Bioethics 32 (1):59-67 (2018)

Authors
Douglas MacKay
University of North Carolina, Chapel Hill
Abstract
In this article, I ask whether a principle analogous to the principle of clinical equipoise should govern the design and conduct of RCTs evaluating the effectiveness of policy interventions. I answer this question affirmatively, and introduce and defend the principle of policy equipoise. According to this principle, all arms of a policy RCT must be, at minimum, in a state of equipoise with the best proven policy that is also morally and practically attainable and sustainable. For all arms of a policy RCT, policy experts must either reasonably disagree about whether the trial arms are more effective than this policy, or know that they are.
Keywords equipoise  public policy  research ethics
Categories (categorize this paper)
DOI 10.1111/bioe.12403
Options
Edit this record
Mark as duplicate
Export citation
Find it on Scholar
Request removal from index
Revision history

Download options

PhilArchive copy


Upload a copy of this paper     Check publisher's policy     Papers currently archived: 71,316
External links

Setup an account with your affiliations in order to access resources via your University's proxy server
Configure custom proxy (use this if your affiliation does not provide a proxy)
Through your library

References found in this work BETA

No references found.

Add more references

Citations of this work BETA

View all 6 citations / Add more citations

Similar books and articles

Clinical Equipoise and the Incoherence of Research Ethics.Franklin G. Miller & Howard Brody - 2007 - Journal of Medicine and Philosophy 32 (2):151 – 165.
Clinical Equipoise: Actual or Hypothetical Disagreement?Scott Gelfand - 2013 - Journal of Medicine and Philosophy 38 (6):590--604.
Beyond Serving a Purpose: Additional Ethical Focuses for Public Policy Agents.Vanessa Scholes - 2011 - In Jonathan Boston, Andrew Bradstock & David Eng (eds.), Ethics and public policy: contemporary issues. Victoria University Press.
So-Called "Clinical Equipoise" and the Argument From Design.Fred Gifford - 2007 - Journal of Medicine and Philosophy 32 (2):135 – 150.
Community Equipoise and the Architecture of Clinical Research.Jason H. T. Karlawish & John Lantos - 1997 - Cambridge Quarterly of Healthcare Ethics 6 (4):385-396.
Community Equipoise and the Architecture of Clinical Research.Jason H. T. Karlawish & John Lantos - 1997 - Cambridge Quarterly of Healthcare Ethics 6 (4):385-.
Ethics, Antibiotics, and Public Policy.Jonny Anomaly - 2017 - Georgetown Journal of Law and Public Policy 15 (2).
Equipoise and the Criteria for Reasonable Action.Emily L. Evans & Alex John London - 2006 - Journal of Law, Medicine and Ethics 34 (2):441-450.

Analytics

Added to PP index
2017-10-11

Total views
30 ( #383,442 of 2,519,501 )

Recent downloads (6 months)
1 ( #407,153 of 2,519,501 )

How can I increase my downloads?

Downloads

My notes