• 0 Posts
  • 19 Comments
Joined 2 years ago
cake
Cake day: June 20th, 2023

help-circle

  • Hot take, I’ll offer an alternative perspective. Obviously, poaching is one of the most disgusting crimes. Sourcing animal parts for folk remedies is reprehensible.

    Responsibly managed hunting generates a ton of money, some of which which gets invested into the local community and into conservation efforts.

    The key word here is responsible. If a land manager shared wealth in an equitable fashion with the locals, and demonstrates careful management of animal herds by close monitoring of populations, that’s responsibility. I wouldn’t want to hunt on lands owned by, say, a literal nazi in South Africa. But, unfortunately, as long as we live under capitalism, I have a hard time imagining a different way to encourage the world to preserve our natural resources.









  • The consent process for clinical trials has a ton of guidance (ICH GCP), but the onus is on the clinical monitors and hospitals to make sure it’s done correctly. Many trials now generate supporting documentation in which hospital staff are required to describe the circumstances in which consent was acquired. If the documents are generated, then it’s auditable.

    Things get a bit hairy when you look at trials in Alzheimer’s and other cognitive disorders, because the patient may not be coherent enough to withdraw from the trial. In those cases, a legal guardian is responsible for the decision.



  • The article brings up some great points, some of which that I, an industry insider, weren’t even aware of, especially the historical context surrounding the AIDS epidemic. I’ll jump into the thread to critique an issue within the article.

    One of the four pillars recommended by the FDA (control groups) are great in theory but can lead to very real problems in practice, specifically within indications that have an unmet treatment need or are exceptionally rare conditions.

    If you have a disease that is 99% fatal but has 0 standard of care treatment options, is it ethical to ask a participant to enroll in a clinical trial and potentially not receive the study treatment/be on placebo? Or, what if the trial involves an incredibly invasive procedure like brain surgery - is it ethical for people to do a placebo procedure? Food for thought - and an explanation for why so few trials meet all four criteria proposed by the FDA.

    Happy to answer questions about the industry if anyone has them.