In 1932 the United States Public Health Services (USPHS) initiated a non-therapeutic experiment with human subjects who lived in Tuskegee, Macon County in Alabama.1 The study was named “Tuskegee Study of Untreated Syphilis in the Negro Male”; a notorious medical experiment that has become a byword for racist and blatant disregard for human rights that takes place in the name of science.5 The goal of the study was to determine the natural course of untreated, latent syphilis in African American males.
In this study, 400 syphilis-infected males were enrolled and were matched with a control group of 200 uninfected subjects. Both groups were not permitted to receive medical treatment from local hospitals or physicians. The local hospitals were
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One of the main safeguards for the protection of human subjects in research is informed consent, which means informing the potential study subjects about all aspects of the study and their involvement in detail to be able to make an informed decision regarding their participation. Most codes of research establish specific items intended to be disclosed to the subjects to assure that subjects are given sufficient information. These items generally include: study procedure, their purposes, risks and anticipated benefits, alternative therapy, and a statement offering the subject the opportunity to ask questions and to withdraw at any time from the study. In case of Tuskegee study, none of the items were disclosed to the subjects. The subjects were told that they were receiving treatment for “bad blood”, a euphemism that was used locally to describe a host of many ailments. The subjects were not knowing that the bad blood was contagious and how the disease was transmitted. Researcher did not explain them that the disease was passed on from females to …show more content…
Moreover, the subjects were never given a choice to withdraw from the study once penicillin had become available; in fact, they were prevented from getting the penicillin, the treatment for syphilis from local
They were promised free medical care, and told they were being treated for "bad blood" (Kronenwetter, 2023). The scientists lied to their participants and told them they were being treated for a disease they didn’t even have. They manipulated them by telling the participants that they would get free medical care after participating in the study. The participants did not know they will be given the syphilis disease.
Those who live on a very low income, who are from developing countries or are part of the lower classes agree to participate for financial reasons, and usually were not fully informed about all of the risks and side effects (Moreno). In the United States the more vulnerable segments of the population have continuously been the subjects of medical experimentation, but African Americans, including children, assumed a unbalanced burden and suffered the most brutal, and invasive of the medical experiments. In the article written by Jonathan D. Moreno, “Master Sergeant James B. Stanley volunteered to be a subject in a study advertised as developing and testing measures against chemical weapons, but Stanley was never told that the clear liquid he drank for the test contained a psychoactive drug, nor was he debriefed or monitored for the hallucinations that followed, nor did he understand the source of the emotional problems that disrupted his personal life, leading finally to his divorce in
This experiment, conducted by the U.S. Public Health Service, was intent to study the natural progression of syphilis in African American male population. The study participants voluntarily participated in the study but the researchers did not properly inform the participants on the availability of treatment or the risks of the disease if untreated. To make the matter worse, the participants were deliberately led to believe that they were receiving treatment from the Public Health Service for free, while the actual treatment was being withheld to achieve the purpose of the research. In today’s point of view, it is surprising that even the federal agency did not respect the dignity of human rights for the sake of research. In Henrietta’s era, even the federal agency did not follow the proper informed consent procedure, and a prestigious institution like John’s Hopkins did not have any regulations or office such as Institutional Review Boards (IRBs) to govern their research protocols to protect human subjects and their rights.
Those who were chosen for the study received rides to the Tuskegee University Clinic, free meals and medical treatment. To make the ‘story’ more believable, the participants were given ‘placebos’, which were harmless pills used for new testing. When the cure for syphilis was connected to the newfound drug, penicillin in 1945, researchers would not offer the drug to the participants of the
In the context of medical research, informed consent provides individuals with the opportunity to accept or decline involvement in research, and thereby adheres to their right to choose. Obtaining consent from donors is not limited to simply seeking permission, but involves explaining the nature and consequences of research in an honest and understandable manner. When this aspect of informed consent is ignored, unethical research ensues. For example, during the infamous Tuskegee Syphilis Experiments, US Public Health researchers studied the progression of syphilis in African American men, under the false pretense of curing their “bad blood”. Though a treatment of penicillin was available at the time, researchers idly observed as subjects died painful, preventable deaths.
