TY - JOUR
T1 - Universal compulsory service in medical research
AU - Herrera, C. D.
PY - 2003
Y1 - 2003
N2 - Despite the prominence of healthcare-related concerns in public debate, the ground remains infertile for the idea of conscripting citizens into medical research. Reluctance to entertain the thought of a system where nearly everyone could be selected for service might reflect uncertainty about what the project would involve. There might also be a fear that the more crucial issue is how to protect research subjects within current, voluntary systems. No doubt reluctance to explore a system of universal service results from the common hope that each of us might avoid research in any capacity besides researcher. A system of full civic participation might, however, avoid many of the usual objections. Ethics regulations, including informed-consent guidelines, could for the most part remain in force. Though the system would compel people to serve, it could remain responsive to principles of autonomy and justice if it centered on broad public education, community representation, and a lottery-type selection process. The system could draw from the largest possible cross-section of society, and offer conscripts the widest possible range of service. In this way, a compulsory system might reconcile the expectations about healthcare with research needs.
AB - Despite the prominence of healthcare-related concerns in public debate, the ground remains infertile for the idea of conscripting citizens into medical research. Reluctance to entertain the thought of a system where nearly everyone could be selected for service might reflect uncertainty about what the project would involve. There might also be a fear that the more crucial issue is how to protect research subjects within current, voluntary systems. No doubt reluctance to explore a system of universal service results from the common hope that each of us might avoid research in any capacity besides researcher. A system of full civic participation might, however, avoid many of the usual objections. Ethics regulations, including informed-consent guidelines, could for the most part remain in force. Though the system would compel people to serve, it could remain responsive to principles of autonomy and justice if it centered on broad public education, community representation, and a lottery-type selection process. The system could draw from the largest possible cross-section of society, and offer conscripts the widest possible range of service. In this way, a compulsory system might reconcile the expectations about healthcare with research needs.
KW - Clinical research
KW - Ethics
KW - Justice
KW - Public health
UR - http://www.scopus.com/inward/record.url?scp=0041887157&partnerID=8YFLogxK
U2 - 10.1023/A:1024888622358
DO - 10.1023/A:1024888622358
M3 - Review article
C2 - 12948047
AN - SCOPUS:0041887157
SN - 1386-7415
VL - 24
SP - 215
EP - 231
JO - Theoretical Medicine and Bioethics
JF - Theoretical Medicine and Bioethics
IS - 3
ER -