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Is offering substantial financial compensation to homeless individuals for participating in a medical study an ethical way to advance science, or does it exploit their vulnerability and desperation?

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Why this dilemma matters

These choices are rarely between good and bad — they are between different distributions of harm. Choosing “Yes, it provides needed income and autonomy for a marginalized group while contributing to vital research” prioritises rules that hold everyone the same; choosing “No, it takes advantage of their dire circumstances, offering unfair inducement and potentially compromising informed consent” gives more weight to choices that account for difference.

Worth asking yourself

  • Whose interests should count more here, and why?
  • Would you accept the outcome from the losing side?

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