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A medical company is testing side effects of heart medication with participants ...

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A medical company is testing side effects of heart medication with participants in an African country. None of the participants have any heart conditions, and the medication is intended for a North American population (the heart condition is related to obesity, which is typically not relevant for an African population). The medical company gives participants free healthcare during the study, as well as reimbursement. Participation is voluntary and participants can terminate at any time. Which ethical principle from Nilstun’s comparative approach is violated by the medical company?

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