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Journal of Medical Ethics 2008;34:389-392; doi:10.1136/jme.2007.021857
Copyright © 2008 by the BMJ Publishing Group Ltd & Institute of Medical Ethics.

Research ethics

Payment for research participation: a coercive offer?

Department of Bioethics, National Institutes of Health, Bethesda, Maryland, USA

Correspondence to:
Franklin G Miller, Department of Bioethics, Clinical Center, National Institutes of Health, Building 10, Room 1C118, Bethesda, Maryland 20892–1156, USA; fmiller{at}nih.gov

Payment for research participation has raised ethical concerns, especially with respect to its potential for coercion. We argue that characterising payment for research participation as coercive is misguided, because offers of benefit cannot constitute coercion. In this article we analyse the concept of coercion, refute mistaken conceptions of coercion and explain why the offer of payment for research participation is never coercive but in some cases may produce undue inducement.


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