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COVID-19 and Moral Imperialism in Multinational Clinical Research #MMPMID32387041
Hellmann F; Williams-Jones B; Garrafa V
Arch Med Res 2020[Aug]; 51 (6): 572-573 PMID32387041show ga
A TV debate in April 2020 between two French doctors regarding the benefits of testing a coronavirus vaccine in Africa where there are no masks or treatments available has led to international criticism. This case highlights a problematic ethical double standard in multinational clinical research: trials that would be considered unethical in high income countries (e.g., placebo-controlled where there is an existing treatment) are nonetheless justified in low-and-middle-income countries because the existing standards of care are less (i.e., no access to a treatment). Underlying this ethical double standard in some multinational clinical trials is a moral imperialism and persistent colonialist thinking that must be rejected.