In my opinion, the ethical decision is that if the drug is approved, we should do the clinical trials in Albania and use part of the profits to start a compassionate use program in Albania , although setting up a distribution system and training doctors to administer the drug, monitor patients for side effects, and track results will entail considerable expense. Since clinical trials have started in Albania, an entrepreneur should want to continue supplying the drug. Although it may be expensive to set up doctors and delivery systems in Albania, the cost would be the same, if not higher, to implement the same system in the United States. Since Albania is not as rich, the patients who started the clinical trial would be properly dependent on the drug. Dr. Hassan should anticipate and plan for the pricing of products manufactured in the United States and Albania, as this could create jobs in this region. If it is made in the United States and profits are greater, it could cover some of the expenses in Albania. Say no to plagiarism. Get a tailor-made essay on “Why violent video games should not be banned”? Get an original essay Ethical dilemma cases are problematic issues or situations that require a person or company to choose between alternatives that should be evaluated as correct (ethical) or false In my opinion, the third scenario is the most feasible because it is less costly and less time consuming. The objective of this report was to inform Dr. Ibrahim Hassan about the successes and challenges encountered in conducting a training program on research ethics in clinical trials in Albania. We report several key questions that emerged during this research and can serve as a solid reference to guide the planning and implementation of similar training programs in the future. This program will help the poor people of Albania. Therefore, I cannot offer dramatic relief and then take it away. An essential element of clinical trials is the need to understand the historical and philosophical foundations of the application of bioethical principles and research ethics codes and guidelines. The third scenario seems the most feasible in terms of ethical conduct as well as from a business perspective, as there is an abundant workforce in Albania, both in the field of doctors and materials. This would also accelerate the project schedule. Since Doctor Hassan's roots are from an underdeveloped country, he is more sensitive to the welfare of underprivileged citizens. This decision would therefore help the Albanian people in the following ways, while benefiting the American market. It would contribute to increasing the income of doctors and selected subjects as well as an increase in the overall GDP of the country. This would give additional credit to the Albanian people as they have been pioneers in the clinical research of this new drug. This would provide advanced treatment to the poor of Albania through an operational plan. This will help establish the subjects' history for any subsequent negative effects. This would increase diplomatic relations between the United States and Albania. This would open up new trade routes between two countries. Considering the third option, it is obvious that it is essential to spend money, either on doctors and subjects in the United States (which will not only be expensive and time-consuming, but also essential) or for the establishment of a compassionate use program which will be.