Medical Experimentation Personal Integrity and Social Policy New Edition 1st Edition by Charles Fried ISBN 0190602740 9780190602741

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ISBN 10: 0190602740 
ISBN 13: 9780190602741
Author: Charles Fried

First published in 1974, Charles Fried’s Medical Experimentation is a classic statement of the moral relationship between doctor and patient, as expressed within the concept of personal care. This concept is then tested in the context of medical experimentation and, more specifically, the randomized controlled trial (RCT). Regularly referred to as a point of departure for ethical and legal discussions of the RCT, the book has long been out of print. This new, second edition includes a general introduction by Franklin Miller and the late Alan Wertheimer, a reprint of the 1974 text, and an in-depth analysis by Harvard Law School scholars I. Glenn Cohen and D. James Greiner which discusses the extension of RTCTs to social science and public policy contexts. The volume concludes with a new essay by Charles Fried that reflects on the original text and how it applies to the contemporary landscape of medicine and medical experimentation.

Medical Experimentation Personal Integrity and Social Policy New Edition 1st Table of contents:

1. Introduction
2. The Legal Context of Medical Experimentation
2.1. General Principles
2.2. Consent
2.2.1. The Meaning of Consent
2.2.2. Qualifications of the Requirement of Informed Consent
2.2.3. Overriding the Patient’s Failure to Consent
2.2.4. Withdrawal of Consent and the Continuing Duty to Disclose
2.3. General Legal Principles Applied to Medical Experimentation
2.3.1. Non-therapeutic Experimentation
2.3.2. Therapeutic Experimentation
2.3.3. Mixed Therapeutic and Non-therapeutic Research: The Problem of the Randomized Clinical Trial
2.4. Participation in Experimentation as a Condition of Medical Treatment
2.5. Statutes and Regulations
3. The Concept of Personal Care
3.1. Do Randomized Clinical Trials Really Pose a Dilemma?
3.1.1. The Burdens on the Experimental Subject
3.1.2. Is Personal Care a Coherent Concept?
3.1.3. The Terms of the Conflict: Distributive Justice and Rights
3.2. Distributive Justice
3.3. The Good of Personal Care
4. Personal Care: Interests or Rights
4.1. Economic Theory and Medical Care
4.1.1. Efficiency
4.1.2. Distribution
4.2. The Concept of Rights
4.2.1. Rights and Efficiency
4.2.2. Negative and Positive Rights
4.3. Personal Integrity, the Goals of Medicine, and Rights in Personal Care
4.3.1. Personal Integrity
4.3.2. Sickness and Death
4.3.3. The Function of Medical Care
4.3.4. Rights in Medical Care: Lucidity, Autonomy, Fidelity, Humanity
5. Realizing Rights—Medical Care in General
5.1. Preliminary Speculation: The Antinomy of the Personal and the Social
5.1.1. Political Versus Ethical Theory
5.1.2. The Theory of Democracy
5.1.3. What Are We Entitled to Ask of Theory?
5.2. Two Models of the Health Care System
5.2.1. Primary Care
5.2.2. The Hospital
5.2.3. The Department of Health
5.3. The Antinomy Confronted: Putting the Two Models Together
5.3.1. The Rightness of Queuing
5.3.2. The Obligations of Bureaucrats
6. The Practice of Experimentation
6.1. Some Recent Randomized Clinical Trials
6.1.1. The Veterans Administration Cooperative Study Group: Clinical Trial of Anti-Hypertensive Therapy
6.1.2. The University Group Collaborative Oral Anti-Diabetic Agent Randomized Clinical Trial
6.1.3. Coronary Bypass Surgery
6.1.4. The Salk Polio Vaccine Trial
6.2. The Concept of Professional Knowledge
6.3. Rights in Experimentation
6.3.1. Lucidity and the Duty of Candor
6.3.2. Autonomy and the Concept of Professional Accountability
6.3.3. Fidelity and Humanity
6.4. Rights in Experimentation: Implementation and Accommodations
6.4.1. Alternatives to Randomized Controlled Trials
6.4.2. Accommodation by Differentiation of Role
6.4.3. Compensation and Participation

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