Medical neocolonialism: big pharma outsources unethical clinical trials to south africa by. Netherlands-based non-profit organization that advocates the rights to health of people worldwide concluded that international pharmaceutical companies experiment with the health and lives of south african patients. According to the report, clinical trial business is valued at around million in south. Very little information other than buisness and profit analyses available on topic of clinical trials lack of media coverage and dearth of ngos and activists focusing on monitoring of clinical trials or patients rights. Given the incr. presence of drug companies and contract research organizations to whom tests are often subcontracted in countries with high rates of poverty and illiteracy, the potential fo ethical and human rights violations is high. Suffering test subjects given a placebo when treatment is available. Placebo-(cid:272)o(cid:374)t(cid:396)olled t(cid:396)ials (cid:272)a(cid:374) (cid:271)e (cid:272)o(cid:374)du(cid:272)ted o(cid:374)l(cid:455) i(cid:374) (cid:272)i(cid:396)(cid:272)u(cid:373)sta(cid:374)(cid:272)es (cid:449)he(cid:396)e the(cid:396)e(cid:859)s (cid:374)o proven treatment available: extreme care msut be taken to avoid abuse of this option.