TY - BOOK AU - Fisher,Jill A. TI - Adverse Events: Race, Inequality, and the Testing of New Pharmaceuticals T2 - Anthropologies of American Medicine: Culture, Power, and Practice SN - 9781479877997 AV - RM301.27 U1 - 615.10973 23 PY - 2020///] CY - New York, NY : PB - New York University Press, KW - Drugs KW - Testing KW - Social aspects KW - United States KW - Equality KW - Health aspects KW - Human experimentation in medicine KW - Moral and ethical aspects KW - Racism in medicine KW - SOCIAL SCIENCE / Anthropology / General KW - bisacsh KW - clinic KW - clinical trial culture KW - clinical trials KW - clinics KW - confinement KW - consumption KW - decision making KW - demographics KW - drug development KW - economic interests KW - economic motivations KW - economic need KW - economic risk KW - epistemology KW - health-promoting behavior KW - healthy volunteers KW - identity KW - imbricated stigma KW - inclusion-exclusion criteria KW - informed consent KW - methods KW - model organism KW - opportunism KW - participation KW - pharmaceutical industry KW - phase I clinical trials KW - phase I industry KW - phase I trials KW - phase I KW - profit KW - public health KW - qualifying KW - race KW - region KW - reputation KW - research participation KW - research staff KW - risk KW - screen failure KW - serial participation KW - social inequalities KW - social inequality KW - social network KW - social world KW - study compensation KW - validity N1 - restricted access N2 - Explores the social inequality of clinical drug testing and its effects on scientific resultsImagine that you volunteer for the clinical trial of an experimental drug. The only direct benefit of participating is that you will receive up to $5,175. You must spend twenty nights literally locked in a research facility. You will be told what to eat, when to eat, and when to sleep. You will share a bedroom with several strangers. Who are you, and why would you choose to take part in this kind of study? This book explores the hidden world of pharmaceutical testing on healthy volunteers. Drawing on two years of fieldwork in clinics across the country and 268 interviews with participants and staff, it illustrates how decisions to take part in such studies are often influenced by poverty and lack of employment opportunities. It shows that healthy participants are typically recruited from African American and Latino/a communities, and that they are often serial participants, who obtain a significant portion of their income from these trials. This book reveals not only how social inequality fundamentally shapes these drug trials, but it also depicts the important validity concerns inherent in this mode of testing new pharmaceuticals. These highly controlled studies bear little resemblance to real-world conditions, and everyone involved is incentivized to game the system, ultimately making new drugs appear safer than they really are. Adverse Events provides an unprecedented view of the intersection of racial inequalities with pharmaceutical testing, signaling the dangers of this research enterprise to both social justice and public health UR - https://www.degruyter.com/isbn/9781479861439 UR - https://www.degruyter.com/document/cover/isbn/9781479861439/original ER -