and even lead numerous “mind-control” trials using separation methods and great amounts of LSD, consideration of the CIA (Talvi, 2001). By 1972, the pharmaceutical manufacturing was increasing more than 90 percent of its new analysis on inmates. The application and the benefits of an continuously available, extremely measured study group were clear to researchers and experimental benefactors alike; and, as researchers liked to …show more content…
Second, confidentiality is far more problematic to safeguard inside a correctional environment. For example, an inmate’s journey to a health center that is studying acquired immune deficiency syndrome (AIDS) or hepatitis C creates fairly clear what the prisoner’s call indicates (Gostin, Vanchieri, & Pope, 2007). Third, moral examination includes safeguarding, as a requirement for examination, that the standard of medical health care presented in the correctional environment allows the prisoner to have a significant choice among the current care that is accessible and the trial intervention. In a correctional environment it might be hard to differentiate between a refusal of care and a denial of care. Similarly, there can be problems in differentiating between compliance and noncompliance in the research procedure. For instance, if a prisoner does not look for a arranged examination conference, which might also offer admission to healthcare, it might not be clear whether the prisoner has “(1) decided not to come, (2) been barred or precluded from coming, (3) been taken to court for an unanticipated appearance, or (4) been presented with an unscheduled family visit.” (Gostin el at, 2007). Conclusion Prisoners and jail inmates stated still being affected by hepatitis C, HIV, AIDS or other STDs while incarcerated.

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