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Unethical experimentation will always be with us, Dr. Moreno wrote, but if secrecy is limited and good model experimental programs can be developed, the abuses may be limited.
--Philip J. Hilts, New York Times
In 1994, Jonathan Moreno became a senior staff member of a special commission created by President Clinton to investigate allegations of government-sponsored radiation research on unknowing citizens during the cold war. The top secret documents he helped to declassify revealed a shocking truth-- that human experimentation played an extensive role in this country's attempts to build and protect against weapons of mass destruction.
In Undue Risk, Moreno presents the first comprehensive history of the use of human subjects in atomic, biological, and chemical warfare experiments from World War II to the twenty-first century. From the courtrooms of Nuremberg to the battlefields of the Gulf War, Undue Risk explores a variety of government policies and specific cases, including plutonium injections into unwitting hospital patients, U.S. government attempts to recruit Nazi medical scientists, the subjection of soldiers to atomic blast fallout, secret LSD and mescaline studies, and the feeding of irradiated oatmeal to children. It is also the first book to go behind the scenes and reveal the government's struggle with the ethics of human experimentation and the evolution of agonizing policy choices on unfamiliar moral terrain.
As the threat of foreign and domestic terrorist attack continues to grow, the need for our country to defend itself against insidious weapons is greater than ever. Can a democracy justify using humans in potentially risky experiments in order to answer scientific questions vital to national security? Exploring the possibilities, Undue Risk highlights a program of human experimentation that is a moral model for all others, civilian and military.
JONATHAN MORENO, a former senior staff member of President Clinton's Advisory Committee on Human Radiation Experiments, is Kornfeld Professor of Biomedical Ethics and Director of the Center for Biomedical Ethics at the University if Virginia. He is also Senior Research Fellow at the Kennedy Institute of Ethics at Georgetown University, a Fellow of the New York Academy of Medicine, an Adjunct Associate of the Hastings Center, and a member of the board of directors of the American Society of Law, Medicine, and Ethics. A regular bioethics columnist for abcnews.com, Moreno is the author of Deciding Together: Bioethics and Moral Consensus. He lives in Charlottesville, Virginia and Washington, D.C.
Between 1949 and 1969, the U.S. Army conducted over 200 "field tests" as part of its biological warfare research program, releasing infectious bacterial agents in cities across the U.S. without informing residents of the exposed areas, Moreno reveals in this chilling, meticulously documented casebook. A professor of biomedical ethics at the University of Virginia, Moreno (Arguing Euthanasia) served on a ClintonAappointed advisory committee that blew the lid off the government's secret radiation experiments from WWII through the mid-1970s, which involved the injection of unwitting human volunteers with plutonium, uranium and other radioactive substances. His disturbing new book partly overlaps with Eileen Welsome's The Plutonium Files (Forecasts, Aug. 2), though Moreno's survey extends furtherAfrom Walter Reed's turn-of-the-century yellow fever research to the infamous Tuskegee syphilis study; from army and air force mind control experiments (1950--1975) involving ingestion of LSD and incapacitating chemicals by thousands of subjects, often without their consent, to the compulsory vaccination of Gulf War GIs with botulism toxin vaccine not approved by the FDA that may have contributed to "Gulf war syndrome." While Moreno duly excoriates the excesses and horrors, his overarching thesis is that human military experimentation is unavoidable, and he commends the army's current infectious-agent research program at Fort Detrick, Md., as a model for future "ethical" research. Some readers may welcome his coolly detached chronicle as a complement to Welsome's scathing, far more powerful expos?. Agent, Betsy Amster; 3-city author tour. (Oct.)
Copyright 1999 Reed Business Information, Inc.
The infamous Nazi medical experiments on human subjects represent an extreme of government arrogance. But many other nations, including the U.S., have done similar if less egregious things, usually in the name of national security. Radiation, chemical agents and disease-causing agents are tested on people who have not given informed consent and may not even know they were test subjects. Moreno, professor of biomedical ethics at the University of Virginia and director of the Center for Biomedical Ethics there, decided to pursue the subject after his service on the presidential Advisory Committee on Human Radiation Experiments, appointed by President Bill Clinton in 1994 to investigate allegations of government-sponsored radiation research on unknowing citizens during the cold war. He tells of secret medical experiments, some ancient but most during and since World War II, by many nations. "If there is a single lesson to be gleaned from the story of military-medical human experiments," he says, "it is that we can expect them to continue in the future.... I believe it is also true that these experiments can be done ethically."
A thoughtful look into the unfortunate penchant of 20th-century governments to test deadly weapons on their own citizens. In 1994, Moreno, a professor of medical ethics at the University of Virginia, was asked to join a presidential commission studying the effects of government radiation research on human subjects. (These experiments were first uncovered by journalist Eileen Welsome, whose new book The Plutonium Files, p. 1041, describes them in detail.) Here he recounts his experiences on the commission, but, more, he lifts his eyes from bureaucratic paperwork to consider the history of secret state testing of such horrors as anthrax, mustard gas, Zyklon B, Agent Orange, and other toxic brews on unfortunate subjects ranging from prisoners of war, garden-variety criminals, and civil service employees to military personnel. Morenos approach is that of a medical ethicist, and throughout he examines questions of disclosure and foreknowledge, claiming that human experiments . . . are probably unavoidable in the real world of national security. Unavoidable, perhaps, but those experiments have had a range of possible outcomes. With the Nazi doctorsa huge class of medical personnel who, it seems, welcomed the chance to conduct evil teststhe result was almost always death, for if the test persons did not die in the experiment, they were usually killed so that witnesses would be eliminated. For the technocrats whose tinkerings with science may have resulted in illness among thousands of US veterans of the Gulf War, the results were less lethalbut no less sinister. Morenos text is studded with interesting sidelights, among them the evolution of a code of medical ethics following the Nuremberg trials, and detours into little-known factsamong them the curious case of the murderer Nathan Leopold (of Leopold and Loeb infamy), who volunteered to be a test subject for antimalarial drugs during WWII, wanting to do his bit for the war effort. An always interestingand often troublingforay into matters about which we know far too little. -- Copyright ©1999, Kirkus Associates, LP. All rights reserved.
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