Children in HIV/AIDS Clinical Trials: Still Vulnerable After All These Years
Law, Medicine and Health Care. 1991 Fall-Winter; 19(3-4): 231-237.
[I]t is not always easy to decide what is truly in a particular child's best interests or what will benefit children as members of a group (for example, a family, school class, or an abstract collective). It is even more difficult to determine, when justifiable goals conflict, which should prevail. The conflicts have been particularly sharply drawn in the area of human subjects research....In the 1960s and 1970s there was a prolonged debate between those, like Paul Ramsey, who opposed "unconsented touching" on the basis of a strict interpretation of the principle of respect for persons, and Richard McCormick, who stressed children's status as members of society and their obligations to contribute to the general welfare when no risk is involved. In the federal regulations, Ramsey's extreme position was rejected in favor of a strong protectionist stance, including the development of special regulations for research involving children. As a consequence, some potential benefits to children have been foregone. The HIV/AIDS epidemic among children is challenging the status quo.
Adolescents; Aids; Children; Clinical Trials; Comprehension; Consent; Drugs; Ethical Review; Goals; Government; Government Regulation; General Welfare; HIV Seropositivity; Human Experimentation; Immunization; Infants; International Aspects; Legal Aspects; Minors; Misconduct; Nontherapeutic Research; Parental Consent; Patient Advocacy; Pediatrics; Placebos; Random Selection; Regulation; Research; Research Design; Review; Risk; Risks and Benefits; Scientific Misconduct; Selection of Subjects; Standards; State Government; Terminally Ill; Therapeutic Research; Third Party Consent;
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Levine, Carol (1991)[I]t is not always easy to decide what is truly in a particular child's best interests or what will benefit children as members of a group (for example, a family, school class, or an abstract collective). It is even more ...