Entire Transcript in Adobe Acrobat Format - National Reference ...

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is you have education, you have response to problems, and
the third thing you need, I think, for a low incidence,
high severity problem, is to have penalties for violation
because I assure you that many, many people are busy. They
have lots to do. And no matter how well meaning they are
and no matter how much they believe in theory in the
ethical issues if it is demonstrated time and again that
there is no penalty for a serious violation people have
better ways to spend their time than to fuss with this
nonsense.
So that is the three things I say.
This leads to two issues and I have brought my
conclusions. There are resource issues that someone is
going to have to grapple with because the current structure
does not have enough staff and not enough money, and
probably not enough power to engage in either any of the
education response to problems and penalties for violation
that does not exist presently.
And then we have the structural problems and
there are, I think, disabling existing structural problems
that must not be perpetuated as we move forward into doing
better.
The first is the structural conflicts of
interest identified by Dr. Fletcher and Dr. McCarthy.