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Policymaking in a plural society: the case of human experiments in medicine in Israel

Published online by Cambridge University Press:  23 October 2023

Michal Neubauer-Shani Open the ORCID record for Michal Neubauer-Shani [Opens in a new window]  and
Etienne Lepicard
Michal Neubauer-Shani*
Affiliation:
Department of Politics and Governance and the Division of Multidisciplinary Studies in Social Sciences, Ashkelon Academic College, Yizhak Ben-Zvi 12, Ashkelon, Israel
Etienne Lepicard
Affiliation:
Center for medical education, Hadassah and Hebrew University Medical School, Ein-Kerem Campus, Jerusalem, Israel
*
Corresponding author: Michal Neubauer-Shani; Email: michal.neubauer@mail.huji.ac.il
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Abstract

Various processes in recent years have brought about trends of polarization within democratic societies, challenging political stability. Against this backdrop, policy patterns that are being adopted regarding controversial issues are significantly affected by these countries’ aspiration to create and maintain a consensus, which may have implications not favoring the public. One such issue is human experiments in medicine (clinical trials), which has been regulated by most countries through primary legislation. As a deeply divided society, Israel has been addressing this issue through regulation and secondary legislation, despite several attempts to have it regulated through primary legislation. This article employs the consociational model alongside Public Choice Theory to explain the adoption of this policy pattern on the issue of human experiments. Based on thematic analysis of semi-structured interviews and existing sources, it sheds light on the normative choice that weighs the merits of primary legislation against the virtues of accommodation and consensus.

Keywords

clinical trialsconsociational modelconsociationalism in Israelethics in medicinehuman experiments in medicinepublic choice theory
Type
Research Article
Information
Journal of Public Policy , Volume 44 , Issue 1 , March 2024 , pp. 164 - 184
Copyright
© The Author(s), 2023. Published by Cambridge University Press

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