'Something of an Adventure': Postwar NIH Research Ethos and the Guatemala STD Experiments

14 Pages Posted: 27 Nov 2013 Last revised: 9 Jun 2016

See all articles by Kayte Spector-Bagdady

Kayte Spector-Bagdady

University of Michigan at Ann Arbor - Medical School

Paul A. Lombardo

Georgia State University - College of Law

Date Written: October 1, 2013

Abstract

The STD experiments in Guatemala from 1946-1948 have earned a place of infamy in the history of medical ethics. But if the Guatemala STD experiments were so “ethically impossible,” how did the U.S. government approve their funding? Although much of the literature has targeted the failings of Dr. John Cutler, we focus on the institutional context and research ethos that shaped the outcome of the research. After the end of WWII, Dr. Cassius Van Slyke reconstructed the federal research contracts process into a grant program. The inaugural NIH study section recommended approval of the Guatemala STD experiments at its first meeting. The funding and oversight process of the Guatemala research was marked with serious conflicts of interest and a lack of oversight, and it was this structure, as opposed to merely a maleficent individual, that allowed the Guatemala STD experiments to proceed. We conclude that while current research regulations are designed to prevent the abuses perpetrated on the subjects of the Guatemala STD experiments, it takes a comprehensive understanding of research ethics through professional education to achieve the longstanding ideal of the responsible investigator, and ensure ethical research under any regulatory scheme.

The findings and conclusions in this Article are those of the authors and do not necessarily represent the official position of the Presidential Commission for the Study of Bioethical Issues or the Department of Health and Human Services.

Keywords: Guatemala STD experiments, Guatemala STI experiments, Terre Haute, bioethics, presidential commission for the study of bioethical issues, ethically impossible, John Cutler

Suggested Citation

Spector-Bagdady, Kayte and Lombardo, Paul A., 'Something of an Adventure': Postwar NIH Research Ethos and the Guatemala STD Experiments (October 1, 2013). Journal of Law, Medicine and Ethics, Vol. 41, No. 3, 2013, Available at SSRN: https://ssrn.com/abstract=2360313

Kayte Spector-Bagdady (Contact Author)

University of Michigan at Ann Arbor - Medical School ( email )

Ann Arbor, MI
United States

Paul A. Lombardo

Georgia State University - College of Law ( email )

P.O. Box 4037
Atlanta, GA 30302-4037
United States

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