Misunderstanding regarding the details of the Tuskegee syphilis study is common, but the historical accuracy is not as relevant as the strength of the beliefs that formed as a result of the study7. Gamble (1997) argues that roots of the fear of medical exploitation dates further back in history when, the bodies of Black people in Baltimore were taken from their graves for dissection in the 1830s,three female slaves were subjected to an estimated 30 gynecological surgeries each in Alabama in the late 1840s, and folklore describing night riders who kidnapped Black people for use in medical experiments in
The subjects who were infected with syphilis died from either heart or central nervous system problems. Blood tonics and medicines of all sorts were given to the subjects of which they have no prior knowledge about. Two ethical principles were violated by the fore-runners of the Tuskegee Study namely: the principles of non-maleficence and autonomy. The research subjects’ welfare should be the first thing to be considered rather than the researchers’ own interests. The researchers were selfish in a way that they purposely never gave these men the potential treatment for their disease which is syphilis.
The Tuskegee experiment was not the only research study that tricked African Americans into getting procedures which then led to more distrust of science and medicine. African American women thought they were getting their appendix removed but without their consent or knowledge had hysterectomies preformed on them for no other reason than for young doctors to practice doing the procedure leaving these women no longer able to have children (Skloot, The Immortal Life of Henrietta Lacks
Through an abundance of medical and historical accounts, Medical Apartheid and The Immortal Life of Henrietta Lacks exemplify how institutional racism has shaped the lives of African Americans. From the beginning of slavery through emancipation, African Americans have overwhelmingly been at the center of unethical medical research. The vast majority of this research has been done unwillingly. For research and experimentation that received the participant’s permission, there were usually hidden elements they were unaware of. Henrietta Washington sites specific examples, ranging from experimentation on plantations to post-emancipation radiation testing on African Americans.
The Tuskegee study of Untreated Syphilis began in 1932, mainly designed to determine the history of untreated latent syphilis on 600 African American men in Tuskegee, Alabama. 201 out of 600 men were non-syphilitic just unknowingly involved in the study as a control group This study is known to be “the most infamous biomedical research study in the U.S history”. Most of these men had never visited a doctor and they had no idea what illness they had. All of the men agreed to be a participant thinking they were being treated for “bad blood” and plus they were given free medical care and meals.
The men were not informed how the disease is spread from one individual to another. While the men were easily persuaded because they were not well educated, they were also willing to join because fifty dollars would be given to each man. During this time many African American men suffered financially; racism and segregation were still very common during this time frame. Miss Evers and Dr. Brodus were taking part in an unethical act when they took advantage of the men in terms of their lack of knowledge and money. Miss Evers and the Doctor knew very well that the men were uneducated and poor, so they used these two factors to gain their own personal gain.
It has now been a quarter of a century, and yet the images and heartache that still evolve when the words "Tuskegee Syphilis Study" are brought up, still haunts people around the world and touches upon many professionals such as social workers, medical examiners, and so forth. Sometimes people hear about this disgusting human experiment in a highly visible way directed to the entire country as an example of what we as a country and people, in general, should not do. This occurred when the study first made national news in 1972, when President Clinton offered a formal apology, or when Hollywood actors star in a fictionalized television movie of the story. On the other hand the audience may become fainter: kept alive only by memories and stories told in the African American community, in queries that circulate over the world wide web and radio talk shows, or even in courses such as this one being taught by social workers, historians, sociologists, or bioethicists. This is neither the first nor the last unethical human experiment done under the human study for the medical purposes umbrella, basically stating it is ok to sacrifice a few people in the name of medical research.
All medical practitioners in the study essentially allow harm to come for the patients solely for the benefit of documenting the effects of the disease, with Nurse Evers attempting to sooth the patients from discouraging them in leaving the study. Feldshuh intends to draw a parallel towards Nazi Germany in regards to how atrocities such as the study can occur, as noted when the doctors and Evers intentionally begin to discourage the men from proper
In the case of Henrietta Lacks and her family, the mistreatment of doctors and lack of informed consent defined nearly 60 years of the family’s history. Henrietta Lacks and her children had little to no information about serious medical procedures and the use of Henrietta’s cells in research. Henrietta’s cells launched a multibillion-dollar industry without her consent and doctors even took advantage of her children’s lack of education to continue their research without questions: “[Doctor] did not explain why he was having someone draw blood from Deborah… he wrote a phone number and told her to use it for making more appointments to give more blood” (188). Deborah did not have the knowledge to understand the demands or requests the doctors made of her, and the doctors did not inform her explicitly.
This study was referred to as the “Tuskegee Study of Untreated Syphilis