PHIL 27000 Lecture Notes - Lecture 5: Marcia Angell
2 Feb 2017
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Hellmans - there is no conflict if equipoise is achieved. P256 the argument usually used to justify randomization is that it provides, in essence, a critique of the usefulness of the physician"s beliefs and opinions . P257 to resolve this dilemma, one might suggest that the patient has abrogated the rights implicit in a doctor-patient relationship by signing an informed consent form . Hellmans" reply1: you cannot sign away your right to individualized care by physician -> it"s inalienable . Reply to hellmans" reply: but surely this right can be given up sometimes, when the person chooses to sacrifice for the greater good. Therefore: if the physician does not prefer one treatment over the other than randomization is morally impermissable. Main point: the right to treatment is grounded in (i) need (ii) medical knowledge and capability. Trials of interventions to reduce perinatal transmission of the hiv in developing countries. Azt proven to be effective in preventing perinatal hiv transmission.
