Abstract

Martial metaphors shape the practice of medicine. Bioethicists who disagree participate in culture wars; public health officials who advocate declare wars on cancer and drugs; surgeons who operate map theaters and fields; physicians who enter graduate training become housestaff officers; nurses who act clinically follow doctor's orders; patients who become ill wage battles against disease. But when we figure medicine as warfare, clinicians become either dutiful combatants or conscientious objectors. Clinicians who serve the mission of medicine are described as loyal, while those who abstain are characterized as disloyal. Disagreement is figured as treason and is punishable by exit from the...