"Most important, there is no evidence that the good will built by U.S. doctors transferred to the South Vietnamese forces, and in fact the opposite may have been true: American programs may have emphasized the inability of the South Vietnamese government to provide basic health care to its own people. Furthermore, the programs may have demonstrated to Vietnamese civilians that foreign soldiers cared more for them than their own troops did. If that is the case, the programs actually did more harm than good in the attempt to win hearts and minds."--BOOK JACKET.
"The goal of military medicine is to conserve the fighting force necessary to prosecute just wars. Just wars are defensive or humanitarian. A defensive war protects one's people or nation. A humanitarian war rescues a foreign, persecuted people or nation from grave human rights abuse. To provide medical care during armed conflict, military medical ethics supplements civilian medical ethics with two principles: military-medical necessity and broad beneficence. Military-medical necessity designates the medical means required to pursue national self-defense or humanitarian intervention. While clinical-medical necessity directs care to satisfy urgent medical needs, military-medical necessity utilizes medical care to satisfy the just aims of war. Military medicine may therefore attend the lightly wounded before the critically wounded or use medical care to win hearts and minds. The underlying principle is broad, not narrow, beneficence. The latter addresses private interests, while broad beneficence responds to the collective welfare of the political community"--
A 'how-to' book for medical aid workers - doctors, nurses and paramedics - working in hostile environments (natural disasters, man-made disasters, conflict in all its forms and remote or austere industrial settings). This manual provides information on what is going on, how to get involved, how to get ready, guidance on what to do out there, and how to get home bridging the fields of medicine, nursing international relations, politics, economics and history.
Cowdrey tells the remarkable story of how American units developed and implemented new technology under dire pressures, succeeding so brilliantly that World War II became the first American war in which more men died in combat than of disease. Penicillin brought the antibiotic revolution to the battlefield, air evacuation plucked the wounded from jungles and deserts, and a unique system brought blood, still fresh from America, to our soldiers all over the world. Surgeons working just behind the front lines stabilized the worst cases, while physicians and public health experts suppressed epidemics and cured exotic diseases. Psychiatrists, nurses and medics all performed heroic feats amidst unspeakable conditions. Together, these men and women improvised medical miracles on the battlefield that could not have been imagined by practitioners in peacetime.
MEDICS AT WAR features the dedication and heroism of U.S. military medical personnel from Colonial times to the 21st century. Meet the medics who save lives and care for those in harm's way. The authoritative text is complemented by more than 200 photos.
Trauma and Tenacity in Vietnam: A Surgeon's Story, captures the defining period in the medical life of Capt. Sheldon Kushner, MD, while stationed in Vinh Long, Vietnam, from 1968-69. Through letters, reel-to-reel tape recordings, slides and the personal interviews that recounted his experience, the story of a young surgeon is revealed. When we think of Vietnam and medicine, there is a natural tendency to think of the M*A*S*H image of treating American soldiers wounded in combat. However, unlike the TV doctors who helped our servicemen, Sheldon used his medical skills to care for wounded Vietnamese civilians. This role represents a new part of the story that is Vietnam. It was an effort by our government to improve the health conditions and showcase America's compassion and good intentions to win the hearts and minds of the South Vietnamese people. The great hope was that the South Vietnamese would embrace these medical practices and continue them, just as our military believed that as we advised the South Vietnamese, they would gain the ability and motivation to defeat the North Vietnamese. This lofty goal of medical mentorship was never achieved, but the men and women who went to do the job came away changed and wholly committed to the idea that they made a difference. When we read this book about other people's lives, we feel their triumphs and tragedies; we vicariously experience the lessons life taught them. In Vietnam, Sheldon learned that he was a survivor, a man whose love of medicine was broadened to explore the inner sense of pride in his work. He discovered he had the tenacity to meet the challenge of unrelenting daily surgery and that under less-than-optimal conditions, he and his team could use creativity to accomplish their goal of keeping people alive. His ethics were left intact in spite of what he saw around him. Most of the letters and tapes utilized in the writing of this book reflect the emotions of an inexperienced 26-year old physician, overwhelmed and unprepared for the horrors of a brutal war that he did not understand. The scars remain imprinted in the minds of many veterans who returned home alive, only to be met by the insensitivity, contempt and hatred conveyed by some people who did not serve in Vietnam and did not understand. In the pages of this book, you will see the profound effect Sheldon's service in Vinh Long had on him physically and mentally. It also shaped his opinion on the war. It was truly the defining period of his life. As Sheldon concluded about his time in Vietnam: "We did a lot of surgery and saved a lot of people's lives. We filled a great humanitarian need."
