Why is preventive medicine exempted from ethical constraints?

@article{Skrabanek1990WhyIP,
  title={Why is preventive medicine exempted from ethical constraints?},
  author={Petr Skrabanek},
  journal={Journal of medical ethics},
  year={1990},
  volume={16 4},
  pages={187-90}
}
It is a paradox that medical experimentation on individuals, whether patients or healthy volunteers, is now controlled by strict ethical guidelines, while no such protection exists for whole populations which are subjected to medical interventions in the name of preventive medicine or health promotion. As many such interventions are either of dubious benefit or of uncertain harm-benefit balance, such as mass screening for cancers or for risk factors associated with coronary heart disease, there… CONTINUE READING
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