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• W4242364706 abstract "Steven Miles1Miles SH Abu Graib: its legacy for military medicine.Lancet. 2004; 364: 725-729Summary Full Text Full Text PDF PubMed Scopus (85) Google Scholar inappropriately generalises the alleged misdeeds of a very few medical personnel in Iraq to condemn the entire military medical force. This unfortunate stereotyping does a great disservice to thousands of military doctors, nurses, field medics, and other health-care providers who have served honorably and have consistently exhibited the highest professional and ethical standards. The overwhelming majority of these men and women are humanitarian life-savers. Since the beginning of Operation Iraqi Freedom, army medical staff have provided superb health-care, often at great personal risk, not only to US forces but also to thousands of Iraqi men, women, and children—saving many lives in the process. Additionally, army medicine's full range of health-care providers have worked tirelessly to help Iraqis rebuild their own destitute health-care infrastructure. It is clearly wrong to impugn the honorable, and sometimes heroic, efforts of the military medical system because a few individuals are alleged to have ignored, condoned, or participated in illegal, unethical behaviours. It is clearly wrong to indict before all the facts are known. There is also a fundamental flaw in Miles' argument that military medical personnel have an irresolvable ethical conflict in balancing the medical needs of their patients, to include detainees, with that of military duty. These are not mutually exclusive functions when the chain of command is operating in accordance with military regulations and applicable law. More than 200 years of army medicine support this notion of compatibility. A military physician's responsibility includes ensuring the safety and health of detainees in support of the legal and legitimate actions of commanders who follow law and regulation. To suggest that it is an either/or proposition is simply incorrect. Additionally, the author misrepresents the structure of the US army. Not all medics are under the direct or immediate supervision of physicians (such as the two cited in the Fay report for not making responsible parties aware of the misdeeds at Abu Ghraib). These enlisted personnel work directly for their unit line commanders. They are not “personally accountable to a physician” as Miles states. The article's allegation that death certificates were improperly altered to cover up prisoner deaths is unfounded. An initial reported cause of death is a field expedient process, often made by local medical personnel not fully qualified to certify cause of death. Autopsies corroborate or correct initial inaccuracies. It is not consistent with allegations of a cover up to have the autopsy result be recorded as “Homicide” after all the evidence is available. The army has a robust legal system for investigating and dealing with those who are found to have violated lawful standards and those assessments will continue. I have faith justice will prevail. In the meantime, I ask that your readers put the allegations of wrong-doing by a few army personnel in proper perspective. Remember the many thousands who have served and are serving honorably, caring for American soldiers and Iraqis, and not the few who might have greatly disappointed us with their lack of proper ethical judgment. Military medicine and human rightsAuthors' reply Full-Text PDF" @default.
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• W4242364706 date "2004-11-01" @default.
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• W4242364706 title "Military medicine and human rights" @default.
• W4242364706 doi "https://doi.org/10.1016/s0140-6736(04)17429-1" @default.
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