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Klaus Hoeyer

Ethics might share the name with an age-old philosophical discipline, but when used as a regulatory tool, it conjures particular forms of power and performs tasks very different from what philosophers used to do. Regulatory ethics can be installed by professional groups, civil society actors, corporate actors, publishers and others who are not subject to democratic control. Ethics regulation can have detrimental effects for those meeting its sanctions; but is can operate outside the formal legal system and offer few options of appeal. This chapter introduces the study of ‘ethics’ as a form of regulation in the field of medicine to debunk some of its founding myths and to make it subject to renewed critical scrutiny.

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Klaus Hoeyer, Aaro Tupasela and Malene Bøgehus Rasmussen

In recent years, cross-national collaboration in medical research has gained increased policy attention. Policies are developed to enhance data sharing, ensure open access, and harmonize international standards and ethics rules in order to promote access to existing resources and increase scientific output. In tandem with this promotion of data sharing, numerous ethics policies are developed to control data flows and protect privacy and confidentiality. Both sets of policymaking, however, pay limited attention to the moral decisions and social ties enacted in the everyday routines of scientific work. This chapter takes its point of departure in the practices of a Danish laboratory with great experience in international collaboration regarding genetic research. We focus on a simple query: What makes genetic material and health data flow, and which hopes and concerns travel along with them? We explore what we call the flows, the nonflows, and the overflows of material and information, and we document the work producing the flows of health data and biomaterial. We call this work “ethics work” and argue that it is crucial for data sharing though it is rarely articulated in ethics policies, remains inadequately funded, and lacks acknowledgement in policies promoting international data sharing. The quest for Big Data is dependent on adequate maneuvering in local contexts and grand solutions of harmonization of ethics rules cannot replace the detailed ethics work aimed at acknowledging local concerns.