Crowdsourcing Public Health Experiments: A Response to Jonathan Darrow's Crowdsourcing Clinical Trials
Ameet V. Sarpatwari
Harvard Medical School; Brigham and Women's Hospital
Christopher T. Robertson
University of Arizona - James E. Rogers College of Law; Harvard University - Edmond J. Safra Center for Ethics; Harvard University - Petrie-Flom Center for Health Law Policy, Biotechnology, and Bioethics
David V. Yokum
University of Arizona - James E. Rogers College of Law; University of Arizona - College of Science
Keith A. Joiner
University of Arizona - College of Medicine
May 23, 2014
98 Minnesota Law Review 2326 (2014)
Arizona Legal Studies Discussion Paper No. 14-14
We are pleased to have this opportunity to respond to Jonathan Darrow’s article, Crowdsourcing Clinical Trials (CCT). We seek to highlight its important contributions and to commence debate over some of its arguments. In particular, we qualify the ethical arguments that characterize early clinical use of drugs as if they were research, and suggest instead that, in either domain, the ethical (and legal) analysis should remain focused on whether all material information is provided so patients may make informed decisions. We also highlight the limits of what can be gleaned from the observational data collection efforts envisioned by CCT.
Ultimately, we exploit the core insights of CCT to expand the potential use of crowdsourcing from observational studies to truly randomized interventional trials. Randomized experiments allow causal inference because they assign subjects to a treatment and control group, and collect data from each. Furthermore, we draw attention to the fact that much of public health is driven not by pharmaceuticals, but by lifestyle factors. We suggest that CCT’s envisioned platform for crowdsourcing also has great potential to engage the public in producing new and trustworthy knowledge in the domains of diet, exercise, nutritional supplements, and integrative medicine, which are primary drivers of health outcomes and spending.
Number of Pages in PDF File: 21
Keywords: crowdsourcing, clinical trials, CCT, ethics, informed consent, observational studies, public healthAccepted Paper Series
Date posted: May 26, 2014 ; Last revised: May 27, 2014
© 2014 Social Science Electronic Publishing, Inc. All Rights Reserved.
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