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Testing Drugs on India's Poor

theodp writes to tell us Wired is reporting that a lot of medical research firms are using India's poor as a hot test bed. From the article: "The sudden influx of drug companies to India resembles the gold rush frontier, according to Sean Philpott, managing editor of The American Journal of Bioethics. 'Not only are research costs low, but there is a skilled work force to conduct the trials'"

13 of 531 comments (clear)

  1. Ethics by Winckle · · Score: 5, Insightful

    "Doctors are easier to recruit for trials because they don't have to go through the same ethics procedures as their Western colleagues," Ecks said. "And patients ask fewer questions about what is going on."
    I can't tell if he's being serious, but if he truly does have no moral qualms about that last statement, then he frightens me.

    1. Re:Ethics by Anonymous Coward · · Score: 4, Insightful

      The sad part is, it doesn't really matter. That's the way things are, when you're poor and sick you're willing to try nearly anything. Even experimental drugs. If for no other reason than you can't afford anything else.

      We like to talk about how it sucks our jobs get outsourced to India (and rightfully so, in my eyes), but we have to realize that India is still an incredibly poor country.

  2. No Surprise by ben_white · · Score: 4, Insightful
    I find this quite disturbing. I, however, am not surprised. I have been in academic medicine for 15 years, and have seen the requirements for human research change to the point that many clinicians have just given up any hope of being able to practice and participate in meaningful clinical trials due to the exploding amount of red tape. Of course the red tape does serve a purpose; from the article:
    In another incident, Sun Pharmaceuticals convinced doctors to prescribe Letrozole, a breast cancer drug, to more than 400 women as a fertility treatment in a covert clinical trial -- and used the results to promote the drug for the unapproved use.
    This type of problem was not terribly uncommon in the past in the US (and I assume other industrialized nations), but is not common now, due to the oversight of clinical trials we have now.
    --
    cheers, ben

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  3. Generic versions of patented drugs by op12 · · Score: 5, Insightful

    FTA: "But in March, everything changed when India submitted to pressure from the World Trade Organization to stop the practice and implement rules that prohibit local companies from creating generic versions of patented drugs."

    WHy do they want to prevent that? What about in the U.S. where we have things like Walgreen's Wal-tussin to compete with Robitussin (same ingredients, cheaper cost for the consumer)? (same with Sudafed, etc.) Does this fall under the kind of thing WTO wants to stop?

    1. Re:Generic versions of patented drugs by slavemowgli · · Score: 5, Insightful

      Non-cynical answer: the difference is "patented". Robitussin's active ingredient was patented in the 1950s, so the patent has long since run out, and everyone's free to recreate it.

      Cynical answer: the difference is that the USA doesn't want Indian companies to hurt the sales of US-American companies. If it's two US-American companies fighting, the USA as a whole don't lose anything, but if it's foreign companies...

      I think there's some truth in both answers.

      --
      quidquid latine dictum sit altum videtur.
  4. Re:I'm Fine With It by Marxist+Hacker+42 · · Score: 4, Insightful

    They are getting paid for it, a nice enough sum that it's worth their health and life. They aren't being forced or coerced into it.

    Some would say the difference between life as a dahlit and life as a dahlit after being paid for it is most certainly a form of force and coercion.

    Besides, these people don't have much use in society or a future, especially in India's caste society. This is an excellent opportunity for them to contribute something to better mankind and benefit the rest of us. We should be applauding and congratulating them for their sacrifice. We shouldn't try to take this away from them.

    So you agree- givent he caste system they don't have any real choice at all.

    --
    SJW: a person who perceives an injustice, and while correcting it, commits a greater injustice.
  5. Re:I'm Fine With It by Anonymous Coward · · Score: 5, Insightful

    If you have seen the film "Constant Gardener", you can see the problems associated with this practice. The main problem is lack of accountability. So what if a couple people die from these drug tests. They are poor, no one is going to miss them. No one will fight for them.

  6. Straight from the movies ... by cpn2000 · · Score: 4, Insightful
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    All you touch and all you see is all your life will ever be ... Dark side of the moon
  7. $$$ greater than Human life? by Ostien · · Score: 4, Insightful

    This isin't about saving a few bucks (yes I know its more then a few bucks) on medical testing its about not respecting human life in an equal manner.

    "Third World lives are worth much less than the European lives. That is what colonialism was all about," said Srirupa Prasad, a visiting assistant professor of medical history and bioethics at the University of Wisconsin-Madison.

    hits the nail on the head. unfortunatly.

    --
    Reality is a big nasty dragon. Fortunately I don't believe in dragons.
  8. Re:Wait by advocate_one · · Score: 4, Insightful
    it's as big a scandal as the ships being dissassembled by hand on the beaches of India... and all the surplus PCs being shipped off to be stripped down by hand...

    Corporate pigs shipping work out to places that have NO health and safety laws... all in the name of short term shareholder profits. These bastards have NO ethics... how would they feel if they themselves were on the breadline with no job protection and the only work available being dirty, shit jobs exported from countries that should know better

    --
    Donald 'Duck' Dunn: We had a band powerful enough to turn goat piss into gasoline.
  9. Testing Drugs on America's Poor. Different? by Kunta+Kinte · · Score: 5, Insightful

    For years people right here in the US have been selling body fluids and enrolling in drug trials to make extra cash.

    But there's a moral issue when it is done in some other country?

    Can we quite patronizing the people? They're poor not retarded.

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  10. The perils of genetic variations by G4from128k · · Score: 4, Insightful

    This sounds like a recipe for disaster. I, personally, would avoid drugs that had not been tested on people genetically similar to myself. People are not identical in their ability to absorb, metabolize, respond to, or excrete medications. A drug that works well in one population can easily fail to help (or have fatal side effects) in people in a different population.

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    Two wrongs don't make a right, but three lefts do.
  11. Re:Wait by MickLinux · · Score: 4, Insightful

    Except that though the choice may be semi-informed, it won't be free when the person has a choice between being killed by drugs or killed by starvation (along with their family). There's a reason why India is being targeted. I think I can do without those drugs. Even if not using them shortens my life.

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