Nuremberg Code Of Ethics

This essay examines the Tuskegee Syphilis Study, wherein for 40 years (1932-1972) hundreds of black men suffering from advanced syphilis were studied but not treated. The 40-year study was controversial for reasons related to ethical standards; primarily because researchers knowingly failed to treat patients appropriately after the 1940s validation of penicillin as an effective cure for the disease they were studying. To explore the role of the racism in the controversial study, this essay analyzes the article written by Allan M. Brandt.

Today there are many more laws and steps to take in order to conduct a study with human subjects and the Tuskegee Syphilis Study would never be approved in today's society due to the many violations to human rights that this study would incur. The study would still violate the Henderson Act as well as the Declaration of Helsinki and in addition would violate several other newly developed guidelines. The National Organization for Human Services has created a set of standards that human service workers should abide by. A human service worker has a responsibility to treat their clients with respect and dignity as well as looking out for their safety (NOHS, 2005). A human service worker has an obligation to avoid any type of treatment or experiment that would put the client in harm's way.

The Tuskegee Syphilis Study was an unethical prospective study based on the differences between white and black males that began in the 1930’s. This study involved the mistreatment of black males and their families in an experimental study of the effects of untreated syphilis. With very little knowledge of the study or the disease by participants, the Tuskegee Syphilis Study can be seen as one of the worst forms of injustices in the United States history. Even though one could argue that the study was originally intended to be for good use, the Tuskegee Syphilis Study was immoral and racist because only poor, uneducated black males were used in experiment, the participants were not properly informed of their participation in the

In todays society, the common consensus about human experimentation is that it is unethical, however, people in the past believed it was necessary to advance scientific discoveries. The Tuskegee syphilis study is a prime example of how scientists in the past disregarded the ethics of human experimentation to enhance scientific research. The study was an experiment where four- hundred to six-hundred uneducated African American men were tricked into being tested. Most of the patients were injected with the disease and left without treatment to discover its effects, while the others were safe being used as controls. This experiment lasted for Forty years and was probably the biggest example of unethical human experimentation in America. Fortunatley, the contrivertial actions taken in the experiment lead future generations to create the law of informed consent where the patient understands what will happen during their treatment. The inspiration for researching this topic was how in “The Immortal Life of Henrietta Lacks”, by Rebecca Skloot, Henrietta was used for a scientific study without her consent. In relation to Henrietta, the men in the syphilis study were not aware of what was happening to them and were experimented on without their consent. Overall, the human experimentation in the Tuskegee syphilis study was unethical in many ways.

There are a multitude of constituents that could be modified to make these unprincipled studies ethical for subjects. The Tuskegee syphilis study was an unscrupulous experiment that illustrated the significance of morality in human experimentations. A noteworthy alteration that would be made is guaranteeing that every participant in experiments are given a full assessment of the dangers that can arise from the experiment. Consent was an element that was fundamentally nonexistent in the Tuskegee syphilis experiment, resulting in the study being expressively immoral. In addition, a momentous ethical and legal issue involved in the Tuskegee study were the counterfeited information given to the subjects and the community. David Smolin, the author of the “Tuskegee Syphilis Experiment, Social Change, and the Future

The Tuskegee study is a prime example of why ethical treatment is necessary. This study took place in 1932 and dealt with African Americans who had contracted Syphilis. They were told they would get free medical exams, free meals, and burial insurance in exchange for participating in the study. The catch was that the people participating in the study who had syphilis were not treated properly. Even when penicillin became the main treatment for syphilis, the patients were not given it and were not given the option to leave the study when this happened. Ultimately, the study got shut down because it was considered unethical due to the fact that the patients were not given enough information to give real informed consent.

