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Ethical tensions in delivering Defence Engagement (Health)
1Conflict and Health Research Group, Department of War Studies, King's College London, London WC2R 2LS, UK martin.bricknell@kcl.ac.uk.
BMJ Military Health
|February 14, 2023
Summary
Defence Engagement (Health) activities present predictable ethical challenges. Military healthcare personnel require training to identify and manage these issues across strategic, operational, and tactical levels.
Area of Science:
- Military Medicine
- Global Health Ethics
- Defence Health Engagement
Background:
- Examines ethical tensions in Defence Engagement (Health) (DE(H)) activities.
- Reviews existing literature on ethical dimensions in military healthcare, including medical eligibility, cultural competence in mentoring, MEDCAPS, and civil-military collaboration.
- Summarizes key principles and perspectives in military healthcare ethics (MHE).
Discussion:
- Analyzes ethical risks of DE(H) at strategic, operational, and tactical levels.
- Highlights the importance of considering legal, professional, societal, and public health factors alongside clinical aspects.
- Addresses the need for comprehensive ethical analysis in MHE issues.
Key Insights:
- Ethical challenges in DE(H) are foreseeable and manageable.
- Training military healthcare personnel is crucial for navigating ethical complexities.
- A multi-faceted approach encompassing diverse perspectives is essential for ethical conduct.
Outlook:
- Recommends proactive training for military healthcare personnel to address DE(H) ethical issues.
- Emphasizes the integration of broader societal and public health considerations into ethical frameworks.
- Contributes to the ongoing discourse on ethical conduct in international military health operations.
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