neurosurgeon whoâd be willing to lend a hand.â
âI canât believe Iâm hearing this,â Stephanie said. âIt sounds like youâve already talked yourself into doing this crazy, unethical experiment, and thatâs what it would be: an uncontrolled, risky experiment on a single human subject. No matter what the outcome, it would be devoid of value, except possibly for Butler.â
âI donât agree. By doing this procedure, we will save CURE and HTSR, meaning millions of people will ultimately benefit. It seems to me a minor compromise in ethics is a small up-front price to pay for an enormous back-end payoff.â
âBut weâll be doing exactly what Senator Butler accused the biotech industry of doing in his opening statement this morning: using ends to justify means. It would be unethical to experiment on Senator Butler, plain and simple.â
âYeah, well, perhaps to some degree, but who are we putting at risk? Itâs the villain! Heâs the one asking for it. Worse yet,heâs conniving for it by extorting us with information he got by somehow coercing the FBI to do an illegal investigation.â
âThat all may be true, but two wrongs donât make a right, and it doesnât absolve us of our complicity.â
âI think it would. Weâll make Butler sign a release, and weâll put everything in the release, including the fact that we are fully aware that doing the procedure would be considered unethical by any research advisory board in this country, because itâs being done without an appropriately approved protocol. The release will state unequivocally that it was Butlerâs idea to do the procedure and to do the procedure outside of the country. It will also state that he used extortion to get us to participate.â
âDo you think heâd sign such a release?â
âWe wonât give him any choice. Either he signs it or he doesnât get the benefit of HTSR. Iâm comfortable with the idea that weâll be doing the procedure in the Bahamas, so we wonât be violating any FDA rules, and weâll have a rock-solid release in case we need it. The onus will be squarely on Butlerâs shoulders.â
âLet me think about it for a few minutes.â
âTake your time, but I really think the moral weight favors our doing it. It would be different if we were forcing him in any way, shape, or form. But weâre not. Itâs the other way around.â
âBut it could be argued that heâs uninformed. Heâs a politician, not a doctor. He doesnât truly know the risks. He could die.â
âHeâs not going to die,â Daniel said emphatically. âWeâll err on the conservative side, meaning the worse-case scenario is that we wonât give him enough cells to get his dopamine concentration high enough to get rid of all his symptoms. If that happens, heâll be begging us to do it again, which will be easy, since weâll maintain the treating cells in culture.â
âLet me mull it over.â
âSure,â Daniel said.
They rode the rest of the way in silence. It wasnât until they were going up in the hotel elevator that Stephanie spoke up: âDo you honestly think we would be able to find an appropriate place to do the procedure?â
âButler spent a good deal of effort on all this,â Daniel said. âHe wasnât leaving anything to chance. Frankly, Iâd be shocked if he didnât have the clinic he mentioned investigated for appropriateness at the same time he had me investigated.â
âI suppose thatâs possible. Actually, I remember reading about the Wingate Clinic about a year ago. It was a popular, unaffiliated infertility clinic out in Bookford, Massachusetts, before it moved under pressure to the Bahamas. It was quite a scandal.â
âI remember it too. It was run by a couple of maverick
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