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Ethics & accountability · Balancing user vs business interest

A patient advocacy group is pressing you for expanded access to your investigational therapy for a dying child, but giving it could jeopardize the trial's integrity and your ability to prove the drug works for everyone. How do you decide?

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This is the hardest tension in the field — a real child in front of me versus the future patients the trial exists to serve — and I won't pretend either side is trivial.…

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