Yale University, Donaghue Initiative in Biomedical and Behavioral Research Ethics, Interdisciplinary Center for Bioethics, ISPS, 77 Prospect Street, PO Box 208209, New Haven, CT 06520, USA.
Am J Bioeth. 2010 Jun;10(6):26-35. doi: 10.1080/15265161.2010.482629.
International research, sponsored by for-profit companies, is regularly criticised as unethical on the grounds that it exploits research subjects in developing countries. Many commentators agree that exploitation occurs when the benefits of cooperative activity are unfairly distributed between the parties. To determine whether international research is exploitative we therefore need an account of fair distribution. Procedural accounts of fair bargaining have been popular solutions to this problem, but I argue that they are insufficient to protect against exploitation. I argue instead that a maximin principle of fair distribution provides a more compelling normative account of fairness in relationships characterised by extreme vulnerability and inequality of bargaining potential between the parties. A global tax on international research would provide a mechanism for implementing the maximin account of fair benefits. This model has the capacity to ensure fair benefits and thereby prevent exploitation in international research.
国际研究由营利性公司赞助,经常因不道德而受到批评,理由是它利用发展中国家的研究对象。许多评论家认为,当合作活动的利益在各方之间不公平分配时,就会发生剥削。因此,要确定国际研究是否具有剥削性,我们需要有一个公平分配的说明。公平谈判的程序说明一直是解决这个问题的流行方法,但我认为它们不足以防止剥削。相反,我认为公平分配的最大最小原则为在双方之间存在极端脆弱性和谈判能力不平等的关系中提供了一个更有说服力的公平规范说明。对国际研究征收全球税将为实施公平利益的最大最小说明提供一种机制。这种模式有能力确保公平的利益,从而防止国际研究中的剥削。