Żuradzki Tomasz, Malinowska Joanna Karolina
Institute of Philosophy & Interdisciplinary Centre for Ethics, Jagiellonian University in Kraków, ul. Grodzka 52, Kraków, 31-044 Poland.
Faculty of Philosophy, Adam Mickiewicz University, ul. Szamarzewskiego 89C, Poznań, 60-568 Poland.
Synthese. 2024;204(4):130. doi: 10.1007/s11229-024-04769-8. Epub 2024 Oct 2.
We argue that there are neither scientific nor social reasons to require gathering ethno-racial data, as defined in the US legal regulations if researchers have no prior hypotheses as to how to connect this type of categorisation of human participants of clinical trials with any mechanisms that could explain alleged interracial health differences and guide treatment choice. Although we agree with the normative perspective embedded in the calls for the fair selection of participants for biomedical research, we demonstrate that current attempts to provide and elucidate the criteria for the fair selection of participants, in particular, taking into account ethno-racial categories, overlook important epistemic and normative challenges to implement the results of such race-sorting requirements. We discuss existing arguments for and against gathering ethno-racial statistics for biomedical research and present a new one that refers to the assumption that prediction is epistemically superior to accommodation. We also underline the importance of closer interaction between research ethics and the methodology of biomedicine in the case of population stratifications for medical research, which requires weighing non-epistemic values with methodological constraints.
我们认为,如果研究人员对于如何将临床试验中人类参与者的这种分类与任何能够解释所谓的种族间健康差异并指导治疗选择的机制建立联系没有先验假设,那么就不存在科学或社会理由要求收集美国法律法规中所定义的种族数据。虽然我们认同生物医学研究中公平选择参与者这一呼吁所蕴含的规范观点,但我们表明,目前为公平选择参与者提供并阐明标准的尝试,尤其是考虑种族类别时,忽视了实施此类种族分类要求结果所面临的重要认知和规范挑战。我们讨论了支持和反对为生物医学研究收集种族统计数据的现有论点,并提出了一个新论点,该论点涉及预测在认知上优于调适的假设。我们还强调了在医学研究的人群分层情况下,研究伦理与生物医学方法论之间更紧密互动的重要性,这需要在非认知价值与方法论限制之间进行权衡。