The Tuskegee Syphilis Study was the experiment conducted by US public health service among 600 black men to study about the disease named syphilis from 1932 to 1972 (CDC,2016).The participants were poor rural African-American living in Macon County ,Alabama. The study was done to find out the effects of untreated syphilis on those men. The participants were introduced the disease with the name -Bad Blood by the researchers(Jones,p.5). The researchers ran the experiment for over 40 years. During this period, the participants were kept unknown about the causes and treatment of the syphilis .The treatment of syphilis was found but the researchers did not apply on the participants(Tuskegee,2016). The Tuskegee Syphilis Study was unethical and

Skloot discussed the Tuskegee Study and how a research project on hundreds of poor African-American men was conducted without proper informed consent and manipulative bribing. With what happened to the Lacks family, being so close to the “Tuskegee Experiment” era, the introduction of informed consent and federal regulations was making its way into becoming a bigger issue and necessity. Some argue heavily that there were not Institutional Review Boards (IRBs) to hold hospitals and medical research accountable in their work. With ethics and principles absent, hospitals were doing what they were accustomed

Tuskegee – The doctors violated this principle by not informing the study subjects of the details of the study itself. The subjects were informed they were going to be treated for “bad blood” (CDC, 2015). At the time “bad blood” could have meant syphilis or it could have meant anemia or fatigue. None of the patients received treatment to cure their illness. Additionally, none were ever informed that they were in fact part of a study to document how syphilis progresses when left untreated. These were autonomous men who had vital information withheld from them while being subjects in a research study.

The Nazi Doctors of World War 2 had to face the Doctors’ Trial in Nuremberg, Germany after the war. The reason for the trial is because the Doctors in the Nazi Party had contributed or played a part in genocide while following Hitler. Adolph Hitler was the German politician and leader of the Nazi Party during the years from (1933-1945.) The doctors had performed unreasonable medical experimentations on reluctant concentration camp prisoners.

The Tuskegee study was not an ethically justified research initiative. It did not provide any actionable or real scientific data. It initially was designed to identify how syphilis affects black patients as compared to white patients. While the study did include a control population and study methodology the mere fact that by 1940, penicillin had arrived as a real treatment and this treatment was intentionally led to great harm being inflicted on the study populace. Medical research is driven by providing for the common good and not harming the subject. In this case 23 men died directly from syphilis and over

Several of these men died due to having syphilis and not being treated. “After the study ended, those men who had syphilis, along with their wives and children who had contracted the disease, were given free antibiotics and lifetime medical care” (Fain, 2017, p. 27). Forty years after the study was over, all survivors were offered penicillin and free medical treatment for life from the Public Health Service. The lawsuit that took place after the study, awarded $37,500 to each survivor and $15,000 to the heirs of “deceased survivors.” If this study would have been conducted today, it would have breached several provisions of the Nursing Code of Ethics.

Another ethical issue was confidentiality and privacy, there was personal information disclosed to third parties without consent from the patients in the study, and according to the movie (1997) one treatment was given in groups and the patients performed the treatments on each other. The third ethical issue was the principle of beneficence (goodness), which according to Guraya, London, & Guraya (2014) this principle relates to individuals not being intentionally harmed and the outcomes should be the best possible result. In the Tuskegee study the opposite happened, the physicians and nurse knew they would not treat the men with the best medical care possible, and when treatment options were available they would not provide that treatment to the participants. The study would only come to an end, when all participants had passed away. The next ethical issue was the lack of respect, where each participant should have remained as independent individual. The Tuskegee study was not looking at the participants in the study as individuals, but as a group of poor African American males.

The Nuremberg Doctors Trial of 1946 is the preeminent case recognizing the importance of medical ethics and human rights specifically about human research subjects. The defendants in the trials include Nazi leadership, physicians, and investigators prosecuted for conducting unethical and inhumane medical experiments on civilians and prisoners of war resulting in extreme pain, suffering, permanent injury and often death. The Nuremberg Code, borne of these trials, establishes ethical guidelines for human experimentation to ensure the rights of subjects in medical research. Herein, this writer will first identify and discuss ethical dilemmas presented in the Nuremberg case followed by three

Main ethical violations in clinical research that contribute to the abuse of subjects include paternalism, informed consent, lack of ethical supervision and the avoidance of legislation in relation to the ethics of health care and research. Human rights has been widely violated throughout history as seen in multiple events. As early as the 1930’s, researchers involved in the Tuskegee Syphilis Study, withheld information and treatment from a large group of African American men with syphilis. Following this tragic event, Nazi concentration camps were established. German scientists conducted research with the involvement of the prisoners. Disfigurement, disabilities and death were often the results of the Nazi human experimentation. During the creation of the atomic bomb, the United States government sponsored the research of the involvement of subjects being exposed to radiation without their informed consent. In addition, James Watson and Francis Crick obtained their data of x-ray