“The Enemy”
by Pearl S. Buck
Submitted by Group
4:
Aditya Kandoi 10P064
Akshat Gait 10P065
Jayant Bahel 10P081
Shubham Narayan 10P092
Tanmay Gupta 10P116
Vikas Upadhyaya 10P119
Ethical Questions Raised by “The Enemy”
11 Does one’s obligation to country supersede obligation to patient?
22 When
Whenisisaapatient
patientaapatient,
patient,and
andwhen
whenisishe
hean
anenemy
enemytotobe
betreated
treatedasasthreat?
threat?
33 How
Howare
areethical
ethicalprinciples
principlesprioritized
prioritizedwhen
whenthey
theyare
areininconflict
conflictofofthis
thisnature?
nature?
44 How
Howdoes
doesone
oneexamine
examinethe
themotives
motivesthat
thatdrive
driveSadao
Sadaototomake
makehis
hisdecisions?
decisions?
55 Conflict
Conflictbetween
betweenbest
bestinterests
interestsofofpatient
patientand
andsuccess
successofofthe
themilitary
militarymission
mission
[Link]
Factors resulting in moral dilemma
◦ Professional ethics
◦ Duty to the nation
◦ Social code of conduct
◦ Obligation towards family
[Link]
Two Perspectives
Perspectives
Humanity Patriotism
[Link]
[Link]
• Geneva Convention 4
• ACP Ethics Manual 3
• Military Medical Ethics 2
• Hippocratic Oath 1
General Principles guiding physicians
Hippocratic Oath
“Exercise my art solely for the cure of patients, and will give
no drug, perform no operation for a criminal purpose, even if
solicited…”
I will remember that I remain a member of society, with
special obligations to all my fellow human beings, those
sound of mind and body as well as the infirm.
Military Medical Ethics
Respect for autonomy
Beneficence
An obligation to act for the benefit of others
Intentionally take positive steps to help others.
Non-malifecence
An obligation not to inflict harm on others
Intentionally refrain from actions that cause harm
Justice
[Link]
ACP Ethics Manual
Relation of the Physician to Government
Physicians must not be a party to or speak out against torture or other
abuses of human rights .Participation by physicians in the execution of
prisoners except to certify death is unethical. Under no circumstances is it
ethical for a physician to be used as an instrument of government to
weaken physical or mental resistance of a human being, nor should a
physician participate in or tolerate cruel or unusual punishment or
disciplinary activities beyond those permitted by the United Nations
Standard
Geneva Conventions
As per Article 10:
“Under no circumstances shall any person be punished for carrying
out medical duties compatible with medical ethics, regardless of the
person benefiting there from.”