РефератыИностранный языкTuTuskegee Syphilis Experiment Essay Research Paper Between

Tuskegee Syphilis Experiment Essay Research Paper Between

Tuskegee Syphilis Experiment Essay, Research Paper


Between 1932 and 1972, the U.S. Public Health Service (PHS) conducted an


experiment on 399 black men in the late stages of syphilis. These men, for


the most part


illiterate sharecroppers from one of the poorest counties in Alabama, were


never told what


disease they were suffering from or of its seriousness. Informed that they


were being


treated for ?bad blood,? their doctors had no intention of curing them of


syphilis at all.


The data for the experiment was to be collected from autopsies of the men,


and they were


thus deliberately left to degenerate under the ravages of tertiary syphilis?which


can


include tumors, heart disease, paralysis, blindness, insanity, and death. One


of the doctors


involved said: ?we have no further interest in these patients until they


die.?


The sharecroppers’ easy to manipulate because they were poor and liked the


idea of


free medical care, said James Jones. He also said they were pawns in ?the


longest non-


therapeutic experiment on human beings in medical history.?


The study was to compare blacks and whites reaction to syphilis, thinking


that whites


experienced more neurological complications from syphilis whereas blacks


would have


more cardiovascular damage. How this knowledge would have changed clinical


treatment


of syphilis is uncertain. It took almost forty years before someone involved


in the study


took a hard and honest look at the end results, concluding that ?nothing


learned will


prevent, find, or cure a single case of infectious syphilis or bring us


closer to our basic


mission of controlling venereal disease in the United States.? When the


media caught a


hold of the experiment in 1972, news anchor Harry Reasoner described it as an


experiment that ?used human beings as laboratory animals in a long and


inefficient study


of how long it takes syphilis to kill someone.?


By the end of the experiment, 28 of the men had died directly of syphilis,


100 were


dead of complications of the disease, 40 of their wives had been infected,


and 19 of their


children had congenital syphilis. To get the community to support the


experiment, one of


the original doctors admitted it ?was necessary to carry on this study


under the guise of a


demonstration and provide treatment.? At first, the men were prescribed ?syphilis


remedies of the day,? bismuth, neoarsphenamine, and mercury, but in such


small amounts


that only 3 percent showed any improvement. These token doses of medicine


were good


public relations and did not interfere with the true aims of the study.


Eventually, all


syphilis treatment was replaced with ?pink medicine? aspirin. To ensure


that the men


would show up for a painful and potentially dangerous spinal tap, ?the PHS


doctors


misled them with a letter full of promotional hype:? ?Last Chance for


Special Free


Treatment.? The fact that autopsies would eventually be required was also


concealed. A


doctor explained, ?If the colored population becomes aware that accepting


free hospital


care means a post-mortem, every darky will leave Macon County . . .? Even


the Surgeon


General of the United States participated in enticing the men to remain in


the experiment,


sending them certificates of appreciation after 25 years in the study.


Believe it or not, not only white people took part in the experiment, black


people


were also involved. The experiment’s name comes from the Tuskegee Institute,


the black


university founded by Booker T. Washington. Its affiliated hospital lent the

p>

PHS its


medical facilities for the study, and other predominantly black institutions


as well as local


black doctors also participated. Eunice Rivers, a black nurse, played a huge


part in the


experiment for 40 years. A lot of them did it for the promise of great


recognition. A


Tuskegee doctor, for example, praised ?the educational advantages offered


our interns


and nurses as well as the added standing it will give the hospital.? Nurse


Rivers said her


role as one of ?passive obedience:? ?we were taught that we never


diagnosed, we never


prescribed; we followed the doctor’s instructions!? It is clear that the


men in the


experiment trusted her and that she sincerely cared about their well-being,


but not


enough. Even after the experiment was ?exposed to public scrutiny,? she


pretty much felt


nothing ethical was wrong.


One of the scariest aspects of the experiment was how strongly the PHS kept


these


men from receiving treatment. When several nationwide campaigns to erase


venereal


disease came to Macon County, the men were prevented from participating. Even


when


penicillin was discovered in the 1940s?the first real cure for syphilis?the


Tuskegee


men were deliberately denied the medication. During World War II, 250 of the


men


registered for the draft and were consequently ordered to get treatment for


syphilis, only


to have the PHS exempt them. Pleased at their success, the PHS representative


stated: ?So


far, we are keeping the known positive patients from getting treatment.?


The experiment


continued in spite of the Henderson Act (1943), a public health law requiring


testing and


treatment for venereal disease, and in spite of the World Health


Organization’s


Declaration of Helsinki (1964), which specified that ?informed consent?


was needed for


experiment involving human beings.


The story finally got into the Washington Star on July 25, 1972, in an


article by


Jean Heller of the Associated Press. Her source was Peter Buxtun, a former


PHS venereal


disease interviewer and one of the few ?whistle blowers? over the years.


The PHS,


however, remained unmoved, claiming the men had been ?volunteers? and ?were


always


happy to see the doctors,? and an Alabama state health officer who had been


involved


claimed ?somebody is trying to make a mountain out of a molehill.?


Finally because of the publicity, the government ended their experiment, and


for


the first time provided the men with effective medical treatment for


syphilis. Fred Gray, a


lawyer who had previously defended Rosa Parks and Martin Luther King, filed a


class


action suit that provided a $10 million out-of-court settlement for the men


and their


families.


The PHS did not accept the media’s comparison of Tuskegee with the appalling


experiments performed by Nazi doctors on their Jewish victims during World


War II. Yet


in addition to the medical and racist parallels, the PHS offered the same ?morally


bankrupt? defense offered at the Nuremberg trials: they claimed they were


just carrying


out orders, mere cogs in the wheel of the PHS bureaucracy, exempt from


personal


responsibility.


The study’s other justification?for the greater good of science?is


equally stupid.


Now my in opinion, Clinton said it best when he said: ?The United States


government did


something that was wrong?deeply, profoundly, morally wrong. It was an


outrage to our


commitment to integrity and equality for all our citizens. . . . clearly


racist.? May 16,


1997.

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