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Case Analysis (individual)
It is not uncommon for evaluations to raise a variety of social, political, and ethical issues.  In order to explore these issues, we will analyze a case study.  Since case analysis is essentially self-learning through simulated experience, its success depends on the lively exchange of information, ideas, and opinions during case discussions.  Students must come prepared to discuss all aspects of the case, apply the concepts in the readings to the case, and be able to answer questions posed by the instructor or fellow classmates or it will adversely affect your class participation grade. 
 
Case: The Tuskegee Health Experiment
This is a short case reading but deals with a case that spans decades.  One of the interesting aspects of the case is that while the experiment began in 1932, the implications and ethical issues did not receive much attention until 1972.  The case is important and led to a number of important safeguards regarding the treatment of human subjects.  
 
Suppose you are a member of the Senate Subcommittee that investigated this matter. You know that the committee chair feels that the study was "outrageous and intolerable." Do you agree? Normally you have your staff prepare your written testimony, but in this case you have decided to do it yourself. You have decided that your written testimony in the form of a memo to the committee.  Your testimony should answer three questions: 1) was the study ever needed (did it produce valuable information; 2) was the information generated in a manner that abused the rights of study participants; and, 3) did the doctors and nurses behave ethically over the course of the entire study. In formulating your answer be sure to consider the following:
 
bullet Do the ends justify their means? Was the study ever worthwhile and needed?  If it was, at what point did the behavior or the Doctors and nurses cross the line? How does the timing of events influence your judgments? 
bulletExactly who was engaged in unethical behavior?  Was it just the doctors and bureaucrats who designed and funded the study?  Were the nurses and doctors who participated in different aspects of the study acting ethically? 
bulletTo whom were the doctors and nurses accountable?  Who should they be accountable to?  Did the doctors and nurses face conflicting ethical obligations?  Were some acts more unethical than others were?
bulletWas there a way to obtain the same information or conduct the study using an alternative research design that would have removed or minimized the ethical and moral issues?
bulletCan a "Tuskegee experiment" happen again?  What recommendations do you have for safeguards that would prevent a study like this from being conducted?
bulletWhat are some of its long-term impacts of the Tuskegee Study on society?
  
While your testimony does not need to respond to these questions directly, they may help you to think through the issues involved. 
 
The following materials should help you to formulate your testimony:
 
bulletDownload the case reading
bullet Short Article describing the study
bullet President Clinton apologizes
bulletCDC's website on the study and a Timeline by the CDC
bullet FINAL REPORT of the Tuskegee Syphilis Study Ad Hoc Advisory Panel (1973)
bullet Wikipedia - history
bullet Infoplease.com
bullet MSNBC - fallout from the study today
bullet Information on the Tuskegee University website
bullet Internet resources - list of weblinks
bullet CNN interactive story and links
bullet "Bad Blood:" A Case Study of the Tuskegee Syphilis Project
bullet See the PLS 500 website for additional guidance on case analysis and memo writing
 
Time permitting, we will also watch a movie about these events entitled Miss Evers’ Boys (1997) staring Alfre Woodard, which won a Golden Globe award.
 
Written Assignment
Your testimony should be in the form of a memo to the Senate oversight committee and should answer the three questions above.  Your testimony is limited to 3 single-spaced pages, 12 point font with 1 inch margins.  If you need guidance on writing a memo, see my PLS 500 website.

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