BMJ 2001;323:283 ( 4 August )

Letters

Revised Declaration of Helsinki

    Ethics is not just for ethicists
    WMA will continue to revise policy as medicine and research changes
    Authors' reply

Ethics is not just for ethicists

The first 150 words of the full text of this article appear below.

EDITOR---Singer and Benatar's editorial on revisions of the Declaration of Helsinki proposes "capacity development," defined as an increased number of professionals trained in ethics.1 Although this is indeed a step that needs to be taken, I cannot agree that it alone will advance the cause of ethical research, especially with the plans that the authors propose.

The assumption that having more trained people will change the system satisfies a necessary but not sufficient criterion. The fact that there are more doctors in the developing world today than there were 20 years ago does not mean either that the practice of medicine is better or that health needs are addressed. It depends on what these people trained in ethics do, where they do it, how they sustain their efforts, and how they integrate their contributions within the overall health development of nations.

The numbers and budgets presented in the proposal . . . [Full text of this article]


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