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Correspondence
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Volume 337:642-644 August 28, 1997 Number 9
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Human Costs of Economic Sanctions

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 by Andrews, T. C.
To the Editor: As former heads of medical-exemption committees in the Israeli Defense Force, we dealt with soldiers who tried to use the medical system to avoid their duties. With regard to such malingering, described in the article by Andrews et al. on Cuban migrants detained at Guantanamo Bay, Cuba (April 24 issue),1 we fully agree with Dr. Eisenberg's view in his editorial 2 that serving as gatekeepers (trying to detect malingerers seeking privileges that are reserved for the sick) frequently presents physicians with a moral dilemma. We agree with others 3 that most physicians cannot diagnose malingering reliably.

We have served . . . [Full Text of this Article]

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