Resituating the principle of equipoise: justice and access to care in non-ideal conditions

Kennedy Institute of Ethics Journal
Rebecca Kukla

Abstract

The principle of equipoise traditionally is grounded in the special obligations of physician-investigators to provide research participants with optimal care. This grounding makes the principle hard to apply in contexts with limited health resources, to research that is not directed by physicians, or to nontherapeutic research. I propose a different version of the principle of equipoise that does not depend upon an appeal to the Hippocratic duties of physicians and that is designed to be applicable within a wider range of research contexts and types, including health services research and research on social interventions. I consider three examples of ethically contentious research trials conducted in three different social settings. I argue that in each case my version of the principle of equipoise provides more plausible and helpful guidance than does the traditional version of the principle.

Citations

Apr 13, 2011·Prenatal Diagnosis·H C M L RodriguesP P v d Berg
Sep 16, 2010·Nursing Philosophy : an International Journal for Healthcare Professionals·Douglas E Schlichting
Feb 24, 2012·Transplant International : Official Journal of the European Society for Organ Transplantation·Ariel LefkowitzJacques Balayla
Feb 2, 2012·The Journal of Manual & Manipulative Therapy·Chad Cook, Charles Sheets
Mar 24, 2017·Health Policy and Planning·Bridget PrattJoseph Ali
Jul 13, 2011·Clinical Trials : Journal of the Society for Clinical Trials·Rieke van der Graaf, Johannes J M van Delden
Jan 9, 2021·European Journal of Orthopaedic Surgery & Traumatology : Orthopédie Traumatologie·Kenneth H LevySteven M Koehler

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