Footnotes

• Twitter @tracybethhoeg, @KrugAlli

• Contributors TBH drafted the manuscript. AK drafted some specific responses, each of the other authors contributed factual and ethical arguments and approved the final draft. SB and EJ reviewed and edited the manuscript to add ethical considerations to the framework. SK and TL reviewed and edited the legal aspects of the arguments. VP and MAM reviewed and edited the manuscript. KB reviewed and edited the manuscript to add the ethical analysis response.

• Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

• Competing interests None declared.

• Provenance and peer review Not commissioned; externally peer reviewed.