Chapter

Justice, Exploitation, and Ancillary Care

Henry S. Richardson

in Moral Entanglements

Published in print October 2012 | ISBN: 9780195388930
Published online January 2013 | e-ISBN: 9780199979196 | DOI: http://dx.doi.org/10.1093/acprof:oso/9780195388930.003.0004
Justice, Exploitation, and Ancillary Care

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In our highly imperfect world, many of the most compelling claims for ancillary care arise in contexts of deep injustice. One might think, then, that the idea of justice could ground medical researchers’ special ancillary-care obligations; however, because of the kind of generality that is essential to justice, this chapter argues, it cannot ground these special obligations. Still, it is important that the partial-entrustment model not conflict with justice. Some argue that offering ancillary care will serve in many instances unduly to induce study participation; but those worries about exploitation are better addressed by adequate review of study risks. Special ancillary-care obligations such as those posited by the partial-entrustment model do call for departures from impartialist accounts of distributive justice: this is only appropriate. Further, these departures will not be radical, as the model’s strength factors will tend to favor those who are victims of the severest distributive injustice.

Keywords: research ethics; ancillary care; partial-entrustment model; justice; rectification; distributive justice; exploitation

Chapter.  8224 words. 

Subjects: Moral Philosophy

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