MacKay Douglas, Rulli Tina
Kennedy Inst Ethics J. 2017;27(1):71-105. doi: 10.1353/ken.2017.0004.
We examine current applications of the moral duty to rescue to justify clinical investigators' duties of ancillary care and standard of care to subjects in resource-poor settings. These applications fail to explain why investigators possess obligations to research participants, in particular, and not to people in need, in general. Further, these applications fail to recognize the normative significance of the institutional role of the investigators. We offer a positive account of the duty to rescue for investigators as institutional agents, with duties to populations rather than merely individuals.
我们审视了道德救援义务的当前应用,以论证临床研究人员在资源匮乏环境中对受试者的辅助护理义务和护理标准。这些应用未能解释为何研究人员尤其对研究参与者负有义务,而不是普遍地对有需要的人负有义务。此外,这些应用未能认识到研究人员机构角色的规范意义。我们对研究人员作为机构代理人的救援义务给出了一种肯定的解释,即他们对人群负有义务,而不仅仅是对个体负有义务。