This book examines the ethical controversies that have surrounded
the design and conduct of international medical research sponsored
by industrialized countries or industry, and carried out in
developing countries. The chief concern is that research subjects
in developing countries may be exploited because sponsors of
research employ double standards. One debate focuses on whether the
standard of care provided to subjects of medical research in
developing countries should be the same as what research subjects
receive in North America and Europe. Other concerns are whether the
process of obtaining informed consent in developing countries is
adequate, and whether prior ethical review of research meets
standards that are well established in the industrialized world.
Recent international developments show that essential medications
can be made affordable and accessible to developing countries, and
that double standards need not prevail.
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