The Ethics of Experimental Heroin Maintenance
Dance, Phyll R.
Goodin, Robert E.
Journal of Medical Ethics. 1993 Sep; 19(3): 175-182.
In response to widespread concern about illegal drug use and the associated risk of the spread of HIV/AIDS, a study was undertaken to examine whether it was, in principle, feasible to conduct a trial providing heroin to dependent users in a controlled manner. Such a trial involves real ethical issues which are examined in this paper. The general issues examined are: should a trial be an experiment or an exercise in public policy?; acts and omissions; countermobilisation; termination of a trial, and payment for drugs and for a trial. The specific issues examined are: selection of trial participants; privacy; issues for staff working on a trial; coupling the trial with other treatment, and issues for researchers. A number of alternative approaches to the various ethical issues are presented and discussed.
Aids; Confidentiality; Control Groups; Costs and Benefits; Consent; Drug Abuse; Drugs; Ethical Analysis; Ethicists; Ethics; Evaluation; Health; Health Personnel; Heroin; HIV Seropositivity; Human Experimentation; Incentives; Informed Consent; Injuries; Investigators; Justice; Legal Liability; Liability; Political Activity; Privacy; Public Policy; Research; Research Design; Research Subjects; Researchers; Risk; Risks and Benefits; Standards; Utilitarianism; Volunteers;
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