Ancillary care obligations in light of an African bioethic: from entrustment to communion
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Henry Richardson recently published the first book ever devoted to ancillary care obligations, which roughly concern what medical researchers are morally required to provide to participants beyond what safety requires. In it, Richardson notes that he is presenting the ‘only fully elaborated view out there’ on this topic, which he calls the ‘partial-entrustment model’. In this article, I provide a new theory of ancillary care obligations, one that is grounded on ideals of communion salient in the African philosophical tradition and that is intended to rival and surpass Richardson’s model, which is a function of Western considerations of autonomy. I argue that the relational approach of the former has several virtues in comparison to the basic individualism of the latter.
KeywordsAfrican bioethic Ancillary care Autonomy Clinical trials Communion Partial-entrustment model Relationality Research ethics
For oral comments on a talk based on this research, I thank participants at the Conference on Giving a Voice to African Thought in Medical Research Ethics hosted by the University of the Witwatersrand Steve Biko Centre for Bioethics in 2015. For written comments on a previous draft, I am grateful to Kevin Behrens, Henry Richardson, and an anonymous referee for Theoretical Medicine and Bioethics. Research for this article has been supported financially by the South African National Research Foundation (NRF), and any opinion, findings, conclusions, or recommendations expressed in it are those of the author, with the NRF not accepting any liability in regard thereto.
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