ABSTRACT

This chapter seeks to deepen and make more explicit the underlying philosophical rationale of the author's partial-entrustment model of medical researchers' ancillary-care obligations by explaining how these should be seen as arising in the context of a complex web of moral obligations that constitutes a social division of the moral labor of beneficence. The shocking cases that led to the regulation of medical research were not only abuses of research subjects but also failures to conduct research well. Medical researchers' ancillary-care obligations are obligations to provide medical care that research participants need but that are not morally required by what's involved in conducting a study safely and soundly. Commonsensically enough, the strength of a given claim to ancillary care is deemed to vary directly with the degree to which an individual participant is dependent on the researchers for getting the needed care.