McCaughey Davis
Bioethics. 1995 Oct;9(5):437-43. doi: 10.1111/j.1467-8519.1995.tb00319.x.
...McNeill's book raises some very important questions about the ways in which a society comes to terms with the fact that the practice of medicine is more closely linked with experimentation than ever before. That often puts the doctor-patient relation into a new setting. We have registered our objection to McNeill's tendency to see that relationship, where experimentation is involved, in an adversarial form: there are, we must repeat, more than two sides to this argument, and the medical scientist's commitment is not only to truth at any cost any more than the medical practitioner's is to treatment in all circumstances. Objections do not mean that we cannot learn from this book: on the contrary they may help us to sharpen our perceptions of what should happen. Fair-mindedness would suggest that failure to fulfill expectations is nothing like as widespread or for that matter incurable as McNeill's polemical tone might lead us to believe. When McNeill ceases to be the prosecuting counsel the true worth of his comments will become more apparent.
...麦克尼尔的书提出了一些非常重要的问题,关乎一个社会如何面对医学实践比以往任何时候都更紧密地与实验联系在一起这一事实。这常常将医患关系置于一种新的情境中。我们已表明反对麦克尼尔倾向于将涉及实验的医患关系视为对抗形式:我们必须重申,这场争论不止两方,医学科学家追求真理并非不惜一切代价,医学从业者也并非在任何情况下都只执着于治疗。反对并不意味着我们不能从这本书中学到东西:相反,它们或许能帮助我们更敏锐地洞察应该发生的事情。公正的态度表明,未达期望的情况并不像麦克尼尔的论战口吻可能使我们相信的那样普遍,或者就此而言不可治愈。当麦克尼尔不再充当控方律师时,他言论的真正价值将变得更加明显。