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Cry of Freedom in 'Beloved Country' Resonates Well

I recently returned from a week in South Africa, having spent two days in Pretoria leading a workshop on research ethics and three days lecturing at the University of Cape Town. If you had asked me ten years ago whether I thought this would be the first African country I'd visit, I surely would have said "no" - given my opposition to the country's apartheid policies.

Much has changed since then. Nelson Mandela was released from Robben Island, the public has democratically elected two presidents, and the country has been readmitted to the world's community of nations. While I believe it presumptuous to draw conclusions about a country on the basis of so brief a visit, several experiences gave me much to contemplate about the "new" South Africa.

The Pretoria workshop attracted participants from fifteen African countries. Held at the University of Pretoria, plenary sessions on informed consent, genetics, and research ethics review could easily have passed for conference sessions in Indianapolis, London or Paris. We met in rooms that only a few years ago prohibited black students. Now the university is being integrated with policies that give preferential hiring to black professors.

A senior resident at a rehabilitation hospital in Cape Town reported that the company responsible for placing physicians still has a 'policy' of preferentially hiring only whites, even though the South African Constitution and labor laws prohibit such practices.

I tried to visit Robben Island (now a major tourist destination five miles off the coast of Cape Town) but rough seas made the trip impossible. Instead, I visited the District Six Museum, the first post-apartheid museum in South Africa that honors the diverse community that was literally demolished as part of the Group Areas Act. I learned from the curator that while Robben Island receives nearly $3 million in government support, this museum relies on public donations and a grant from the Swedish government.

One evening I attended a performance of "Nothing But the Truth," a play written by and starring John Kani, who has appeared in numerous productions including Athol Fugard's "Master Harry and the Boys." At one point a young woman considers whether she should stay at home with her father or visit London. "I have so many choices," she says. "I'm not sure what to do." Her father replies, "That's the problem with freedom." The audience, a multi-colored tapestry of faces, erupted with knowing approval. Making freedom work in the new South Africa is an ongoing effort.

Eric M. Meslin, PhD, is director of the Indiana University Center for Bioethics and professor of medicine, of medical and molecular genetics, and of philosophy. He is also assistant dean for bioethics at the Indiana University School of Medicine.