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Medical Ethics of Military Called Into Question

A leading British medical journal has published an article that criticizes the medical ethics of the U.S. military at Guantanamo, Abu Ghraib and in Afghanistan.

U.S. military doctors working in Iraq collaborated with interrogators in the abuse of prisoners at Abu Ghraib prison outside Baghdad, an article in the British medical journal The Lancet said on Friday. Professor Steven Miles, the report's author, cites evidence that some doctors falsified death certificates to cover up killings and hid evidence of beatings. "The medical system collaborated with designing and implementing psychologically and physically coercive interrogations," the University of Minnesota professor said.

The Wall St. Journal (subscription required), reports:

Britain's leading medical journal says U.S. military and coalition health personnel might have violated professional ethics by participating in abusive prisoner treatment in Iraq, Afghanistan and Guantanamo Bay, Cuba. An article in the Lancet's Aug. 21 issue by Steven Miles, a professor of medicine at the University of Minnesota's Center for Bioethics, concludes that "government documents show that the U.S. military medical system failed to protect detainees' rights, sometimes collaborated with interrogators or abusive guards, and failed to properly report injuries or deaths caused by beatings."

The article is based on information compiled from previously released reports, articles and testimony on the role of health-care workers in prisoner treatment. It calls for an inquiry into "the behavior of medical personnel in places such as Abu Ghraib" -- the prison in Iraq where U.S. military personnel abused Iraqi prisoners -- and suggests that the probe could lead to overhauls in military medicine.

As an example of wrongdoing, Miles cites this episode:

In one instance at Abu Ghraib, he writes, "a medic inserted an intravenous catheter into the corpse of a detainee who died under torture in order to create evidence that he was alive at the hospital."

The British journal devotes its editorial space to the topic, opining:

...while "military doctors can be placed in a difficult position," ethical codes require that "doctors, even in military forces, must first and foremost be concerned about their patients." It calls on health-care workers who witnessed abuse to "break their silence," and those still working in detention operations to "protest loudly and refuse cooperation with authorities" if asked to place "other interests" above those of patients.

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