Undue Influence as Coercive Offers in Clinical Trials
Coercion has been conceptually connected with threats. Under the standard account of coercion, threats propose to make the victim “worse off” than his or her baseline, or where he or she was before the proposer intervened in the victim’s causal nexus. This model of coercion that focuses only on the notion of threats does not go far enough to capture cases where the victim’s vulnerability is taken advantage of to accomplish the coercion. In the kinds of cases I have in mind, no threats are used or needed. Clinical trials conducted in developing nations, for example, are at risk of taking advantage of the vulnerabilities of the subjects that can rise to the level of coercion. In this paper, I will consider the question whether in some instances clinical trials with vulnerable populations involve coercion that is accomplished not with threats but rather through offers.
KeywordsPlacebo Assure Meningitis Arena Tral
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- 1.I would like to thank the participants to the AMINTAPHIL conference on Coercion in St. Louis in October 2006. I would particularly like to thank Kenneth Kipnis who commented on this paper at the conference and the editors of this volume.Google Scholar
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