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Abbreviations | p. ix |
Introduction: Experimental Fields | p. 1 |
The Search for Human Subjects | p. 1 |
Anthropology and the Global Clinical Trial | p. 5 |
Ethical Variability | p. 10 |
Why Are Clinical Trials Globalizing? | p. 10 |
Treatment Saturation | p. 19 |
Experimentality | p. 26 |
Ethics as "Workable Document" | p. 33 |
Floater Sites and Hidden Harms | p. 41 |
The Aftermath of Clinical Trials | p. 44 |
Arts of Drug Development | p. 47 |
Study Mills | p. 47 |
Drug-Development Services | p. 53 |
From Vulnerable to Professional Subjects | p. 61 |
The Pharmaceutical Boom and Everyday Research | p. 68 |
Engineering Out Harm | p. 77 |
The Scientific Plateau and the New Safety Paradigm | p. 85 |
The Global Clinical Trial | p. 89 |
How Many Clinical Trials Are Being Carried Out Worldwide? | p. 89 |
The Polish Market and the "Nonexistent" Patient | p. 98 |
Clinical Research Frontiers | p. 106 |
Collaborations in Global Science | p. 109 |
Akademia Kliniczna | p. 116 |
The Work of Slack | p. 119 |
Patient-Consumers | p. 124 |
"Our society was not competitive" | p. 127 |
Pivotal Countries | p. 130 |
Insurance and Legal Protection | p. 132 |
Pharmaceuticals and the Right to Health | p. 139 |
Reclaiming Patients and the Evidence Base of Drugs | p. 139 |
"Pharmaceuticals are the new gold" | p. 142 |
Health Technology Assessment in Brazil | p. 146 |
The Judicialization of Health | p. 150 |
Alternative Treatment Guidelines | p. 153 |
The Clinical Research Unit | p. 156 |
When a Country Is a Pharmacy | p. 160 |
A Public Health Experiment | p. 165 |
What Happens When Clinical Trials End | p. 167 |
The Values Patients Bring | p. 173 |
Information Asymmetry and Agency | p. 179 |
Conclusion: The Future of Global Medicine | p. 186 |
Scientific Evidence and Value | p. 186 |
Drugs as Public Goods | p. 190 |
Global Health Markets | p. 192 |
Innovation | p. 195 |
Acknowledgments | p. 201 |
Notes | p. 205 |
References | p. 225 |
Index | p. 249 |
Table of Contents provided by Ingram. All Rights Reserved. |
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