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Reply to this discussion from your opinion 1. I believe that more than one of these principles were sacrificed in the Tuskegee Study. However, I believe that autonomy stands out the most. Autonomy is considered a form of personal liberty. Autonomy means that “the individual is free to choose and implement his or her own decisions, free from deceit, duress, or coercion” (Edge & Groves, 2018, p. 72). This study violated the 399 participants’ autonomy. There were numerous forms of deceit and coercion. Although, these men were free to make the decision to be apart of the study, their choices were made based upon lies that they were told. Firstly, they were not told of their true disease. Instead, they were told that they have “bad blood.” The biggest form of deceit in this study was that the men were told that they were receiving treatment for their disease, when in reality all that was happening was that the progression of their disease was being observed. These men were led to believe that they were being provided treatment for their “bad blood” and receiving free amenities along with it. Even when successful methods of treatment became available, it was not given to them. Instead, measures were taken to prevent them from receiving treatment at Tuskegee as well as other places, such as the local County Medical Society and in the military. Those in charge of this study violated the autonomy of 399 men and knowingly allowed them to suffer and die when it could have all been prevented entirely. 2. From my own knowledge of the Tuskegee Study, from beyond this case study, I understand that Nurse Eunice Rivers was in a difficult position. This study was greatly affected by racism, as the leaders were white and the participants were all African American. Nurse Rivers was respected and rewarded by the leaders of this study at a time when many would think of her as inferior because of her race. While Nurse Rivers was fully aware of what was actually occurring within the study, she thought that it was good that these men were getting care and attention, and she herself provided them with a great amount of quality care. However, in my opinion, I believe that what she did was wrong. I believe that the blame should be placed upon those that orchestrated this study and that Nurse Rivers should not be rewarded or glorified for her involvement. I believe that she is less to blame than others involved because she was not in charge and did in her mind what she thought she should have. In reality, I believe that the best way to care for these men would have been to disclose what was actually happening to them and to report this to anyone and everyone that she could have. If that would have occurred, the suffering and death of so many could have been avoided.

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