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Moral EntanglementsThe Ancillary-Care Obligations of Medical Researchers$
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Henry S. Richardson

Print publication date: 2012

Print ISBN-13: 9780195388930

Published to Oxford Scholarship Online: January 2013

DOI: 10.1093/acprof:oso/9780195388930.001.0001

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Special Ancillary-Care Obligations: The Partial-Entrustment Model

Special Ancillary-Care Obligations: The Partial-Entrustment Model

(p.23) Chapter 2 Special Ancillary-Care Obligations: The Partial-Entrustment Model
Moral Entanglements

Henry S. Richardson

Oxford University Press

This chapter sets out, in revised form, the author’s basic position on medical researchers’ ancillary-care obligations, first set out in a pair of articles with Leah Belsky in 2004: the partial-entrustment model. This model avoids assimilating medical researchers to clinicians or bench scientists and indicates that their special ancillary-care obligation is limited in two ways. First, it is limited in scope, for it applies only to needs that are uncovered by exercising the special permissions obtained from research subjects during the informed-consent process. Second, it is limited in strength on the basis of various contextual factors. Dickert & Wendler’s case-based criticism of the scope limitation (JAMA, 2009) is rebutted; their call for grounding ancillary-care obligations in the “relationship” between researchers and subjects is too vague as it stands, but motivates us to look more deeply into this relationship.

Keywords:   research ethics, ancillary care, partial-entrustment model, Neil Dickert, David Wendler

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