> On 8 May 2020, at 18:58, John Clark <[email protected]> wrote:
> 
> If you want to do something drastic to end this virus nightmare there is 
> something we could do that would be far more effective than waiting for herd 
> immunity as well as being less ethically questionable, although I'm sure some 
> would still clutch their pearls in horror, I'm referring to Human Challenge 
> Trials. The idea is young healthy volunteers would be injected with a 
> experimental vaccine (or a placebo) and then deliberately infected with the 
> COVID-19 virus. This would dramatically speed up vaccine development and save 
> many thousands, perhaps millions, of lives; not to mention stop the economy 
> from collapsing into rubble. The death rate for young healthy people who get 
> COVID-19 is only about 1.4 deaths per 10,000 and the death rate for those who 
> volunteer as kidney donors is 3 times that, we accept one as being ethical 
> why not the other?

I agree. In fact I think that a government has nothing to say about which 
medication or medical technic can be used. It is only you and your doctor or 
shaman who can decide, and evaluate their risk. The government can impose 
“warnings”, and impose the traceability of products, and many things, but not a 
treatment, nor any particular medication, at least in normal time. If people 
are OK to try a new medication, there is no problem, as long as they get the 
information right, including the possible lack of information. A government can 
impose medical prescription, though, but again, that must be debatable, and 
only the physicians should be able to provide informations if such a decision 
makes sense.

Can a government imposes a vaccine? Yes, but again, only if there is some 
regulating independent court to assess the need. If not, that becomes an easy 
way to make money on diseases, like “big-pharma” already does a lot (and that 
is a *big* current problem).

During a pandemic, a government can impose both vaccine and quarantine, but 
again, only if such decisions are well explained and limited in time. 

About all this, the following video makes me worry a lot:

"US makes 'big bet' on vaccine company that's never brought a vaccine to 
market":
https://www.youtube.com/watch?v=TddfLvAeTqQ 
<https://www.youtube.com/watch?v=TddfLvAeTqQ>

It is so weird … that I am waiting for more information confirming this, but 
that is an example of what should never been done. It is like putting all eggs 
in the same basket which does not yet exist.

Bruno



> As one ethicist put it:
> 
> "This is the trolley problem where the fat man wants to jump knowing his 
> chance of death is below 1% and our decision is whether to stop him."
> 
> Should volunteers to be infected with coronavirus to test vaccines? 
> <https://www.sciencemag.org/news/2020/04/united-states-should-allow-volunteers-be-infected-coronavirus-test-vaccines-lawmakers#>
> 
> Human Challenge Trials—A Coronavirus Taboo 
> <https://quillette.com/2020/05/01/human-challenge-trials-a-coronavirus-taboo/>
> 
> John K Clark
> 
> 
> 
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