Adverse Events Audiobook By Jill A. Fisher cover art

Adverse Events

Race, Inequality, and the Testing of New Pharmaceuticals

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Adverse Events

By: Jill A. Fisher
Narrated by: Diana Blue
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About this listen

Imagine 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 20 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.

©2020 New York University (P)2021 Tantor
Anthropology Poverty & Homelessness Sociology
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Stilted Performance Made It Hard to Pay Attention

I was not sure initially if this book was read by a computer or by a person because their performance was so robotic-like and stilted. It’s like they couldn’t get into a flow. As a result, it was difficult to pay attention — important with a topic such as this and a book that is assigned to college classes.

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