“A precisely crafted and bracingly honest” memoir of war and its aftershocks from the New York Times–bestselling author of Matterhorn (The Atlantic). In 1968, at the age of twenty-three, Karl Marlantes was dropped into the highland jungle of Vietnam, an inexperienced lieutenant in command of forty Marines who would live or die by his decisions. In his thirteen-month tour he saw intense combat, killing the enemy and watching friends die. Marlantes survived, but like many of his brothers in arms, he has spent the last forty years dealing with his experiences. In What It Is Like to Go to War, Marlantes takes a candid look at these experiences and critically examines how we might better prepare young soldiers for war. In the past, warriors were prepared for battle by ritual, religion, and literature—which also helped bring them home. While contemplating ancient works from Homer to the Mahabharata, Marlantes writes of the daily contradictions modern warriors are subject to, of being haunted by the face of a young North Vietnamese soldier he killed at close quarters, and of how he finally found a way to make peace with his past. Through it all, he demonstrates just how poorly prepared our nineteen-year-old warriors are for the psychological and spiritual aspects of the journey. In this memoir, the New York Times–bestselling author of Matterhorn offers “a well-crafted and forcefully argued work that contains fresh and important insights into what it’s like to be in a war and what it does to the human psyche” (The Washington Post).
Only weeks after the D-Day invasion of June 6, 1944, a surprising cargo—crates of books—joined the flood of troop reinforcements, weapons and ammunition, food, and medicine onto Normandy beaches. The books were destined for French bookshops, to be followed by millions more American books (in translation but also in English) ultimately distributed throughout Europe and the rest of the world. The British were doing similar work, which was uneasily coordinated with that of the Americans within the Psychological Warfare Division of General Eisenhower's Supreme Headquarters, Allied Expeditionary Force, under General Eisenhower's command. Books As Weapons tells the little-known story of the vital partnership between American book publishers and the U.S. government to put carefully selected recent books highlighting American history and values into the hands of civilians liberated from Axis forces. The government desired to use books to help "disintoxicate" the minds of these people from the Nazi and Japanese propaganda and censorship machines and to win their friendship. This objective dovetailed perfectly with U.S. publishers' ambitions to find new profits in international markets, which had been dominated by Britain, France, and Germany before their book trades were devastated by the war. Key figures on both the trade and government sides of the program considered books "the most enduring propaganda of all" and thus effective "weapons in the war of ideas," both during the war and afterward, when the Soviet Union flexed its military might and demonstrated its propaganda savvy. Seldom have books been charged with greater responsibility or imbued with more significance. John B. Hench leavens this fully international account of the programs with fascinating vignettes set in the war rooms of Washington and London, publishers' offices throughout the world, and the jeeps in which information officers drove over bomb-rutted roads to bring the books to people who were hungering for them. Books as Weapons provides context for continuing debates about the relationship between government and private enterprise and the image of the United States abroad. To see an interview with John Hench conducted by C-SPAN at the 2010 annual conference of the Organization of American Historians, visit: http://www.c-spanvideo.org/program/id/222522.
Beleaguered countries struggling against aggression or powerful nations defending others from brutal regimes mobilize medicine to wage just war. As states funnel medical resources to maintain unit readiness and conserve military capabilities, numerous ethical challenges foreign to peacetime medicine result. Force conservation drives combat hospitals to prioritize warfighter care over all others. Civilians find themselves bereft of medical attention; prison officials force feed hunger-striking detainees; policymakers manage healthcare to win the hearts and minds of local nationals; and scientists develop neuro-technologies or nanosurgery to create super soldiers. When the fighting ends, intractable moral dilemmas rebound. Post-war justice demands enormous investments of time, resources and personnel. But losing interest and no longer zealous, war-weary nations forget their duties to rebuild ravaged countries abroad and rehabilitate their war-torn veterans at home. Addressing these incendiary issues, Military Medical Ethics in Contemporary Armed Conflict integrates the ethics of medicine and the ethics of war. Medical ethics in times of war is not identical to medical ethics in times of peace, but a unique discipline. Without war, there is no military medicine, and without just war there is no military medical ethics. Military Medical Ethics in Contemporary Armed Conflict revises, defends, and rebuts wartime medical practices, just as it lays the moral foundation for casualty care in future conflicts.
