ጥበቃ እና መድረስ ጥያቄዎች በተጨማሪ, የፍትሕ መሠረታዊ ሥርዓት ብዙውን ጊዜ የሕክምና ሥነ ምግባር ላይ ከፍተኛ ክርክር ተገዢ ናቸው ተሳታፊዎች-ጥያቄዎች አግባብ ካሣ በተመለከተ ጥያቄዎች ያስነሳሉ ተረጐመላቸው ነው (Dickert and Grady 2008).
In addition to questions about protection and access, the principle of Justice is often interpreted to raise questions about appropriate compensation for participants - questions which are subject to intense debate in medical ethics (Dickert and Grady 2008).