Abstract

In this issue of Bioethics, Cheryl Cox Macpherson is critical of the failure of the Council for International Organizations of Medical Sciences (CIOMS) to engage in broad public and stakeholder consultation in the latest revision of the International Ethical Guidelines for Biomedical Research Involving Human Subjects.1 The critique of the CIOMS process is two-fold. First, by not engaging in broad consultation, CIOMS violated the principle of respect for persons and its own requirement that researchers consult with communities. As a result, ‘CIOMS may lose credibility for holding what appears to be a double standard.’2 Second, CIOMS as an ‘organisation that aims to represent either society in general, or a particular constituency’, has an obligation to seek to build a broad consensus on moral issues through public debate.3 CoxMacpherson concludes that ‘CIOMS and similar organisations must put more emphasis on consulting stakeholders, and on globally promoting ethical guidelines and dialogue.’4 Bioethics ISSN 0269-9702 (print); 1467-8519 (online) Volume 18 Number 3 2004

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