Jill Fisher- ‘Ready-to-Recruit’ or ‘Ready-to-Consent’

Jill Fisher examines the recruitment methods of Contract Research Organizations (CRO’s) in her article Ready-to-Recruit’ or ‘Ready-to-Consent’ Populations Informed Consent and the Limits of Subject Autonomy”.  She claims that these organizations take advantage of populations who consent to clinical trials due to a lack of alternatives.  Individuals with a lower societal and economic status tend to be uninsured and thus more willing to participate in clinical trials.  Fisher gives an example of an impoverished Hispanic woman who chooses to participate in a healthy human study strictly for the financial compensation.  Fisher purports that an individual such as this makes the decision to participate in the clinical trial before receiving the consent forms that elaborate on the risks of the trial.  Another one of Fisher’s examples is a son who is willing to allow his mother to participate in a possibly dangerous clinical trial in order for her to receive an expensive MRI test that she needs.  Fisher is claiming that the approval of these ready-to-consent participants is given under duress, from a vulnerable position, therefor we must consider if it is ethical for CRO’s to target these populations.

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