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Medical Neutrality? The Red Cross and MSF

1 Apr, 11 | by Iain Brassington

Adam Curtis is one of my favourite film-makers: I don’t think his programmes are always right, but they’re always provocative – and I think they’re more right than wrong.  He also has a blog, which – though updated even less frequently than this one at the moment – is excellent.

His latest post is about the evolution of humanitarian intervention; I do recommend setting aside an hour or so to have a look at it.  But if you can’t spare the time, scroll down to the bit about Médecins Sans Frontières: it raises some interesting questions about the idea of medical neutrality in conflict zones.  For MSF’s founder, Bernard Kouchner, neutrality is no such thing:

Kouchner had worked for the Red Cross in Biafra, but he had become disgusted by the Red Cross’ refusal to publicise the genocide created by the Nigerian government.

Just as the Red Cross hadn’t revealed the horrors they saw in World War Two in the Nazi concentration camps because they insisted on being “neutral”

Kouchner resigned and went back to Paris where he founded a new humanitarian organisation called Medecins Sans Frontieres. Being neutral, Kouchner said, really meant being complicit in the horror. And MSF would never be complicit. It was on the side of the innocent victims.

It’s fascinating to see how, at least in the early days of MSF, their claim was that the Red Cross was not neutral – that it should have been more interventionist.  I’m reminded of Churchill’s complaint about the BBC during the war, that being impartial between the Allies and the Axis was like being impartial between the firemen and the fire.  And perhaps that terminology is important: maybe there is an important difference between neutrality and impartiality.

We do expect medics in conflict zones to be neutral – but, of course, by the fact that they’re there at all, they aren’t wholly neutral: they’ve taken a moral position and are acting based on what it demands.  This seems to be the MSF position; what counts is not neutrality, but the just – impartial – application of a non-neutral moral position.  Except that doesn’t seem right, quite, either.  Maybe there isn’t all that much between neutrality and impartiality – but, in that case, the MSF objection to the Red Cross seems a bit petulant.

I don’t know.  But I do thoroughly recommend Curtis and his blog.

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  • John O'Malley

    It is a really difficult area.
    The role of any clinical professional is to provide the highest quaility of care to all. But to provide that, one often has to look at the causes for illness, disease or trauma. It's then that we become involved in the social causes which are linked to politics and government policy. thus we start from, as Iain says, a non neutral moral position.
    It is the consistency that is important and the fact that it is applied to all. In the same way it is pointless being for free speech and not being prepared to defend the rights of people, whose views are abhorrent to you, to say what they want to say.
    There is a place for both MSF and the Red Cross. I think the latter have a point when they say that their effectiveness would be hampered if they were seen as a partisan organisation. The price they pay for this access to prisoners of war on both sides of a conflict, for example, is sometimes a high one, because they cannot report of human rights abuses. The alternative is lack of access to people who desperately need their help.
    As we have seen again and again, supping with the devil does not mean agreement with his actions.

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