Physicians at War The Dual-Loyalties Challenge
There are a range of ethical issues that confront physicians in times of war, as well as some of the uses of physicians during wars. This book presents a theoretical apparatus which undergirds those debates, namely by casting physicians as being confronte
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INTERNATIONAL LIBRARY OF ETHICS, LAW, AND THE NEW MEDICINE Founding Editors DAVID C. THOMASMA† DAVID N. WEISSTUB, Université de Montréal, Canada THOMASINE KIMBROUGH KUSHNER, University of California, Berkeley, U.S.A. Editor DAVID N. WEISSTUB, Université de Montréal, Canada Editorial Board TERRY CARNEY, University of Sydney, Australia MARCUS DÜWELL, Utrecht University, Utrecht, the Netherlands SØREN HOLM, University of Cardiff, Wales, United Kingdom GERRIT K. KIMSMA, Vrije Universiteit, Amsterdam, the Netherlands DAVID NOVAK, University of Toronto, Canada EDMUND D. PELLEGRINO, Georgetown University, Washington D.C., U.S.A. DOM RENZO PEGORARO, Fondazione Lanza and University of Padua, Italy DANIEL P. SULMASY, Saint Vincent Catholic Medical Centers, New York, U.S.A. LAWRENCE TANCREDI, New York University, New York, U.S.A.
VOLUME 41 The titles published in this series are listed at the end of this volume.
Fritz Allhoff Editor
Physicians at War The Dual-Loyalties Challenge
Dr. Fritz Allhoff Western Michigan University Kalamazoo, MI USA [email protected]
ISBN: 978-1-4020-6911-6
e-ISBN: 978-1-4020-6912-3
Library of Congress Control Number: 2008922459 © 2008 Springer Science + Business Media B.V. No part of this work may be reproduced, stored in a retrieval system, or transmitted in any form or by any means, electronic, mechanical, photocopying, microfilming, recording or otherwise, without written permission from the Publisher, with the exception of any material supplied specifically for the purpose of being entered and executed on a computer system, for exclusive use by the purchaser of the work. Printed on acid-free paper 9 8 7 6 5 4 3 2 1 springer.com
To military physicians, for your humanity, compassion, and service
Contents
Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1
Physicians at War: The Dual-Loyalties Challenge. . . . . . . . . . . . . . . . . . . . Fritz Allhoff
3
Part I Physicians and Dual-Loyalties Dual-Loyalty and Human Rights in Health Professional Practice: Proposed Guidelines and Institutional Mechanisms . . . . . . . . . . . . . . . . . . International Dual-Loyalty Working Group
15
Guidelines to Prevent the Malevolent Use of Physicians in War . . . . . . . . Michael E. Frisina
39
Dual Disloyalties: Law and Medical Ethics at Guantánamo Bay. . . . . . . . Jonathan H. Marks
53
Toward a Framework for Military Health Ethics . . . . . . . . . . . . . . . . . . . . Gervase Pearce and Peter Saul
75
Part II Physicians and Torture Physician Involvement in Hostile Interrogations . . . . . . . . . . . . . . . . . . . . . Fritz Allhoff
91
Indecent Medicine Revisited: Considering Physician Involvement in Torture . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 105 Richard Matthews Torture and the Regulation of the Health Care Professions. . . . . . . . . . . . 127 John Lunstroth
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Contents
Part III Physicians and Weapons Development Is Medicine a Pacifist Vocation or
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