The Impact of the Duty to Obey Orders in Relation to Medical Care in the Military

Coleman, Nikki

doi:10.1007/978-3-030-36319-2_3

Cited by 3 publications

(1 citation statement)

References 1 publication

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“…The basic principle of individual autonomy applies to consent to treatment within the clinical doctor-patient relationship (Ataç et al, 2005). However, a patient's perception of freedom of choice over medical treatment might be constrained by rank or other power differentials in this relationship if the healthcare provider outranks the patient or vice versa (Coleman, 2020). Restrictions on the choice of healthcare provider due to military rules or payment systems that prevent access to care outside the military health system may exacerbate this situation.…”

Section: Military Medical Ethics In Garrisonmentioning

confidence: 99%

Medical Ethics for the Military Profession

Bricknell

Miron

2021

Rev. Cient. Gen. José María Córdova

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This paper summarizes medical ethics in the military profession to raise military leaders’ awareness of Military Medical Ethics (MME) and the ethical issues that may impact their medical services and personnel. First, it summarizes core concepts, including the four principles of medical ethics (autonomy, beneficence, non-maleficence, and justice), the two legal frameworks for the use of military force in war, jus ad bellum and jus in bello, and the concept of dual loyalty. It then examines MME issues during conflict, in garrison healthcare, and during the COVID-19 epidemic. Finally, it concludes by arguing that MME is an important domain of military ethics that should be taught to military leaders to complement the detailed education of MME for military medical professionals.

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Section: Military Medical Ethics In Garrisonmentioning

confidence: 99%

Medical Ethics for the Military Profession

Bricknell

Miron

2021

Rev. Cient. Gen. José María Córdova

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Dual Professional Loyalty and Medical Ethics Outside Armed Conflict: The Physician-Soldier Dilemma

Eze,

Innoeze

2024

Military and Humanitarian Health Ethics

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Personal health monitoring in the armed forces – scouting the ethical dimension

2023

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Background The field of personal health monitoring (PHM) develops rapidly in different contexts, including the armed forces. Understanding the ethical dimension of this type of monitoring is key to a morally responsible development, implementation and usage of PHM within the armed forces. Research on the ethics of PHM has primarily been carried out in civilian settings, while the ethical dimension of PHM in the armed forces remains understudied. Yet, PHM of military personnel by design takes place in a different setting than PHM of civilians, because of their tasks and the context in which they operate. This case study therefore focusses on obtaining insights into the experiences and related values of different stakeholders regarding an existing form of PHM, the Covid-19 Radar app, in the Netherlands Armed Forces. Methods We carried out an exploratory qualitative study, using semi-structured interviews with twelve stakeholders in the Netherlands Armed Forces. We focussed on participation in the use of PHM, reflections on the practical use and use of data, moral dilemmas and the need for ethics support, all in regard to PHM. The data was analysed using an inductive thematic approach. Results Three interlinking categories reflecting ethical dimensions of PHM emerged: (1) values, (2) moral dilemmas, and (3) external norms. The main values identified were: security (in relation to data), trust and hierarchy. Multiple related values were found. Some, but no broadly shared, moral dilemmas were identified and no strong need for ethics support was expressed. Conclusion This study shed light on key values, provide insights in the experienced and presumed moral dilemmas and bring to mind ethics support considerations when looking at PHM in the armed forces. Some values bring a certain vulnerability to military users when personal and organisational interests are not aligned. Furthermore, some identified values may hinder a careful consideration of PHM because they potentially conceal parts of ethical dimensions of PHM. Ethics support can assist in uncovering and addressing these concealed parts. The findings highlight a moral responsibility for the armed forces to devote attention to the ethical dimensions of PHM.

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The Impact of the Duty to Obey Orders in Relation to Medical Care in the Military

Cited by 3 publications

References 1 publication

Medical Ethics for the Military Profession

Medical Ethics for the Military Profession

Dual Professional Loyalty and Medical Ethics Outside Armed Conflict: The Physician-Soldier Dilemma

Personal health monitoring in the armed forces – scouting the ethical dimension

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