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Adnan A. Hyder, MD, MPH, PhD

Correspondence: Requests for reprints should be sent to Adnan A. Hyder, MD, PhD, MPH, Department of International Health, Johns Hopkins Bloomberg School of Public Health, 615 N Wolfe St, Suite E-8132, Baltimore, MD 21205 (e-mail: ahyder@jhsph.edu).

	Because this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

In the June issue of the Journal, Wendler et al. discuss the standard of care for research in developing countries and propose a valuable set of criteria.¹ However, there are conceptual issues with important implications for this debate that require clarification.

1. Wendler et al. assert that "inequalities in health care have contributed to significant inequalities in health."¹ Lack of access to and poor quality of health care are neither the most important nor the primary reasons for health inequalities. The social determinants of health, including poverty, status of women, and social vulnerability, are more important.² This premise is critical, as . . . [Full Text]