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One clause to rule them all: ". . . ethical attention is needed to determine whether [spaceflight participants] should remain flight eligible even if they decline research participation." This. Huge.

A recognition that participation in certain activities can be conditioned on agreeing to participate in research.

And maybe it is also time for NASA to revisit whether the Common Rule should be revised to apply this concept to astronauts.

Are you interested in research ethics? The recent NY Times and New Yorker articles are required reading, and see my comments on LinkedIn: The Harvard Professor, the Bloggers, and The New York Times linkedin.com/pulse/harvard-… via LinkedIn

Check out my latest article: The Harvard Professor and the Bloggers: Part 2 linkedin.com/pulse/harvard-… via LinkedIn Wherein I try to answer that question often asked around the dinner table: Why is this column different from all other columns?

Check out my latest article: Make Yourself Look Good: Ask ChatGPT to Write a Stand-up Sketch Intro for You linkedin.com/pulse/make-you… via LinkedIn

Protecting Participants Is Not the Top Priority in Clinical Research. That's a true statement, and the title of my Viewpoint in JAMA, at jamanetwork.com/journals/jama/… Learn why the Declaration of Helsinki's denial of this truth about clinical research needs to be changed.