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drugs offered “more potential harm for the patient than poten-
               tial benefi t.”  Nor did researchers aim to fi nd a wonder drug that
                           3
               would provide a cure. Rather, researchers were simply interested
               in tracking the course of the disease in those it affl icted. There
               was no expectation that the men who had syphilis would recover.
                   But that was not what the men recruited for the study were
               told. Instead, the PHS promised prospective volunteers that they
               would receive appropriate treatment for what ailed them. Recruit-
               ment fl yers explained that all volunteer subjects would be given a
               physical examination. “After [the examination] is fi nished,” the fl yer
               continued, “you will be given a special
               treatment if it’s believed that you are in
               a condition to stand it.” The fl yer ended    “They just kept saying I had
               with a veiled threat, printed in all capi-    the bad blood. They never
               tal letters: “REMEMBER THIS IS YOUR           mentioned syphilis to me, not
               LAST CHANCE FOR SPECIAL FREE                  even once.” 5
               TREATMENT.”    4
                   Moreover, evidence strongly sug-          — Tuskegee experiment test subject
               gests that the men were not told that           Charles Pollard
               the study was about syphilis. Charles
               Pollard, one study participant, told lat-
               er interviewers that he had been recruited because he had what
               researchers called “bad blood”—a catch-all term within the lo-
               cal Black community for ailments both serious and benign. “They
               just kept saying I had the bad blood,” Pollard reported years later.
               “They never mentioned syphilis to me, not even once.”  And while
                                                                       5
               some study leaders disputed Pollard’s recollections, other doctors
               involved in the research backed his account.

               Tuskegee and Medical Ethics

               From a perspective of medical ethics, the Tuskegee study was
               severely fl awed. Principles of medical ethics state that studies
               should only be performed on people who have given informed
               consent—that is, people who know what the study is about and
               what their role in it will be. The Tuskegee syphilis study failed



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