This article uses an infamous case of data falsification in clinical r
esearch as a starting point for a deeper analysis of some of the motiv
ations and obligations that could encourage misconduct in a clinical s
etting. The article argues that the use of alternative, less rigid exp
erimental designs and protocols could help lessen the pressures on res
earchers to falsify clinical data pertaining to patient records, and t
hat it is worth considering alternative designs to benefit patients an
d help promote integrity in medical research.