- Stephen J Senn (stephen@senns.demon.co.uk), professor of pharmaceutical and health statistics
- University College London, London WC1E 6BT
EDITOR—Lilford is right in his view of the importance of autonomy.1 However, because there are no rights without obligations, attempts to solve ethical problems at the point of sickness are doomed and consequently, equipoise is irrelevant.2 3 What is needed is something like Rawls's perspective of the original position.4
An alternative view of the ethics of clinical trials emphasises the role …
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