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Against Harmful Research on Non-Agreeing Children.

Eric Chwang

    Bioethics
    |September 27, 2014
    PubMed
    Summary

    Harmful research on children lacking agreement is permitted by regulations, but this paper argues against it. Such research should be restricted similarly to harmful research on adults who have not consented.

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    Area of Science:

    • Bioethics
    • Medical Law
    • Pediatric Research

    Background:

    • Current regulations permit harmful research on children without their agreement.
    • Adults must consent to participate in research, even if it is harmful.
    • Beneficial research on children is permissible without explicit agreement due to justifiable paternalism.

    Purpose of the Study:

    • To argue that harmful research on non-consenting children should be prohibited.
    • To challenge the regulatory permissiveness of harmful research on minors.
    • To propose changes to the Code of Federal Regulations regarding pediatric research.

    Main Methods:

    • Ethical analysis of existing regulations.
    • Argumentation based on moral principles of consent and harm.
    • Rebuttal of counterarguments concerning parental permission and research voluntariness.

    Main Results:

    • The Code of Federal Regulations allows harmful research on children who cannot agree to participate.
    • A moral argument is presented to equate the permissibility of harmful research on non-consenting children with that of non-consenting adults.
    • The moral force of pediatric assent versus adult consent, and the distinction between non-voluntary and involuntary research are analyzed.

    Conclusions:

    • Regulations should not permit harmful research on non-consenting children.
    • Ethical standards for pediatric research require stricter adherence to consent principles.
    • Revisions to the Code of Federal Regulations are necessary to protect children from harmful research.
    Keywords:
    assentbioethicscode of federal regulationsethicsharmpediatric researchresearch ethics

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