Military medical ethics: a review of the literature and a call to arms.

نویسنده

  • Michael L Gross
چکیده

It is noteworthy that the monumental two-volume study of military medical ethics published by the U.S. Army in 2003 paid little attention to military physicians working in detention facilities. Abu Ghraib was still a year away, so instead of focusing on what would ultimately swamp the military medical ethics literature, the army study offers a rich and comprehensive analysis of crucial clinical, political, ethical, and scientific questions. The timing was fortuitous because it allowed lawyers, philosophers, and healthcare professionals to constructively engage questions of bioethics and national security. In the years following Abu Ghraib, however, interest in dual-use technology, humanitarian intervention, weapons development, soldier-patient rights, and resource distribution would receive far less attention than medical conditions at Guantanamo Bay and would remain the purview of a relatively small group of researchers. Now is a good time to rectify this imbalance. As the following review demonstrates, the nascent field of military medical ethics holds no few challenges for enterprising bioethicists. Clinical questions that embrace patient rights in the military, experimentation, investigational drugs, and medically engineered enhancement technologies abound. Interest in battlefield bioethics is growing as U.S. forces in Iraq and Afghanistan struggle to provide medical care to U.S. service personnel, Iraqi allies, enemy insurgents, and local civilians. Nonclinical challenges confront us when medical workers develop weapons that utilize advances in pharmacology, neurophysiology, and genetics. Medicine can also serve peace. No less than law enforcement, impartial courts, schools, and welfare agencies, medical care is crucial for failed states to rebuild. This literature, referred to as medical humanitarianism or ‘‘medicine as a bridge to peace,’’ has received scant attention from bioethicists.

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عنوان ژورنال:
  • Cambridge quarterly of healthcare ethics : CQ : the international journal of healthcare ethics committees

دوره 22 1  شماره 

صفحات  -

تاریخ انتشار 2013