In this article, Solomon Benatar and Peter Singer suggest that too much reliance has been placed on the role of international guidelines in suggesting what is ethical, and note that such guidance always needs to be interpreted.

They argue that the term 'standard of care' has not been clearly defined, and that this has hindered international debate on this topic. Criticising the idea that the standard set by developed countries should be considered the norm, the authors propose a new conception of 'standard' of care that takes account of the social, economic and political context within which a clinical trial is conducted.


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