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2_Ethical Variability - Petryna

2_Ethical Variability - Petryna - American Ethnologist n...

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Her work raises questions about the relationship be- tween bioethics and accountability in democratic societies and about the forms such ethics takes and to whom it is accountable. Other anthropological work on the ethics of biotech- nology and new medical technologies has shifted attention away from issues of individual autonomy and has deep- ened the analysis of new biomedical technologies as they affect new patterns of civic, medical, and commercial or- ganization (Biehl 2001; Cohen 1999; DelVecchio Good 2001; Dumit 2000; Franklin 1995; Lock 2001; Petryna 2002; Rapp 1999; Scheper-Hughes 2004; Strathern 1992). This work examines an important dimension of ethics beyond its universal and regulatory (or normative) frame- works. New technologies raise new contexts of decision making over doing what is right; thus, beyond defining instances of moral certainty, ethics also involves a set of tactics that can be generative of new human conditions and events (Fischer 2001, 2003; Rabinow 1996, 2003). In my ethnographic work with various professionals within the contract research organization (CRO) commu- nity (including company founders, CEOs, clinical trial managers, and health economists), the nurses and physi- cians with whom CROs contract, and pharmaceutical consultants and regulators in various countries, I came to see that the global dynamics of drug production play an important role in shaping contexts in which ethical norms and delineations of human subjects are changing. As
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