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AJPH First Look, published online ahead of print Mar 29, 2006
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American Journal of Public Health, 10.2105/AJPH.2005.063719

Health Policy and Ethics

Justice and Fairness in the Kennedy Krieger Institute Lead Paint Study: The Ethical Justification for Public Health Research on Less Expensive Yet Less Effective Interventions

David R. Buchanan 1* Franklin G. Miller 2

1 University of Massachusetts
2 National Institutes of Health

* To whom correspondence should be addressed. E-mail: buchanan{at}schoolph.umass.edu.


  Abstract

The Kennedy Krieger lead paint study stirred controversial questions about whether research designed to develop less expensive interventions that are not as effective as existing treatments can be ethically warranted. Critics questioned the social value of such research and alleged that it sanctions a double standard, exploits participants, and is complicit in perpetuating the social injustice.

In response, we demonstrate the propriety of conducting research on interventions that can be extended to the population in need by stipulating the limited conditions in which it is ethically warranted and providing fair terms of participation. We contend that the failure to conduct such research causes greater harm, because it deprives disadvantaged populations of the benefits of imminent incremental improvements in their health conditions.

Key Words: Community Health, Ethics, Health Policy, Prevention, Socioeconomic Factors




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